Blepharoplasty surgery is one of the most common cosmetic procedures performed in the country today.  Blepharoplasty surgery can include upper lid blepharoplasty, lower lid blepharoplasty or both – what we call four lid blepharoplasty surgery. I am Dr. Guy Massry and I practice ophthalmic plastic surgery in Beverly Hills, California.  While blepharoplasty surgery is common throughout the country it is especially common in Beverly Hills.  The patient population I see in Beverly Hills is very assertive when it comes to cosmetic surgery, especially cosmetic eyelid...

Blepharoplasty is upper or lower eyelid surgery to improve appearance and at times vision (upper lid blepharoplasty).  Blepharoplasty surgery is performed by many specialists including general plastic surgeons, facial plastic surgeons and oculoplastics surgeons.  As eyelid surgery is a very specialized form of cosmetic surgery it is important to make sure your surgeon has specific expertise in aesthetic eyelid surgery. When surgery does not turn out as planned, or complications occur, a re-operation is often needed.  The re-operation is referred to as a revision...

Beverly Hills is a city which is on the forefront of cosmetic surgery.  One of the most common cosmetic procedures performed is blepharoplasty surgery http://drmassry.com/#/1-3.  Put the city to the procedure and you get Beverly Hills blepharoplasty.  I mention that because in Beverly Hills, blepharoplasty surgery is performed often and in high volume.  Why is this? There is a high density of cosmetic surgeons in Beverly Hills and almost all perform blepharoplasty surgery. Beverly Hills is a city where many entertainers live.  People who work in this industry...

I have recently written on revisional blepharoplasty surgery https://drmassry.com/blog/?p=262 and revisional canthoplasty surgery https://drmassry.com/blog/?p=286.  I have received a great response from patients who have had complications from previous blepharoplasty and eyelid surgery and are interested on information on how to correct their problems.  I believe before and after photographs of patients who have undergone revisional blepharoplasty surgery, revisional canthoplasty surgery or any revisional eyelid surgery are important.  Before and after...

Canthoplasty surgery is an important part of lower eyelid blepharoplasty surgery.  It functions to maintain the shape of and reinforce the lower eyelid, while preserving the angle formed where the upper and lower lids met laterally (the canthus or canthal angle).  This is intricate surgery which requires specific expertise to get right.  Ophthalmic Plastic surgeons perform canthoplasty surgery routinely and are the best surgeons to go to for canthoplasty surgery. Revisional canthoplasty surgery (redo surgery) is significantly more complicated than standard...

Eyelid fat grafting is a procedure in which fat from the body (abdomen, inner thigh) is harvested (collected) and then transferred (injected) into the hollows (depressions) around the eyelids.  This is done to improve eyelid contour and appearance.  Unfortunately, eyelid fat grafting can be associated with numerous complications which can be distressing to the patient and frustrating to the treating surgeon.  What are these complications? Nodules:  If the body considers the fat foreign to its new location an immunological reaction can occur leading to...

Lower eyelid fat grafting (transfer) for filling depression (hollows) has become more common over the last 5 years (see link for patient examples https://drmassry.com/#/1-5.)  Just because eyelid fat grafting has become more popular does not meant it is the right thing to do, or not associated with potential complications.  Eyelid fat grafting involves taking frat from one area of the body and transferring it to the eyelids.  Typically fat is harvested from the abdomen, inner thighs or other area and injected into the junction of the lower lid and cheek to fill...

5-Fluorouracil is an anti-metabolite long used for treatment of cancer and more recently in an intralesional (into scar) fashion as an effective modality in the management of dermal scars, particularly hypertrophic scars and keloids. In ophthalmology, it is been used to prevent scarring after trabeculectomy (glaucoma) surgery.  I use 5-Fluorouracil to manage cutaneous (skin) scars in patients after surgery, and have been very pleased with the results and negligible side effect profile. I still add some steroid in the injection (75% 5-FU 50 mg/ml/25% Kanalog...

Losing an eye is a very physically and emotionally traumatic event.  This can occur because of trauma or a variety of diseases of the eye.  When an eye is lost it is called anophthalmia.  The surgery to correct this condition is a grab-bag term called anophthalmia surgery.  Anophthalmia surgery can include blepharoplasty surgery (remove skin/fat/muscle from the lids), ptosis surgery (lift the upper lid), canthoplasty surgery (tighten/support the lower lid), socket surgery (surgery in the eye socket), orbital implant surgery (placing implants in the socket), and...

Blepharoplasty surgery should only be performed by an experienced and well-trained cosmetic surgeon. Ophthalmic plastic surgeons (oculoplastic surgeons) are expert blepharoplasty surgeons with cosmetic surgical training of the eyelids and surrounding areas (forehead/eyebrows/midface (cheeks). Oculoplastic surgeons are first trained in ophthalmology (eye diagnosis and treatment) before their cosmetic training in blepharoplasty surgery. Surgeons from numerous specialties such as otolaryngology (ENT), general plastic surgery and general surgery perform...