Blepharoplasty, or cometic eyelid surgery, involves the removal of excess skin and muscle from the upper and lower lids, and the removal or repositioning of excess fat.  These procedures redrape and recontour the eyelids to improve their appearance. Often times additional procedures are needed to attain the best final outcome.  One such procedure is ptosis repair.  Ptosis is the condition when the upper lid muscle becomes "lazy" and allows the lid margin (where the lashes are) to fall so that the lid impinges on the pupil. Ptosis repair involves tightening the...

Blepharoplasty is an intricate surgical procedure which must be custom tailored to each patient.  The patients motivations, desires, presenting findings, and expectations must be thoroughly discussed and understood before proceeding with surgery.  This form of comprehensive evaluation and intervention is critical to attaining good surgical results. Only an experienced expert in eyelid surgery should perform this kind of surgery Dr. Guy Massry (Beverly Hills Ophthalmic Plastic Surgery) has such experience and specialized training.  He would be happy to see you in...

Sutures are a critical part of all surgical procedures and it is important for the surgeon to be familiar with suture makeup and options. Suture thread is made from a variety of materials. Early on sutures were made from biological materials, such as catgut and silk. Most modern sutures are synthetic, including the absorbable (naturally biodegradable in the body) materials such as polyglycolic acid, polylactic acid, and polydioxanone as well as the non-absorbable material such as nylon and polypropylene. Newer still is the idea of coating sutures with...

In modern medicine the closure of wounds is typically performed with a surgical suture (thread) connected to a surgical needle.  There are many different kinds of suture and as many different needles.  Surgical needles have been made of many materials including bone (early on) and later from metals such as silver and copper, and wire material comprised of bronze or aluminum Needles can be traumatic which means they have holes or eyes and are supplied to the hospital separate from their suture thread. The suture must be threaded on site, as is done when sewing at...

Traditionally the belief has been that the  changes which manifest on the face with aging are due to tissue (skin/muscle/fat) excess and sagging, and sun and environmental damage to the skin leading to wrinkles.  This has led surgeons to approach facial surgical rejuvenation by cutting out the excess and re-draping the skin.  While the factors mentioned are important components of why our faces change as they do when we get older - what most people don't know is that loss of facial volume, primarily fat, but also bone, contributes immensely to father times...

Did you know that Eyelid surgery (blepharoplasty) is 20% science, 20% art and 80% common sense?? Everything in life requires critical thinking to avoid critical mistakes!!!