Post-Blepharoplasty Lower Eyelid Retraction Repair
Post-blepharoplasty lower eyelid retraction is a dreaded complication which can occur after lower blepharoplasty. It almost always occurs after a transcutaneous approach to surgery (also called an open approach) which is when all surgery is done through a skin incision just under the lashes. This is because this approach typically violates many tissue planes in the lower lid which can lead to eyelid scars and the lids retracting or pulling down. This is a tough problem to fix which requires an eyelid specialist with many years of experience with revision lower...
Lower Blepharoplasty – Why Fat Preservation is Essential
Lower blepharoplasty is a time-honored aesthetic procedure aimed at removing lower eyelid bags and addressing lower eyelid hollows and dark circles. These hollows, or depressions, are generally referred to as “periorbital” or “eyelid hollows” and are typically aesthetically displeasing to patients. Lower blepharoplasty had traditionally been performed with incisions under the eyelid lashes (transcutaneous surgery). This route for surgery has unfortunately led to an unpredictable and unacceptably high rate of lower eyelid retraction (pulled down lower lids)....
Lower Blepharoplasty – Why Fat Preservation is Essential
Lower blepharoplasty is a time-honored aesthetic procedure aimed at removing lower eyelid bags and addressing lower eyelid hollows and dark circles. These hollows, or depressions, are generally referred to as “periorbital” or “eyelid hollows” and are typically aesthetically displeasing to patients. Lower blepharoplasty had traditionally been performed with incisions under the eyelid lashes (transcutaneous surgery). This route for surgery has unfortunately led to an unpredictable and unacceptably high rate of lower eyelid retraction (pulled down lower lids)....
The Real Deal with Brow Lifts
Brow lift surgery has evolved significantly since its early descriptions. Early procedures involved various incisions above the brow in folds and creases. These more direct lifts (called direct because of their proximity to the brows) are powerful, but can lead to obvious scars, loss of brow hair, and irregular brow contours. Surgery then evolved to large hidden incisions behind the hairline (through an open or coronal approach). While less powerful than the more direct lifts, these tend to be more aesthetically pleasing and are longer lasting. However, this...
Lower Eyelid Retraction – How To Fix Bad Blepharoplasty Results
Lower eyelid retraction is a devastating complication of bad blepharoplasty results in which the lower eyelid is pulled down. Lower lid retraction has primarily been reported in patients who underwent a transcutaneous approach to lower eyelid surgery – when the surgery is done through lower lid skin. Alternatively, it is rarely seen in the transconjunctival approach surgery – when surgery is done from inside the lid. Dr. Guy Massry of Beverly Hills sees and manages patients with lower lid retraction often. It has become a big part of his practice over the...
How to Inject Fillers: Much more important than the product selected
Injectable fillers have become one of the most common facial aesthetic procedures performed in the world. They have become a standard in facial aesthetic practices and can make a profound difference in improving facial appearance. Most patients feel fillers (Juvederm, Restylane, etc) are a simple procedure, performed quickly with immediate and gratifying results. While this is typically true, fillers can lead to many complications - some of which are very serious. It is important for patients to be aware of these issues and make sure they see the most qualified...
5 DO NOT Rules of Lower Lid Blepharoplasty
When we read blogs and articles we always read about the things TO DO. We hardly ever read about what NOT TO DO. So today, Dr. Guy Massry wants to share his 5 DO NOT Rules of lower lid blepharoplasty. These 5 do not rules are just as important as any "to do" rules in ensuring a patient gets the best lower blepharoplasty results possible. What is lower lid blepharoplasty? When we talk about lower lid blepharoplasty we are talking specifically about the area under the eyes. With age people may develop under eye bags, under eye hollows, or dark circles. With a...
7 Tips For The Best Lower Lid Retraction Repair Results
Lower eyelids that become pulled down after cosmetic lower blepharoplasty is called lower eyelid retraction. More specifically, it is referred to as post-blepharoplasty lower eyelid retraction. This is a devastating complication emotionally, psychologically, and functionally (as it can lead to true eye problems). When one looks in the mirror and no longer sees themselves, it’s overwhelming. It often leads to various degrees of post-traumatic stress disorder (PTSD). Post-blepharoplasty lower eyelid retraction should be taken very seriously and should only be...
Male Blepharoplasty – Age Appropriate Results Are Key
As the years go on, more and more men are interested in the idea of plastic surgery to rejuvenate their appearance. In fact, according to a recent report by the American Society of Plastic Surgeons, over 214,000 males in the United States chose to have plastic surgery. The report also highlighted that eyelid surgery is the second most common plastic surgery procedure among men. Dr. Massry explains how to get age appropriate male blepharoplasty results. Choosing the Best Male Blepharoplasty Surgeon While blepharoplasty is a very common procedure, it is one that...
Eyelid or Orbital Trauma – Repairing the Medial Canthus
Trauma to the face can, unfortunately, end in injury to the eyelids or the orbit – the bone around the eye socket. The range of injury to the eyelids and orbit ranges greatly depending on the traumatic event. But in most cases, after the trauma, patients will experiences symptoms such as blurry or double vision, black and blue bruises around the eye, swelling of the cheek and forehead, facial numbness, and more. One of the specific injuries this blog will discuss is malposition of the medial canthus. How is an eyelid or orbital trauma treated? If you have...
Fun Facts About Eyelid Fillers
Eyelid filler injections are becoming more and more common among men and women. Today, Dr. Guy Massry thought he would share 3 fun facts about eyelid filler with everyone! Eyelid Filler Fun Fact #1 Did you know early fillers were made from the comb (red appendage) on the top of the head of turkeys and chickens?! Don't worry, this is no longer where filler comes from! Today there are several different type of eyelid fillers. The most commonly used eyelid fillers are Hyaluronic Acid gel fillers, such as Restylane. Eyelid Filler Fun Fact #2 Did you know eyelid...
How To: Perform Lower Lid Blepharoplasty With Fat Transpositioning
Lower lid blepharoplasty is an intricate procedure which can be fraught with complications. The first, second and third rules that Dr. Guy Massry lives by for this procedure are, “Do it well!” It takes years to master this! Dr. Massry loves performing this surgery on his patients and has dedicated much of his career to its study. One variant in lower lid blepharoplasty is transposing the puffy fat to the adjacent hollow “dark circles" below. Traditionally, fat was also considered a bad thing and was simply removed. Now that we know fat is so precious when we...
Dana’s Revision Eyelid Surgery – Dr. Massry Changed My Life
"Dr. Guy Massry changed my life! I know it sounds dramatic but there is no other statement that would begin to describe what Dr. Massry did for me. If you are reading this review you may be going through the same type of nightmare I experienced, at the hands of another doctor who absolutely botched your surgery or you may be researching doctors for your first surgery. Either way, I am here to tell you, there is no one better and no one I would trust more than Dr. Massry in Beverly Hills. I am a former model and was with the biggest agency in the world. I...
The Massry Method – Fixing Pulled Down Lower Lids and Rounded Eyes and Canthal Webs
Dr. Guy Massry is internationally recognized for his exceptional ability to revise poor results from previous eyelid surgery. Far too often, eyelid surgery results in lower lid retraction, which occurs when the lower lids get pulled down after surgery, and canthal webs. These results are disfiguring and can be functionally disabling. This issue is very hard to fix and Dr. Massry has found that for many patients it requires a different “surgical recipe,” depending on examination, to make the eyes appear normal again. How do you fix pulled down lower lids and...
Hollow Upper Eyelids – The Best Way to Fix Them
As some people age, their upper eyelids begin to lose volume and create a sunken-in appearance. Below is an example of a patient with hollow upper eyelids. When a patient has hollow upper eyelids, it makes the patient look older and tired. While this area can be treated with filler, in some cases surgical intervention is the best long-term option. However, as always with the eyes, it is very important to find a board-certified oculoplastic surgeon, like Dr. Guy Massry, who has extensive experience with this type of procedure. Surgery for Hollow Upper Eyelids...
Lacrimal Gland Repositioning with Upper Blepharoplasty
A dislocated lacrimal gland (tear gland coming forward and visible or palpable under the eyelid) can add to temporal fullness of the eyelid. Eyelid expert, Dr. Guy Massry, explains how to repair a prolapsed lacrimal gland with lacrimal gland repositioning surgery. What is the lacrimal gland? The lacrimal glands produce tears and are located in the upper outer corner of the eye (lacrimal fossa). What is lacrimal gland prolapse? Lacrimal gland prolapse means there is a bulge or fullness to the outer part of the upper eyelid. Some patients will feel pressure on the...
Festoons, Festoons, Festoons – What can we do?
Festoons present a very complicated eyelid/cheek problem to correct. Festoons are the overhanging hammocks of skin at the junction of the eyelid and cheek. In general, surgeons treat festoons as just one entity. However, Dr. Guy Massry has found that there are actually two different kinds of festoons: Dry festoons – overhanging skin Wet festoons - accumulate fluid In Dr. Massry’s experience, each type of festoon is best corrected with a different surgical technique and the surgery should always be customized to the patient’s needs. Furthermore, Dr. Massry has...
Blepharoplasty 101: Aging Eyelids
In the second video of his series Blepharoplasty 101, Dr. Guy Massry discusses aging eyelids. One of the easiest ways to understand the aging process of the eyelids is to compare our faces and eyelids to grapes that turn into raisins. As we age, our skin doesn't just sag, but we also lose volume. This loss of volume is why fillers and fat grafting have become so popular over the past few years. When performing eyelid surgery for aging eyelids, Dr. Massry believes it is really important to look at photos of patients when they were younger to make sure he can...
Blepharoplasty 101: Meeting Patient Expectations
In his series Blepharoplasty 101, Beverly Hills oculoplastic surgeon, Dr. Guy Massry, will discuss everything you need to know before undergoing cosmetic eyelid surgery. In the first video of the series, Dr. Massry discusses the importance of having realistic expectations for your surgery. Many people, both patients and surgeons, overlook the importance of establishing realistic expectations for blepharoplasty results. Every patient has a different idea in mind for how they want to look after cosmetic eyelid surgery, and it is critical that the patient clearly...
St. Louis University – Practical Anatomy Workshop
St. Louis University hosted a hands-on cadaver workshop and surgical training course to provide surgeons with a realistic learning experience. Dr. Massry presented several lectures and instructed a course on his intricate revision eyelid surgery techniques.