September 27, 2011

My sutured eyelid surgery only lasted 6 months; is there a way to extend the benefits?

Sutured upprer eyelid surgery is a specialized methods primarily marketed to young individuals of Asian descent who lack a double upper eyelid.  The methods go by a number of names including closed blepharoplasty, suture method blepharoplasty, double suture and twisting (DST) method, threaded eyelid surgery, non-incisional or partial incision blepharoplasty.  The method offers the promise of inexpensive, minimal down time, non-incisional eyelid surgery.  The only thing that does seem certain about these procedures is that the results are not permanent and for many the effects are gone in less than a year.  Having studied the effects of this surgery, it is the opinion of Dr. Steinsapir, a leading eyelid surgeon, it’s better to find a real eyelid surgeon who can perform permanent double-fold blepharoplasty.

How doe sutured eyelid surgery work?

Double fold surgery with a threaded suture works by using stitches to create and maintain an eyelid fold.  The crease is created by burying permanent, non-reactive sutures and pinching the undersurface of the eyelid skin to the deep soft tissue of the eyelid.  The problems arise when the sutures break over time or start migrating through the skin.  The recently developed method called Double Sutured and Twist (DST) technique purports a solution to this problem, however it does not solve the other problems created by this technique.

Problems with sutured eyelid surgery

Sutured double-fold surgery is often performed very quickly.  In some parts of the world non-medical providers will do the work.  As we have said so many times before on this blog, it is important to find an experienced medical professional to perform any cosmetic procedure, no matter how simple someone advertises it to be.

Sutured double-fold surgery and DST double-fold surgery are not a permanent solution.  Not only do the sutures have a record of breaking or migrating, but the fold is often less distinctive than a fold created using an incision technique.  Many patients who have undergone sutured double-fold surgery notice that their crease begins to lose definition over time and due to the lack of control this procedure is known for, asymmetry in the lids is also common.

The best double-fold surgery technique

To make a lasting crease, it is necessary to perform a surgery to make a strong attachment between the skin at the crease and the levator aponeurosis, the tendon that raises the upper eyelid.  Although this method occasionally fails and the crease loses integrity, for most people, the result of surgery lasts a lifetime.

Although cosmetic surgery textbooks recommend the placement of the crease 2 millimeters to 4 millimeters higher than experience dictates.  Physicians who specialize in Asian eyelid surgery are informed by experience; and experience indicates that the incision tends to migrate upward as the eyelid heals.  For the best Asian blepharoplasty results, you need a minimally invasive treatment plan that preserves as much natural tissue as possible. A less aggressive, yet highly controlled surgery creates the fastest recovery time, natural improvements, and precise results.

Restoring the eyelid fold

When sutures fail, the defined upper eyelid crease begins to disappear.  There can be changes to the fold that are unsatisfactory with asymmetry between the two eyelids.  Careful incisional anchor blepharoplasty can be performed to restore the appearance of the eyelids despite prior suture procedures.  Since these types of situations can present unique issues, there is no substitute for a personal consultation with an eyelid surgery expert like Dr. Steinsapir.

About Dr. Steinsapir

Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Los Angeles where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in cosmetic surgery, which can be a vital part of your evidence-based treatment plan.

Services described may be “off-label” and lack FDA approval. This article is informational and does not constitute an advertisement for off-label treatment. No services should be provided without a good faith examination by a licensed physician and an informed consent with a discussion of risks, benefits, alternatives, and the likelihood of treatment success. Only you and your treating physician or surgeon can determine if a treatment is right for you.

August 10, 2011

Is Laser Eyelid Surgery the Best Method of Eyelid Surgery?

Whether your doctor uses a specialized cutting cautery, a scalpel, or a laser to make the incisions for your eyelid surgery doesn’t significantly impact the results of your surgery.   The most critical aspect of eyelid surgery is the proper design of the procedure and this in turn is dependent on a proper work up and diagnosis.  Finding a doctor who will listen to you and customize your treatment based on your desires and unique facial features is much more important than finding a doctor with the newest and most hyped surgical tools.

The risks of using lasers

Dr. Steinsapir avoids using the laser for surgery because the laser devitalizes the edge of the wound for approximately a half millimeter on each side.  This means that sutures need to be in for a prolonged period of time potentially leading to cysts and wound separation.  Using a CO2 laser for eyelid surgery is more marketing hooey than anything else.  Using a laser may be fun and sound high-tech, but it does not make for a better surgery.  For eyelid surgery, especially double fold surgery, the most critical aspect of the procedure is the surgeon’s skill and experience; does he or she understand eyelid surgery and the critical eyelid anatomy?

Why isn’t a laser more precise than a scalpel?

Precision during surgery is always important; eyelid surgery requires an experienced hand.  The CO2 laser may sound like it’s more precise, but in reality, it damages the skin surrounding the incision whereas a cold steel scalpel, if used by a skilled surgeon does not damage the adjacent skin.  If your surgeon uses a scalpel, the sutures can be removed much earlier that if the surgeon uses a laser.  Eyelid surgery performed with a scalpel has a down-time of about a week.  Your eyes may look a bit swollen for several weeks after surgery, but this is the case regardless of the type of cutting tool.

Is it possible to correct laser damage?

 The CO2 laser increases the risks associated with eyelid surgery.  The laser smoke voilitalizes free radical agents  and other carcinogens into the operating room aire even when smoke scrubbers are used.  While metal contact lens are used to minimize the risks of unwanted laser contact with the eye tissues, past pointing of the laser is a constant risk that can cause unwanted damage both to you and to operating room personnel.   The laser beam has caused operating room fires as well.  For these reasons and the unwanted tissue damage caused by the laser beam, Dr. Steinsapir generally does not feel that the limited benefits which included marketing hype do not outweigh the downside risks of using a CO2 to perform the cutting during blepharoplasty.

About Dr. Steinsapir

Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Los Angeles where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in cosmetic surgery, which can be a vital part of your evidence-based treatment plan.

Services described may be “off-label” and lack FDA approval. This article is informational and does not constitute an advertisement for off-label treatment. No services should be provided without a good faith examination by a licensed physician and an informed consent with a discussion of risks, benefits, alternatives, and the likelihood of treatment success. Only you and your treating physician or surgeon can determine if a treatment is right for you.

December 10, 2010

Does anyone perform Asian Eyelid Surgery under local anesthesia?

When you seek the best specialized eyelid surgery, it is important to make sure you seek treatment from the most skilled oculoplastic surgeon who practices the safest treatment approaches.  If you are seeking Asian eyelid surgery under local anesthesia or with conscious sedation, the good news is that you are seeking the safest approach with the best typical outcomes.  The best eye plastic surgeons indeed prefer to operate on the eyelid under local anesthesia or with conscious sedation in almost every case.  General anesthesia is avoided.

Asian Eyelid Surgery Before and After

Asian Eyelid Surgery Before and After

The key for helping you to obtain the best Asian eyelid surgery and avoiding general anesthesia will be in finding a top surgeon with extensive experience in this specialized eyelid surgery.  Your surgeon must understand both the importance of performing eyelid surgery under local anesthesia or under conscious sedation.  This allows your surgeon to monitor the effects of Asian eyelid while it is being performed for results that enhance your eyelid’s natural contour.

Why local anesthesia?

As specialists in individualized cosmetic eyelid surgery, we hear from people asking for pure local, local anesthesia with conscious sedation, and general anesthesia.  Some people fear one or the other, but the key to putting your concerns at rest and feeling confident in your chosen treatment method is education through reliable information, and consulting with the best cosmetic surgeon who can help you navigate your options and provide the best treatment available.

Local anesthesia with or without conscious sedation is almost always the best option when it comes to cosmetic eye surgery.  Why?  There are a few reasons.  Local anesthesia is associated with fewer risks, little to no “hangover” effects after surgery, and typically a faster recovery time—all of which make safe surgeries even safer.  In addition to your improved healing, local anesthesia also usually affords better aesthetic results, because you and your doctor can communicate during treatment.  During your surgery, your doctor will ask you to do simple, painless tasks like open and close your eyes when asked.  This will help your surgeon to ascertain how your surgery is going and what is needed to give you the most natural results possible.  When you are under general aesthesia, you are completely asleep and unable to cooperate.  This reduces the accuracy of surgery.

You can choose from so-called straight local procedures that can be done in the office setting or conscious sedation, which is also called intravenous sedation.  More drugs are used which can be helpful if you are concerned about being too aware during your procedure.  In either case you will be able to cooperate with your surgeon which improves the outcome of surgery.
Overall, local anesthesia with or without conscious sedation is usually the ideal option for your Asian eyelid surgery, and locating a surgeon who understands the importance of individualized Asian eyelid surgery under local anesthesia will likely be one of the keys to your satisfaction in your results.

Seeking the Best Cosmetic Surgeon for Asian Eyelid Surgery

For the best results in Asian eyelid surgery, seek a qualified provider who understands that each Asian eyelid is unique, must be approached individually, and should usually be performed under local anesthesia with or without conscious sedation for optimal results.  There is no one standard way to operate on an Asian eyelid, because there is a diverse range of traits and needs for every eye.  Your treatment plan should depend on your unique facial anatomy, circumstances, and goals.  For the best Asian eyelid surgery available, consult with an eyelid cosmetic surgeon who knows how to customize your treatment plan based on your needs, follows the best scientific practices which include local anesthesia for eyelid surgery in most cases, and has the experience and proven skills needed to help you obtain the best aesthetic possibilities.

We invite you to consult with Dr. Steinsapir, a leader in individualized Asian eyelid surgery in Los Angeles that gives you the best results, smoothest recovery, and most natural look.  Dr. Steinsapir never performs this surgery under general anesthesia.  Your ability to cooperate during surgery makes it much more likely that your Asian eyelid surgery will meet your goals.  This is how he gives you individualized results through minimally invasive and science-based techniques.  To learn more about Dr. Steinsapir’s background and qualifications in specialized facial cosmetic surgery and Asian eyelid surgery, contact us today and understand how experience can make all the difference.

October 5, 2010

What Should I Know about Asian Eyelid Surgery?

Cosmetic eyelid surgery is a broad field of study, but if we could tell you just one thing about Asian eyelid surgery, we’d say this: surgery for Asian eyelids is as varied as any eyelid surgery, so for best results your oculoplastic surgeon will need to customize your surgery for your particular goals, facial structure, and needs.

There is no one standard approach for Asian blepharoplasty, Asian canthoplasty, double fold surgery, and other kinds of eyelid surgery.  There is a wide diversity in human eyes, and to not understand that every Asian eyelid is unique is just ignorant.  They key to definitive results is to find one of the best cosmetic surgeons with specialty and experience in eyelid surgery and obtain a custom-tailored treatment plan.

A few people misunderstand the purpose of surgeries like Asian double eyelid surgery and are under the misconception that it is about “westernizing” the eye.  This should not be the case at all; instead, treatment is about enhancing the natural eyelid structure to meet your aesthetic goals.

How Can I Find the Best Asian Eyelid Surgeon?

The best eye plastic surgeons will never say that Asian eyelid surgery is the same as every other eyelid surgery, nor will they say that there is one technique to successful Asian eyelid surgery.  Instead, the most qualified surgeon will let you know what kind of medical plan will be ideal for your unique facial structure, eyelid contour, and treatment goals.  Your doctor will strive for results that are right for you.

Your doctor should have extensive experience treating a wide range of concerns for diverse eyes.  Furthermore, choose a doctor who has a history of providing natural results and can show you before-and-after Asian eyelid surgery photos that demonstrate versatile skills.  Study these photos to make sure that your potential surgeon individualizes every treatment.

Make sure that your doctor has a strong educational and fellowship background, as well as years of experience specializing in cosmetic eyelid surgeries like eyelid lift surgery, blepharoplasty, eyelid reconstruction, eyelid correction surgery, and medical eyelid surgery for conditions like eyelid ptosis and basal cell carcinoma of the eyelid.  An expert in treating aesthetic facial concerns will be able to ensure that your eyelid surgery works optimally with the rest of your features.

The Top Eyelid Surgeons Can Help

People travel worldwide to seek treatment with Dr. Steinsapir, an oculofacial surgeon in Los Angeles and Beverly Hills who treats a variety of eyelid concerns with exceptional individualized results.  His education at UCLA and The University of Chicago along with multiple fellowships formed the basis for his forward-thinking, evidence-based, minimally invasive practice—now widely acclaimed by researches, leading physicians, and satisfied recipients.  With years of practical experience in designing treatment plans that work, Dr. Steinsapir adds to his expertise a friendly and trustworthy personality.

At a no-risk consultation, Dr. Steinsapir can answer your questions about how eyelid surgery customization can match your natural features and desired look.  Contact us today to find out how to naturally enhance your eyelid contour with one of the best oculoplastic surgeons.

September 10, 2010

Can I have eyelid surgery if I smoke?

The short answer is, yes, you can have eyelid surgery if you smoke.  Should you smoke?  For your health, you absolutely should not smoke, but you probably already know that.  However, the reality is that quitting is difficult, while many smokers can benefit from eyelid surgery.  With no direct conflict between smoking and eyelid surgery, in most cases we can safely perform cosmetic surgery a smoker’s eyelids.  Decisions about eyelid surgery of course should be considered on a case-by-case basis, but if you are a good candidate for beneficial eyelid surgery and no other medical concerns that complicate your circumstances, then smoking alone should not prevent you from seeking help.

This may be a little confusing given that we recently discussed why a facelift and smoking should not go together.  This is not a contradiction, but a function of the way different tissue areas respond to surgery.  The eyelids have much better circulation than the healing sites of a facelift, and thus they are better able to tolerate the surgery than the facial skin.

This news will come as a relief to smokers who must have surgery for health problems like basal cell carcinoma of the eyelid or severe eyelid ptosis that compromises vision.  Smokers who can benefit from the confidence of an improved aesthetic can also be glad at this news.

As a smoker, why can I have some surgeries but not others?

Why shouldn’t smokers have optional facelift surgery when they can have eyelid surgery?  You should already know that smoking is horrible for your health, and one of the problems is that smoking compromises the healing capacity of the skin. The skin undermining necessary for the facelift can challenge the healing capacity of skin that is compromised by smoking.  In contrast, many eyelid surgery procedures can be performed without challenging this healing capacity.

A Word on Quitting at the Right Time

While it’s okay for most smokers to receive eyelid surgeries like blepharoplasty, canthoplasty, and double eyelid surgery, and while we also support your desire to quit, it’s important to know that you should not quit too close to your treatment.  This is not meant as an endorsement of smoking; we of course want you to quit smoking for your own good.  However, it takes time for the lungs to recover, so when you decide to quit, you should not do so right before the eyelid surgery.

When you quit smoking, your lungs go through a healing process and it will take some time for them to recover.  Your lungs need to be in good shape during your surgery, but your vascular recovery will take some time, as will lung recovery.  Your lungs will require a full eight to twelve weeks to begin their recovery; before then, you’ll have a lot of mucus in your lungs as your body repairs them, and this is not a good time for you to have a surgery.  If you want to both quit and seek eyelid surgery, talk to your oculoplastic surgeon about the timing of these two helpful steps.  He or she can help you determine how long before or after your surgery it is appropriate to quit smoking.  As most eyelid surgery is elective, meaning you can choose when to have eyelid surgery, the answer to this situation is simply schedule your eyelid surgery so you give your lungs the appropriate time to recover in advance of the elective surgery.

How Eyelid Surgery and Quitting Smoking Can Expand Your Options

Eyelid surgery can improve your confidence, aesthetic message, and the way people interact with you.  This newfound confidence and other benefits will broaden your ability to engage in life.

Quitting smoking empowers you by improving your health, helping you to look better and live longer, and boosting your self-esteem by overcoming an destructive addiction.  Even if you are a light smoker or new smoker, the damaging impacts of smoking lead us to encourage you to quit.  By quitting smoking you will be taking one of the most positive steps you can take for your health and the health of your loved ones.  Quitting smoking is one of the best things you can do for yourself.  Yes, it is more important than any cosmetic surgery we can perform for you.  We urge you to find a way to quit that works for you.

If you’ve decided to quit smoking, congratulations!  We wholeheartedly support you.  Quitting is not easy (otherwise nobody would smoke), but there are resources available to help you quit.  Your internist, family doctor, or gynecologist can often assist you with medical resources for smoking cessation. The State of California has a website of resources to assist and encourage you: www.tobaccofreeca.com

Consult with an Expert in Cosmetic Treatment

We advise you to consult with a cosmetic surgeon who specializes in eyelid surgery and complimentary treatments with natural, balanced results that are tailored to your individual needs.  Dr. Steinsapir is such a cosmetic surgeon in Los Angeles who is esteemed as one of the top cosmetic surgeons in California and beyond.  He specializes in minimally invasive eyelid surgery and other cosmetic procedures that offer fast healing time and can be customized to your unique situation.  If you are a smoker with eyelid concerns, we invite you to a no-risk consultation with Dr. Steinsapir today.  He can discuss both your short-term and long-term treatment options, and help you find an aesthetic solution to meet your goals.  Please contact us to learn more about Dr. Steinsapir’s quality treatment plans.

July 20, 2010

Do Asian doctors make the best Asian eyelid surgeons?

If you are seeking Asian eyelid surgery, seek treatment with the best.  This seems like a no-brainer that is of course true of most any medical procedure, and yet some people still seek specialized treatments from nonspecialists.  The key to obtaining definitive, optimized results is to do your homework and consult with the most experienced, respected, and qualified specialists.  Be completely honest about your needs, goals, and medical history, and ask as many questions as you need in order to feel good about your decision and confident in your doctor’s abilities.  When you seek Asian eyelid surgery in Los Angeles or elsewhere, we recommend you consult with a cosmetic surgeon who has a specialized strength in this area.

Asian Eyelid Surgery Before and After

Asian Eyelid Surgery Before and After

Finding the Best Asian Eyelid Surgeon

Many wonder if Asian doctors make the best Asian eyelid surgeons.  This seems like a natural question to ask, even if it is not the most logical upon closer examination.  A surgeon is as good as his or her training, skill, experience, ethical values, education, leadership, medical understanding, and a myriad of other dynamic factors that come together to make a capable and reputable physician.  Every physician has particular areas of strength and specialization, so of course you will not choose the same surgeon to operate on your heart, brain, or eyelid.  You of course will choose the specialist.  So, in short, the best Asian eyelid surgeon is a specialist.  There are many Asian doctors who are excellent at performing procedures like Asian blepharoplasty and double fold surgery, and this is because they have studied and specialized in Asian eyelid surgery.

Nobody is born with an innate knowledge of medicine.  Yes, becoming the best oculoplastic surgeon does require developed talent and artistic vision, while it also requires years of study, focus, training, and experience.  These factors depend on the individual surgeon.  It is therefore wise to evaluate potential surgeons not based on their own photo or ethnicity, but on their credentials, expertise, and clinical experience.

A Unique Approach

Asian eyelid surgery should not be approached in a cookie-cutter fashion, but then again, neither should any eyelid surgery.  While it is important that your doctor has experience and training in treating the distinctive features of Asian eyelids, it’s also important that both you and your doctor understand that there is no one standard approach to Asian eyelid surgery.  When everyone has unique eyes and distinctive features, how could there be one method that works for everyone?  There is a wide range of characteristics among Asian eyelids that vary based on the individual.  The approach should therefore emphasize results that enhance the natural features, rather than aiming to “westernize” the eye.  This common misconception is rarely the goal of Asian eyelid surgery.

The most qualified Asian eyelid or blepharoplasty surgeons for giving you natural results will be someone who specializes in oculoplastic surgery for Asian features and has treated a variety of eyelid shapes and concerns by custom-tailoring each procedure to the individual.

Consult with an Expert

To find the doctor best suited for your needs, seek someone with extensive oculofacial cosmetic surgery experience and training who has also demonstrated an exceptional ability to treat a variety of eyelid concerns.  This should include a solid understanding of how to maintain the natural beauty of Asian eyelids and a recognition that every eyelid is different and cannot be improved by simply following assembly line instructions.

We invite you to consult with Dr. Steinsapir, a specialist of Asian eyelid surgery in Los Angeles.  Please browse his Asian eyelid surgery before and after photos to see his abilities for yourself, and then ask questions and learn more at a no-risk individualized consultation.  Dr. Steinsapir is world-renowned for his West Los Angeles practice that focus on cosmetic eyelid surgery with an emphasis in Asian eyelid surgery needs.  Dr. Steinsapir is a Clinical Associate Professor of Ophthalmology at the Jules Stein Eye Institute of UCLA and has been multi-fellowship-trained in both oculofacial and cosmetic surgery.  If you would like to find out how an individualized treatment program can enhance your natural features, contact us today to learn more.

Do Asian doctors make the best Asian eyelid surgeons?

If you are seeking Asian eyelid surgery, seek treatment with the best.  This seems like a no-brainer that is of course true of most any medical procedure, and yet some people still seek specialized treatments from nonspecialists.  The key to obtaining definitive, optimized results is to do your homework and consult with the most experienced, respected, and qualified specialists.  Be completely honest about your needs, goals, and medical history, and ask as many questions as you need in order to feel good about your decision and confident in your doctor’s abilities.  When you seek Asian eyelid surgery in Los Angeles or elsewhere, we recommend you consult with a cosmetic surgeon who has a specialized strength in this area.

Finding the Best Asian Eyelid Surgeon

Many wonder if Asian doctors make the best Asian eyelid surgeons.  This seems like a natural question to ask, even if it is not the most logical upon closer examination.  A surgeon is as good as his or her training, skill, experience, ethical values, education, leadership, medical understanding, and a myriad of other dynamic factors that come together to make a capable and reputable physician.  Every physician has particular areas of strength and specialization, so of course you will not choose the same surgeon to operate on your heart, brain, or eyelid.  You of course will choose the specialist.  So, in short, the best Asian eyelid surgeon is a specialist.
There are many Asian doctors who are excellent at performing procedures like Asian blepharoplasty and double fold surgery, and this is because they have studied and specialized in Asian eyelid surgery.

Nobody is born with an innate knowledge of medicine.  Yes, becoming the best oculoplastic surgeon does require developed talent and artistic vision, while it also requires years of study, focus, training, and experience.  These factors depend on the individual surgeon.  It is therefore wise to evaluate potential surgeons not based on their own photo or ethnicity, but on their credentials, expertise, and clinical experience.

A Unique Approach

Asian eyelid surgery should not be approached in a cookie-cutter fashion, but then again, neither should any eyelid surgery.  While it is important that your doctor has experience and training in treating the distinctive features of Asian eyelids, it’s also important that both you and your doctor understand that there is no one standard approach to Asian eyelid surgery.  When everyone has unique eyes and distinctive features, how could there be one method that works for everyone?  There is a wide range of characteristics among Asian eyelids that vary based on the individual.  The approach should therefore emphasize results that enhance the natural features, rather than aiming to “westernize” the eye.  This common misconception is rarely the goal of Asian eyelid surgery.

The most qualified Asian eyelid or blepharoplasty surgeons for giving you natural results will be someone who specializes in oculoplastic surgery for Asian features and has treated a variety of eyelid shapes and concerns by custom-tailoring each procedure to the individual.

Consult with an Expert

To find the doctor best suited for your needs, seek someone with extensive oculofacial cosmetic surgery experience and training who has also demonstrated an exceptional ability to treat a variety of eyelid concerns.  This should include a solid understanding of how to maintain the natural beauty of Asian eyelids and a recognition that every eyelid is different and cannot be improved by simply following assembly line instructions.

We invite you to consult with Dr. Steinsapir, a specialist of Asian eyelid surgery in Los Angeles.  Please browse his Asian eyelid surgery before and after photos to see his abilities for yourself, and then ask questions and learn more at a no-risk individualized consultation.  Dr. Steinsapir is world-renowned for his West Los Angeles practice that focus on cosmetic eyelid surgery with an emphasis in Asian eyelid surgery needs.  Dr. Steinsapir is a Clinical Associate Professor of Ophthalmology at the Jules Stein Eye Institute of UCLA and has been multi-fellowship-trained in both oculofacial and cosmetic surgery.  If you would like to find out how an individualized treatment program can enhance your natural features, contact us today to learn more.