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Lip injections can be very rewarding. Hyaluronic acid injections (Juvederm products) are very useful for improving lip definition. My favorite use for them is to elongate the philtrum (the distance between base of nose and border of upper lid), and…
Cheek reconstruction differs from eyelid reconstruction in a few important ways. One the them is the presence of a large “named” vessel, the infraorbital artery. The use of this vessel allows for a type of reconstruction that is not available…
There are several visual cues that we pick up on when we look at someone’s eyes. We often notice when right doesn’t look like left. The diagram below shows some relevant upper eyelid features that can affect symmetry: The gray…
Fat transfer lower blepharoplasty is appropriate when there is descent of the midface, or an overall lack of volume beneath the eyelids. For a long-lasting effect, it can be helpful to keep the fat from the lower lids (eye socket…
This patient complained of heavy upper lids, eyebrow asymmetry, and some circles beneath the lower lids. She elected to undergo cosmetic browlifting, with right sided corrugator release through the upper blepharoplasty incision. She also underwent bilateral upper blepharoplasty and bilateral…
Combined cosmetic and reconstructive procedures Often times, during a reconstruction, it makes good sense to perform a cosmetic procedure at the same time. For example, I recently lifted the left upper lid on a forty-ish year old woman who was…
One year after cancer removal and reconstruction, a patient with basal cell carcinoma (now disease-free) returned for followup evaluation. Happily, there was no visible recurrence of carcinoma. Her story started with a non-healing ulcer of the right lower lid. This…
There is not a week of office visits that goes by without at least one patient presenting with inappropriately-placed upper lid incisions from prior surgery. Within the past week, there were two such notable patients: The first patient manifested lid crease…
The Good, The Bad, and The Funny: Recent Patient Reviews I am listing eighteen recent consecutive patient reviews of my practice, as I think they provide a pretty good sense of our priorities as a practice, including not just my…