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Blepharoplasty, Cosmetic
Asian blepharoplasty
The term Asian blepharoplasty generally refers to an upper eyelid procedure to remove excess tissue that pays special attention to the upper lid skin fold and crease of the Asian eyelid. Of course, there are countless crease and fold configurations…
Cosmetic, Filler
Injectable fillers: Enough is Enough!
I’ve spent the past month chasing eyelid filler. Hyaluronic acid facial fillers (Restylane, Juvederm, Belotero) are often injected in the “tear trough” to try to lessen the shadows (from excess lid tissue or a prominent lid-cheek junction). When injecting in…
Blepharoplasty, Cosmetic, Eyelid Malposition
Choosing your eyelid surgeon
It turns out that a lot of surgeons perform eyelid surgery, including: ophthalmologists, dermatologists, otolaryngologists, plastic surgeons, and others. So why would you choose an oculoplastic surgeon, a surgeon who has trained in ophthalmology first, then in eyelid and eye…
Blepharoplasty, Cosmetic, Ptosis
Ptosis repair and 4-lid blepharoplasty: postoperative course
The preoperative evaluation, postoperative course, and 3 month result of a patient are described in this post. This patient complained that her upper lids are interfering with her vision. As can be seen below, the upper lid on the…
Blepharoplasty, Cosmetic, Eyelid Malposition, Ptosis, Reconstruction
Eyelid Surgery: What does my insurance pay for, and what is cosmetic?
Insurance is always changing, and patients better believe that covered benefits are only going to lessen, not increase, over time. If a patient truly believes that their eyelid condition is affecting their vision in a meaningful way, it is critical…
Eyelid Malposition, Reconstruction
Basal cell carcinoma reconstruction – optimizing cosmetic results
Basal cell carcinoma is quite common, especially on the face, since it is associated with sun exposure. Around the eyelids, it is most commonly found on the lower lids (which have more direct sunlight exposure). Of all the different types…
Blepharoplasty, Brow lifting, Cosmetic, Uncategorized
Internal brow lifting
The brow position can be modified in selected patients using internal approaches: the muscles that depress the brow medially (toward the nose) can be released from within the upper blepharoplasty incision. In these procedures, no separate incision is required (no incision…
Blepharoplasty, Brow lifting, Cosmetic, Uncategorized
Questions about eyelid and eyebrow incision healing?
Upper blepharoplasty incisions heal very well when properly taken care of. The same is true for direct brow incisions.
Blepharoplasty, Eyelid Malposition
What type of anesthesia is right for my eyelid surgery?
For “standard” eyelid surgery, I find that the level of anesthesia can usually be decided on between the patient and myself. From April 2014 thru June 2014, I performed 155 major surgical cases, of which 140 were eyelid surgeries (the…
Blepharoplasty, Cosmetic
Upper Blepharoplasty – The Individualized Approach
A large number of patients say things like “my friend had her upper lids done” and the implication is that all upper lid surgery is the same. Of course, that is not the case. I routinely perform a dozen different…