Eyelid Bags are a very troublesome problem for many patients.  Eyelid bags are prominences of the lower eyelids which cause a puffy, tired and aged appearance.  Eyelids bags are often associated with dark circles underneath, and  treatment of eyelid bags  typically reduces the appearance the dark circles. The treatment for eyelid bags is called blepharoplasty surgery (eyelid surgery).  Many facial cosmetic surgeons perform blepharoplasty surgery, but few are specialists within the field. Dr. Guy Massry (Beverly Hills Blepharoplasty/Eyelid Bag Expert) is a...

Eyelid paralysis (no function) or eyelid paresis (weakness) after Bell’s palsy or other forms of facial nerve injury is a common problem encountered by many patients.  It can be devastating to patients as eyelid paralysis or paresis can cause severe pain, reduce vision and distorted appearance.  This problem should only be addressed by an eyelid surgeon who has experience and expertise in this specialized form of surgery. Surgically addressing these problems is called facial or eyelid reanimation.  This means restoring facial and eyelid function and appearance. ...

Eyelid Paresis (weakness) and paralysis (no function) is a troublesome complication of Bell’s palsy or other forms of facial paralysis.  When eyelid paresis or paralysis occurs it is critical to help rehabilitate eyelid closure.  This is typically done with implants that weigh the lid down so it closes better.  These implants are made of Gold and Platinum as these are inert materials which typically do not induce eyelid inflammation.  Today these implants can be placed in a cosmetically acceptable way. Correcting eyelid paresis or paralysis requires an eyelid...

Eyelid Paralysis (inability to close the eyes) can occur from Bell’s palsy or numerous other disease processes that cause the facial nerve not to function.  In all cases the result is facial and eyelid paresis (weakness) or paralysis (no function).  When eyelid paresis or paralysis occurs the eyelids don’t close, the eye is exposed with resultant pain, redness, tearing, reduced vision and constant irritation.  This is a very troublesome situation for the patient. Correcting eyelid paresis or paralysis requires an eyelid surgery expert. Dr. Massry employs new and...

Cosmetic eyelid surgery (blepharoplasty surgery) is a specialized form of facial plastic surgery which addressed excess skin and fat from the upper lids, and eyelid bags and dark circles from the lower lids.  There are cosmetic specialists who only do this surgery – rather than all cosmetic surgery.  These specialists are called oculoplastic surgeons.  They surgeons certified in both ophthalmology (eye doctors) and eye plastic surgery.  There is no other specialty with the knowledge, experience and expertise to perform your eyelid surgery.  Please be careful...

Gel Fillers - Restylane, Juvaderm and Perlane are used around the eyes to treat hollows, dark circles and depressions.  They are composed of Hyaluronic acid, a natural substance in our body which is lost with age.  The gel (Restylane, Juvaderm or Perlane) is injected into the hollow or depression to fill the area and improve contour and appearance.  Dr. Guy Massry, Beverly Hills ophthalmic plastic surgeon https://drmassry.com, is a specialist in gel fillers (especially Restylane) around the eyes.  Dr. Massry prefers Restylane because it has not had more than...

Eyelid paralysis/paresis (weakening) can occur secondary to Bell’s palsy and other such processes.  This is a very frustrating problem as when the eyelids are weak, they do not close, the lower lid can drop and both appearance and function suffer. There are many ways to address these issues with surgery (gold weight implant, canthoplasty, etc.) and non surgically with fillers (Restylane, Juvederm, Perlane) or with Botox.  These last solutions are temporary but allow the patient to avoid surgery. Dr. Guy Massry is an eyelid specialist (practicing in Beverly Hills...

Ptosis repair is a form of a lid lift whereby the eyelid elevating muscle is shortened and re-secured to open the eyelids.  This is different from blepharoplasty (another form of lid lift) surgery when skin/muscle and fat of the eyelid is removed without touching the elevating muscle.  This is an important distinction about lid lift surgery.  Blepharoplasty is a relatively straightforward surgery, while ptosis repair is much more complex.  For this reason only an eyelid surgery expert (an oculoplastic or ophthalmic plastic surgeon) should perform the ptosis...

Upper lid blepharoplasty (eyelid surgery) is performed for both cosmetic and functional (to improve field of vision) reasons. When surgery is performed for vision improvement (if you have private insurance) it requires pre-authorization with your insurance company prior to surgery. If you have Medicare there is no pre authorization and you must understand that surgery may be denied.  The pre-authorization for upper lid blepharoplasty (eyelid) surgery requires photographic documentation of the heavy lids and a field of vision test.  This information is sent to...

Traditional blepharoplasty (eyelid surgery) has often led to a gaunt or skeletonized look.  This can leave patients seeking remedies that are hard to find as too much fat has been removed from the eyelids – which can be a challenge to correct.  Modern day blepharoplasty surgery avoids these problems by preserving eyelid fat via translocating prominent eyelid fat to adjacent areas of depressions. Below is a patient example of fat grafting to the lower lids (performed by Dr. Massry) to correct hollows from previous surgery by another surgeon...