One of the most requested cosmetic eyelid procedures is eye bag surgery. As we age, the membrane that holds the fat back weakens and the fat comes forward, creating the appearance of those unwanted eye bags. Eye bag surgery, or cosmetic lower lid blepharoplasty, is a very specialized procedure which should ONLY be performed by an experienced eyelid surgeon, like Dr. Massry.  Although it is a commonly performed procedure, complications from an inexperienced surgeon can be devastating. Seeing an oculoplastic surgeon, who is a specialist in eyelid surgery, helps...

When you first decide to take your beauty routine to the next level, you quickly realize there are a lot of different non-surgical procedures available to help you erase your unwanted wrinkles. Two of the most common non-surgical procedures are Botox and fillers – they are two very different things. To help educate patients, Beverly Hills oculoplastic surgeon Dr. Guy Massry, has put together a true or false list of the most common questions about Botox vs fillers. How many of these do you already know? Botox and fillers are the same thing – FALSE Although both...

Cosmetic eyelid surgery is not a "one size fits all" procedure. Our eyes are the most defining characteristics of our face and deserve to be treated with personalized and customized care. Dr. Guy Massry believes the best cosmetic eyelid surgery results are those that are tailored to the specific needs of the patient. Below you can see a patient before (left) and after (right) customized cosmetic eyelid surgery.  So how did Dr. Massry achieve the best cosmetic eyelid surgery results for this patient? He performed a customized outer brow lift with upper and lower...

Lower blepharoplasty (cosmetic eyelid surgery) can be performed through an eyelid skin incision or from inside the lower lid.  There is no doubt surgery from inside the lid is harder and more technically demanding.  However, it is far safer, more cosmetically appealing and leads to significantly less potential complications.  The dreaded result of surgery through the skin is a pulled down (or retracted) lower eyelid.  This is VERY hard to fix, even in the best of hands.  Here are the important points to keep in mind when deciding to undergo a lower...

Lower blepharoplasty is a great facial rejuvenation procedure.  Modern surgery can be performed from inside the eyelid or from the skin.  There are pros and cons to each approach.  Today Dr. Massry is going to talk about the differences of filling the lower lid hollows with fat.  There are 2 ways to do this. Fat transfer or grafting (two names for the same procedure) Fat repositioning What is Fat Grafting? Fat grafting is when fat is harvested from another part of the body (ie. abdomen) via a liposuction technique and then injected into the eyelid hollows. ...

Did you know that the brow and upper eyelid should both be evaluated when considering blepharoplasty? Many patients come in for upper blepharoplasty (cosmetic eyelid surgery) thinking that it will address their upper eyelid bags. However, what most don’t know is that the position of the outer brows often affects the upper lid fullness.  When the outer brow falls, which is a normal change of aging, the upper lids become heavier. While cosmetic eyelid surgery is a very common procedure these days, it is still very important to find an eyelid specialist who knows...

Lower eyelid fat grafting (or fat transfer) has gained widespread popularity amongst plastic surgeons over the last few decades. It can be a great option for replacing lost volume in the face and is a potentially permanent option, as compared to fillers.  This is all well and good.  However, it is important to really think this procedure through prior to proceeding with it, especially when fat grating the lower lids.  Why? Because some bad complications can occur. Here are important facts to consider about fat grafting: Grafted fat has an unpredictable survival....

Facial fillers are an increasingly more common cosmetic intervention throughout the United States, and the world, in general.  We have learned much about filler materials, injection techniques, and how to prevent complications.  What is still “hotly” debated is how to best deliver the filler material - a cannula vs needle? Here are some points to consider for the patient when the filler treatment is performed. Fillers were initially given only with needles.  The cannula – a blunt tipped delivery device – was introduced in the last 5 years to give an option other...

Fat grafting of the lower lids can lead to complications that are very difficult to treat. This wonderful woman had fat placed in her lower lids (grafted) years ago with another surgeon and had poor results (lids very puffy with bags) that were devastating to her. In her before & after pictures you can see the beautiful transformation. The before picture (left) Dr. Massry took – the after picture (right) she sent to Dr. Massry today because she lives out of town. In addition to removing the fat graft to the lower lids, I also performed an outer brow lift and...

In general, the patients Dr. Massry sees come into the office already knowing the names of all the hyaluronic acid gel (HAG) fillers (i.e. Restylane, Juvederm, Belotero, etc.). But few patients know the differences between them. It is very important for patients to learn there are significant differences between fillers so they can have a safe treatment. This post highlights 5 IMPORTANT POINTS about HAG fillers that Dr. Massry wants patients to consider prior to having facial injections. 1. Not all fillers are the same. Fillers are made differently, have...

The demand for non-surgical filler treatments has skyrocketed in the recent past. While injectable fillers can provide patients with beautiful and rejuvenating results when performed by an expert, it is also important to understand that in the hands of an inexperienced injector, fillers can be risky and lead to many complications. As an experienced eyelid filler injector, Dr. Guy Massry in Beverly Hills wants to make sure patients are well-educated wants to make sure patients are well-educated on the risks and benefits of fillers around the eyes. He has put...

Upper blepharoplasty (cosmetic eyelid surgery for the upper eyelid) is a fantastic age reversing procedure for many people.  With time, the upper eyelids begin to sag and droop and create a tired and aged appearance. An upper blepharoplasty can address this sagging and drooping and restore a more youthful look! While an upper blepharoplasty is a very common procedure these days, it is very important to find a surgeon who specializes in this type of surgery to ensure you get the best results possible. Dr. Guy Massry in Beverly Hills is a board-certified...

Dr. Guy Massry was honored to be a keynote speaker at the 3rd Triennial Multidisciplinary Master’s Symposium on Blepharoplasty and Facial Rejuvenation in Sydney, Australia. The goal of this Masters Symposium is to gather the world’s experts in the field so they can share exciting advances and innovations in this highly specialized field. Attendees came from all corners of the globe and included oculoplastic surgeons, facial plastic surgeons, plastic surgeons, cosmetic surgeons, dermatologists, and reconstructive surgeons. “It is such an honor to be invited to...

The most dreaded complication of lower blepharoplasty (cosmetic eyelid surgery lower lids) is a pulled down lower lid - also called lower lid retraction.  This is a difficult problem to fix and often leads to multiple surgeries to restore function and a normal appearance. Revisional lower eyelid surgery is very complex and should only be performed by an expert oculoplastic surgeon. Dr. Guy Massry is a world renown expert in oculoplastic surgery (eyelid surgery).  He has written several textbooks in the field, including Master Techniques in Blepharoplasty and...

What is lower eyelid blepharoplasty? Lower eyelid blepharoplasty is a common facial aesthetic procedure to rejuvenate the under eye area. Most commonly, it addresses under eye bags, sagging skin and fat pockets.  Unfortunately, since this is such a delicate area, many lower lid blepharoplasty patients are left with unwanted complications and an unnatural look.  Issues such as a droopy lower lid (lower lid retraction), a change in the shape of the eye, and a rounded eye (canthal rounding) can be devastating and a lifelong issue. How can you avoid lower eyelid...

Fat transfer to the face has significantly grown in popularity in cosmetic surgery over the past 25 years. The techniques of harvesting, processing and injecting the fat have changed tremendously to yield better results, but, still, most of the information we can give patients regarding results is purely anecdotal and experiential in nature. In other words, there are few evidence-based studies that show us true percentages of success rates and complications. Recently, renowned oculoplastic surgeon, Dr. Guy Massry, reviewed a large series of patients who had...

As an oculoplastic surgeon, Dr. Guy Massry has unparalleled expertise in orbital and eyelid surgery. He has dedicated his career to advancing and innovating surgical techniques to give patients the best results possible. One of his latest advancements in eyelid paralysis surgery is that he now performs customized orbital decompression (setting the eye back) for patients with eyelid paralysis. What Is Orbital Decompression? Orbital decompression is traditionally a procedure to treat bulging eyes for patients with Thyroid Eye Disease or Graves' Disease. However,...

Eyelid paralysis can occur on its own or in conjunction with generalized facial paralysis. It can be congenital (you are born with it) or acquired due to trauma, infection, tumors, or other causes. It’s a devastating disease as it causes functional problems and facial disfigurement. Eyelid surgery expert, Dr. Guy Massry, has been working on innovative treatment techniques for eyelid paralysis for many years. Minimally Invasive Eyelid Paralysis Surgery One of the procedures he uses to help patients with eyelid paralysis is the MIOS technique (Minimally Invasive...