Upper blepharoplasty is one of the most common facial aesthetic and functional procedures performed around the world today. It is one of the oldest described treatments of the aging face; the first recorded blepharoplasty surgery was by a Spanish surgeon, Albucasis, a pioneer in the creation of surgical instrumentation, including the use of cautery (to control bleeding) in 1000 A.D. Modern blepharoplasty has come a long way since then. Today, surgical techniques are based on preserving tissue (ie muscle and fat). This shift is founded on the concept of...

In this video Dr Massry performs Hyaluronic acid gel filler injections to the patient's lower eyelid to address under eye hollows. He first administers a nerve block for the patient's comfort. Next, he uses a cannula to perform the filler injections. He starts with deep injects followed by more superficial injections to give the patient optimal results. He massages the filler to contour the results. Hollow and sunken under eyes are a very common complaint among both men and women. This hollow appearance is due from a loss of volume as we age. Using fillers under...

World renowned author and lecturer, Dr. Guy Massry, a board-certified oculoplastic surgeon discusses some of his textbooks and international lectures. After years of publishing peer-reviewed articles, Dr. Massry saw the need for a textbook that provided quick references and high yield snapshots of more than 200 cosmetic procedures; essentially a compilation of "here's how I do it" advice on the most commonly performed eyelid procedures. And with that "Pearls and Pitfalls in Cosmetic Oculoplastic Surgery" was born. The First Edition came out in 2009 and was...

  Eenowned Beverly Hills oculoplastic surgeon, Dr. Guy Massry, discusses the benefits of using fillers for the eyelids. First, it is important to understand It is very difficult to lift the lower lids higher because gravity is acting against you. Fillers, specifically gel fillers such as Restylane, Belotero and Perlane, can be used to address these eyelid issues. Dr. Massry primarily uses Restylane because its biochemical makeup is best for treating issues around the eyes. As a Beverly Hills eyelid filler expert, Dr. Massry can do things with fillers and...

Revisional eyelid surgery is one of the most difficult areas of oculoplastic surgery, as it is hard to meet patient expectations. Revision surgery becomes more difficult than primary surgery because you are operating on scarred planes that have been distorted completely in anatomy; it's not like first time surgery. Before undergoing revisional eyelid surgery, first and foremost, there has to be an understanding between the physician and the patient about realistic expectations for revision surgery. The primary reason patients are unhappy with revisions is that...

As a board certified oculoplastic surgeon in Beverly Hills, CA, blepharoplasty is one of the most common procedures I perform. In order to understand what we are trying to accomplish with blepharoplasty, or cosmetic eyelid surgery, let's first talk about how the eyelids age. In youth, eyelids are: • Full • Without shadows • Without any contour issues • Skin is smooth without wrinkles • Has that youthful look As we age the aesthetic change tremendously: • Eyelids become saggy • Excess tissue • Loss of volume • Deflation • Hollows • Dark circles The GOAL of good...

I am an ophthalmic plastic & reconstructive surgeon in Beverly Hills. As a board certified oculoplastic surgeon, I specialize in surgical and non-surgical procedures around the eyes, forehead, eyebrows and mid-face. To become an oculoplastic surgeon, I first studied the eyes (ophthalmology), and then trained specifically on plastic surgery of the eyes. In my practice today, my primary interest is in cosmetic surgery of the eyes. When choosing to have eyelid surgery, it is important you find a surgeon with extensive expertise in eyelid surgery, such as an...

After upper blepharoplasty or other forms of eyelid surgery the upper lid can become hollow.  For years it was felt that the answer to “attractive eyes” was to cut out all skin, muscle and fat so that there was no excess tissue causing fullness which was “thought to be an aged appearance.”  Blepharoplasty surgeons have since learned that this form of surgery can lead to a hollow, gaunt and skeletonized appearance http://voices.yahoo.com/how-eyelids-age-8801053.html . When hollow upper lids develop after cosmetic eyelid surgery one answer is to fill the hollow...

Fluorouracil (5FU) is a medication called an antimetabolite.  It inhibits DNA synthesis (production) in our body’s cells leading to cell death.  For this reason it has been used to treat various forms of cancer (to kill cancer cells) when given systemically.  It also has been used topically on skin cancer to inhibit its growth and by injection to lessen or eliminate scar formation and potentially reduce inflammation.  On and around the eyelids Dr. Guy Massry has used injections of 5FU to reduce lumps and bumps from gat grafting and to inhibit eyelids scars after...

Cosmetic eyelid surgery can include ptosis repair (tightening eyelid elevating muscle), canthoplasty (lower lid suspension), eyelid fat grafting (transferring body fat to the eyelids), and aft repositioning (transposing excess eyelid fat to adjacent hollows and dark circles). All of these procedures, however, are adjuncts (icing on the cake) to true cosmetic eyelid surgery or “blepharoplasty.” Blepharoplasty surgery is one of the commonest cosmetic facial procedures performed world-wide.  Simply stated it is surgery to reduce eyelid “bags” and improve aesthetic...

Cosmetic Blepharoplasty Surgery in Beverly Hills, California – Dr. Guy G. Massry, MD Blepharoplasty (eyelid surgery) surgery is one of the commonest facial cosmetic surgical procedures performed in the United States today.  It is very common (especially in Beverly Hills) – but can lead to serious complications involving vision and appearance.  Only a true eye surgery plastic specialist should perform these surgeries.  Dr. Guy Massry (Beverly Hills ophthalmic plastic surgery) is such a specialist- https://drmassry.com/blog/2013/01 .  Dr. Massry is an eyelid...

Avoiding Blepharoplasty Complications – Guy G. Massry, MD – Beverly Hills Ophthalmic Plastic Surgery Poor results to blepharoplasty surgery are not uncommon and are devastating to patients.  Avoiding these complications starts with seeing the most qualified doctor assess your concerns with your eyelids. Dr. Guy Massry is an ophthalmic plastic surgeon.  This is a specialist is cosmetic eyelid (blepharoplasty) surgery. Dr. Massry is a member (fellow) of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS  http://www.asoprs.org ).  He has...

Surgery to Improve Aging Eyelids Our traditional concepts of facial and eyelid aging have been: the face drops and we become wrinkled.  Not that attractive. While to a degree this is true, there are other factors which lead to facial and eyelid aging. For Example: *Loss of Tone *Loss of Elasticity & Collagen *Loss of Support (underlying bone support) *Loss of Facial Fat Here's are some popular solutions:  lasers, skin peels, implants, fat grafting and fillers (these should be in the eyelid rejuvenation plan when appropriate).  Knowing when to add these are...

Entropion and Ectropion Repair Should be Performed by an Oculoplastic Specialist When an eyelid is not in its correct position the problem is referred to as an “eyelid malpostion.”  In the lower eyelid the most common eyelid malpositions oculoplastic specialists see are entropion – when the lower eyelid flips in, and ectropion – when the lower eyelid flips out   With entropion, as the lid flips in the eyelashes can rub on the eye itself, a condition known as trichiasis.  This can cause, pain, irritation, a red eye, tearing and infection.  With ectropion, as the...