What is supratarsal fixation and how does it differ from anchor blepharoplasty?

Supratarsal fixation is really an antiquated method that invites the surgeon to form a crease that is simply too high for virtually every patient. The natural eyelid crease is caused by connective tissue fibers that firmly connect the eyelid platform skin to the underlying levator aponeurosis tendon. This tendon connects the upper eyelid to the levator palpebrae superioris muscle in the orbit. This muscle is responsible for opening the eyes. The connective tissue fibers from the levator aponeurosis to the skin form the upper eyelid crease and support the eyelid platform skin and upper eyelid lashes. If these fibers stretch out, which happens as we age, or are not present, which is seen in some Asian eyelids, the skin of the eyelid platform will be loose and the eye lashes will hang down (eye lash ptosis).

Anchor blepharoplasty is a blepharoplasty technique where the levator aponeurosis is exposed at the time of surgery, and stitches are placed from the cut upper eyelid platform skin and muscle to the exposed levator aponeurosis. By doing this in a very precise fashion, the upper eyelid lashes are supported and perky and the eyelid platform skin is snugged over the eyelid platform much like someone might pull a bed sheet taut. This technique requires both absolute precision to be done well and a very detailed knowledge of eyelid anatomy. In Dr. Steinsapir’s experience less than 2% of all eyelid surgeons are able to perform an anchor blepharoplasty.

So-called supratarsal fixation should be another name for an anchor blepharoplasty. However, it is seldom actually practiced this way. Surgeons often interpret this procedure to mean “above the top of the tarsus.” Effectively they do away with the surgical dissection needed to identify the levator aponeurosis. Instead they interpret supratarsal to mean sewing the cut edge of the eyelid platform skin somewhere above the top of the tarsus. Effectively this often means sewing the skin to something much more superficial such as the orbital septum. This is not the same thing. The levator aponeurosis is a mobile structure. When you open the eyes, the levator aponeurosis slides up and back. Anything attached to the levator will also slide up and back. When the eyelid platform skin and underlying muscle are accurately attached to the levator aponeurosis, the eyelid platform skin stays well snugged and the eye lashes well supported whether the eyelids are open or closed. In contrast, if the skin is “supratarsally” fixed, the skin is snug (or too tight i.e. the eyelids are short of skin) when the eyes are closed and loose when the eyes are open.

Another issue with so-called supratarsal fixation is that it is often associated with a surgical look. This is because the upper eyelid crease is made too high. The top of the tarsus is 10 mm from the actually eyelid margin. To fixate above the tarsus, the crease is being made north of 10 mm. In addition, with healing the crease normally creeps even higher by one or two millimeters. It is not unusually to see crease height of 12 or even 14 mm. This height is at the expense of the upper eyelid fold which is often surgically wiped-out. This makes the upper eyelid look too hollow-think Barbra Walters.
In contrast, a properly done anchor blepharoplasty can be done at almost any height above the eyelid margin with preservation of the upper eyelid fold.

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 or surgeon 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.

Asian eyelid surgery is not about Westernizing the eyes!

We’ve said this before, but it’s worth repeating: Asian eyelid surgery is not about westernizing the eyes.  In fact, there is no one standard approach to Asian eyelid surgeries such as blepharoplasty and double fold surgery, because there are no two people with identical sets of eyes.  When we refer to “Asian eyelid surgery,” what we mean is that certain features more common in the shape and contours of Asian eyelids must be uniquely considered and comprehensively understood by an experienced oculofacial surgeon for optimal results.

All kinds of individuals seek cosmetic eyelid surgery in the form of blepharoplasty, lidlift, reconstructive surgery, double fold surgery, and other procedures designed to enhance the appearance and functionality of the human eyelid.  Eyelid surgery is about improving your natural eyelid structure in a way that compliments your natural appearance.  The end result is a bright appearance that seems fitting for you and does not look “surgical” or “westernized” at all.

Your specialized oculofacial surgeon’s attention to Asian eyelid surgery in fact means the opposite of westernization: your treatment should not be a cookie-cutter “one size fits all” approach, but rather one that takes your natural eyelid shape into account and seeks to enhance it rather than transform it.  While Asian eyelid surgery does not aim to “westernize” one’s features, it calls for exacting and meticulous attention to detail, as well as experience with proven results.  A common error that Dr. Steinsapir is often consulted for to provide a correction is double folds that are made too high.  In almost all cases this is caused by a surgeon who fundamentally does not understand the surgery.  The surgeon may be inexperienced or simply lack the necessary grasp of what is required to make a natural double fold.  Sometimes the inexperienced surgeon is simply following the wrong textbook and intentionally makes the crease incision too high as a result.  Asian eyelid creases need to be place low in order to create an natural appearing double fold.

We invite you to look through Dr. Steinsapir’s unretouched before and after photos of various Asian eyelid surgeries.  You can judge for yourself, but we believe you’ll find the results to all be very natural and fitting for the individual.  The key to Dr. Steinsapir’s success is years of experience in eyelid surgery that includes Asian eyelid surgery as a specialization, with multi-fellowship training, prestigious education, an artistic eye, and a prioritization of individually designed treatment to enhance each person’s unique features.  Call us today to schedule a consultation with Dr. Steinsapir and achieve natural results that enhance your personal attributes.

About Dr. Steinsapir

Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Beverly Hills 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 or surgeon 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.

I have had a heavy upper eyelid since childhood. What are my options?

There is often confusion regarding what part of the eyelid is heavy.  Eyelid surgeons draw an important distinction between a full upper eyelid fold (which is actually part of the eyebrow just below the eyebrow hair) and a heavy or ptotic eyelid margin.  Ptosis means fallen and it is a general term than is used to describe a number of anatomic issues.  How we address a ptotic upper eyelid margin and how we deal with a heavy eyebrow are very different.  Upper eyelid ptosis where of margin of the upper eyelid rests low on the eye itself, is often present from childhood onward.  The condition can pose both aesthetic and functional problems.  Depending on the nature of your case, you may be dissatisfied with a “droopy” appearance of the eyelid, you may have concerns about asymmetry noted by other people, or you may have visual impairment and diminished peripheral vision.  Heavy eyelids may be described as “bedroom eyes,” or sleepy eyes.  Because the heavy eyelid convey a lack of attention, the presence of upper eyelid ptosis can be undesirable in both social and work situations.  In contrast, an eye that is open correctly makes you look alert, interested, and engaged and is socially desirable in both work and social situations.

Ptosis usually does not go away on its own, particularly if this is a problem you’ve had since childhood.  Ptosis can also develop after childhood.  Considering how the upper eyelid tendon in held in the eyelid, it is actually quite amazing that more people do not have this condition.  After a few million blinks of the eyelids, it is common to see some degree of upper eyelid ptosis.  If you have a bothersome heavy upper eyelid and are beginning to consider your treatment options, it is important to research upper eyelid ptosis and clearly understand your choices.  Ultimately there is no substitute for consulting with a qualified oculoplastic surgeon because every eyelid is different.

Correcting eyelid ptosis requires upper eyelid surgery.  The challenge is determining the best approach that is right for your needs.   This is not a place for having work done by a non-specialist lacking training, skills, and experience.  Having ptosis correctly diagnosed increases the likelihood that surgery will correctly address your issues.  Having things done the right way the first time is so much better than needing to undo the wrong surgery.  Ptosis surgery can often be done in conjunction with other cosmetic eyelid procedures. The surgery will elevate the eyelid to an appropriate, natural level.  It can also address eyelid asymmetry.  Having the heavy eyelids corrected can make a huge difference in your confidence level, the business world, and personal interactions.

The first step is to consult with a cosmetic surgeon who specializes in eyelid surgery, including concerns related to ptosis, heavy eyelids, and asymmetry.  At your consultation, your physician should give you a close and thorough examination, discuss your options and probable outcomes, and the likelihood of a surgery’s success and factors that can complicate surgery.  The doctor will also make a formal diagnosis at this time, which will identify the ptosis and any compounding issues.  For example, some individuals also have a heavy brow or dark under-eye circles, which may exaggerate the problem.  Your surgeon should specialize in understanding on how each part of the face functions and relates to the other parts, and also advocate for nonaggressive surgery for natural-looking results.  He or she can then design an individual treatment plan for you that leaves you with an overall balanced look.

The first step really begins by seeing the right surgeon.  The key to being happy with your results is to never take a shortcut in choosing a surgeon.  Your surgeon must be a true specialist in ptosis correction, and similarly will not take any shortcuts or use a “one size fits all” approach to your care. It is important to understand the value of seeing an aesthetically oriented, fellowship trained oculoplastic surgeon.  The plastic surgeon who did your girlfriend’s breast surgery or nose is all too often the wrong choice because they lack specialized training in ophthalmology and in oculofacial surgery.  To be a fellowship trained oculoplastic surgeon means the surgeon is board certified in ophthalmology and has spent a minimum of two additional years training in eyelid plastic surgery.  Dr. Steinsapir is board certified in ophthalmology and completed three years of training in oculoplastic surgery fellowships and two additional years of cosmetic surgery fellowship training.  This advanced training early in his career has helped propel him to the forefront of his field.

A highly qualified cosmetic eyelid surgeon is the best option.  Surgeons do vary, so it is recommended  that you review unretouched before-and-after photos of eyelid surgery; spend time with the surgeon beforehand discussing your options, plan, and follow-up care; and understand your doctor’s treatment philosophy, which should advocate for a nonaggressive, individualized approach.

Dr. Steinsapir is highly qualified to treat eyelid ptosis, asymmetry, and related concerns.  With particular attention to individualized care, multiple fellowships in eyelid surgery, and a specialization in ptosis correction, he can help you with your goal to realize a bright and natural appearance.  Dr. Steinsapir is internationally regarded as a top eyelid surgeon.  Call us today to schedule a consultation and finally take that next step in addressing your longstanding concern.  You shouldn’t have to wait any longer.

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 or surgeon 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.

Can I have upper eyelid surgery without looking like I have been operated on?

This questions cuts both ways.  What you are hoping for in having surgery is an improved look.  What the question gets at is whether you will end up with the operated look.  No one wants the surgical results of famous people talked about in the tabloids, such as the singer Kenny Rogers or the socialite Jocelyn Wildenstein.  As much as it would be great to say that overaggressive, unnatural surgery results are a thing of the past, it is simply not true.  Avoiding this type of result not simply a matter of choosing a surgeon with the right training and credentials.  The advice of seeking a board certified general plastic surgeon does not guarantee any level of expertise when it comes to eyelid surgery.  In fact general plastic surgeons are poorly trained in eyelid plastic surgery compared to oculoplastic surgeons.   Even training in oculoplastic surgery is not guarantee of natural results.  The truth is that good people are were you find them, and this is true for highly qualified cosmetic eyelid surgeons.

The surgical look can come from removing too much tissue in the upper eyelid, or creating an upper eyelid crease that is too high.  Dr. Steinsapir advocates for a more conservative approach that preserves as much tissue as possible, complimenting your natural eyelid structure.  “Surgeons misunderstand the goal of cosmetic eyelid surgery. The surgery should be invisible leaving the eyes natural and alive,” notes Dr. Steinsapir.

A carefully planned surgery takes into account your goals, the balance of all your facial features, and functionality.  There is no one-size-fits-all approach, so take time to find a doctor who individualizes each treatment and makes upper eyelid surgery a major focus of his or her practice.  A specialized physician will be able to answer your questions, discuss your options, and show you before-and-after photos of eyelid surgery examples, without special lighting, retouching, or camera tricks.  Provided you take the time to seek out a great surgeon, don’t opt for shortcuts, and are willing to listen to expert medical advice, there is no reason to expect nothing but the best.

In medicine there is no such thing as a no-risk surgery.  For this reason, your potential surgeon needs to spend time talking with you to investigate your personal history in detail.  They need to perform a very detailed and comprehensive examination.  This should be followed by an equally detailed discussion regarding risks, benefits, alternatives and the likelihood of surgical success.  If your surgeon cuts corners in the consultation process, it is reasonable to assume that they may cut corners in the surgery as well.  If your surgeon spent only a few moments with you and did not bother to examine your face and eyelids before referring you to the practice closer, it is reasonable to ask yourself if your are in the right place.

The details of your upper eyelid surgery will depend on your individual eyelid contour, the specific improvements you are seeking, and a detailed examination and treatment plan created specifically for your needs by a specialist in oculoplastic surgery.  Dr. Steinsapir is respected across the world as a leader in eyelid surgery with natural results, and he practices both in Beverly Hills and at UCLA, where he is an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute.  He is dedicated to the needs of his patients and provides a rare level of unique personal care.  We invite you to consult with Dr. Steinsapir to learn if upper eyelid surgery is right for you.  Please call today to learn more about how eyelid surgery can help you improve your appearance and your confidence.

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 or surgeon 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.

I had DST eyelid surgery however, my lid no longer has a double fold. Can Dr. Steinsapir help me?

It is imperative that your surgery be individually designed and performed with the highest standards. DST eyelid surgery is a compromise surgery that is appealing because it promises a minimally invasive approach to creating a double fold. Unfortunately the results of this type of Asian eyelid surgery often do not hold up. If you are disappointed in a past procedure, consider how you might benefit from a new or reparative surgery. Like all specialized eyelid surgeries, you should pursue only the most skilled, expert, and personalized treatment in order to have surgery that uniquely addresses your issues and concerns. One size does not fix all.

A popular aesthetic goal today is to achieve a double eyelid fold, or crease on the upper eyelid. One approach is the DST eyelid surgery, which involves a “double sutures and twists” method which involves excising small strips of skin and threading a suture through the full thickness of the eyelid at the level needed to form a crease. While the simplicity of the surgery is appealing, when you’re investing in your personal appearance and health it rarely pays to take shortcuts. If your former DST surgery results are not lasting or do not seem to be a natural improvement to your own eyelid contour, help is available.

Dr. Steinsapir can design a double fold surgery using an open method designed to create a permanent fold. At a private consultation, Dr. Steinsapir can give you a physical examination, discuss your goals and medical history with you, help you understand your options for enhancing your eyelid contour, and explain how the different surgical approaches work, and discuss the risks of surgery and likelihood of achieving the result you are looking for. Dr. Steinsapir specializes in designing minimally invasive, highly customized and specialized cosmetic facial treatments and eyelid surgeries that compliment your natural look and improve your confidence.

Asian eyelid surgery is a significant focus of Dr. Steinsapir’s practice. We encourage you to see Dr. Steinsapir to learn how an individually designed surgery can help you achieve your goal. If you are seeking to create or improve a double fold, contact Dr. Steinsapir today to schedule your consultation. He can work with you to design a surgical plan to address your aesthetic goals for the look you desire.

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 or surgeon 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.

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.

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.

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