Transconjunctival versus Transcutaneous Lower Eyelid Surgery
Transconjunctival and transcutaneous lower eyelid surgeries are each a type of lower blepharoplasty, a plastic eyelid surgery that can address a range of issues such as excess fat or “puffiness” around the lower eyelid, loose and wrinkled skin. For great results, your blepharoplasty must be carefully planned by your attending surgeon, who will consider the subtle details of your facial anatomy when determining which type of blepharoplasty is right for you, and details such as whether to remove any fat and where, how tight the eyelid skin should be, and how to achieve natural results for overall facial balance.
Lower eyelid blepharoplasty can be approached either through the skin, transcutaneously, or from behind the eyelid, transconjunctivally. There can be very specific reasons for choosing one approach over another. More commonly, surgeons use a particular approach, not due to inherent advatages of the approach but rather that was they way they were trained. For the most part, tranconjunctival surgery is performed by oculoplastic surgoens who by training are comfortable working near the eye. General plastic surgeons and others lack the specialized training in oculoplastic surgery. They prefer an approach to the eyelid that does not require they to work so close to the eye surface. This is unfortunate because the skin incision usually is made through the underlying muscle. This can damage the function of the underlying muscle, the orbicularis ocli muscle. After surgery, this muscle weakness account for the alteration of the lower eyelid contour that is routine associated with transcutaneous lower eyelid surgery.
Here is an overview of some important features of each surgery type:
Transconjunctival Blepharoplasty
• Incision made behind the lower eyelid
• Minimizes the risk of altering the contour of the eyelid margin after surgery
• Arcus marglinalis release can be performed through the same incision, wherein the eyelid fat is preserved and rotated into the hollow under eyes
Transcutaneous Blepharoplasty
• Incision made just below the lower eyelid lashes
• Can possibly damage the function of the orbicularis oculi muscle and affect the lower eyelid contour
• Permits the removal of excess skin
For some, removal of the lower eyelid fullness from behind the eyelid and removal of excess skin from the front is indicated, via a skin pinch technique or an infracillary incision just below the eyelashes that preserves the underlying muscle. Ultimately, the only way to know what treatment method is right for you is to consult with an experienced oculoplastic surgeon who will meet with you, discuss your concerns and treatment goals, perform a physical examination, and work with you to design an approach that addresses your specific anatomical features and overall facial balance. These are highly complex and specialized procedures that require a skilled and experienced hand, and can bring you many benefits both functional and aesthetic. To schedule a consultation with Dr. Steinsapir, a leading cosmetic eyelid surgeon who practices in Beverly Hills and at UCLA, please call us today.
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 am unhappy with my eyelid surgery. What are my options?
Eyelid surgery is one of the most popular cosmetic procedure today. It has the potential to provide extremely positive results that rejuvenate your appearance and make both an aesthetic and functional difference. Eyelid surgery can be very technical. Your surgeon may also be surprised by the disappointing outcome of your surgery. If you have had eyelid surgery in the past, such as an upper blepharoplasty or Asian eyelid surgery, but are dissatisfied with your results, help is available.
First, allow your eyelid surgery to heal. The initial healing after surgery can be a time of uncertainty. Recovery takes you out of your normal schedule and routine. Friends and family can make inappropriate comments that lead to second guessing and uncertainty. Please recognize that family members may be right but they are not eyelid experts. Surgical results that initially look rough because of swelling and bruising, often settle down and look remarkably better with time to heal. There are rare, immediate eye health concern, and these should prompt immediate attention from your surgeon. These included increasing pain, swelling, redness, and bruising, or changes in vision. When these occur in hours or days after eyelid surgery they can represent vision threatening issues such as bleeding behind the eye or infection. Immediate care by your surgeon is essential. If you are having this type of an issue and your surgeon is not immediately available, it is advisable to be seen in an emergency room where the emergency care of an ophthalmologist or plastic surgeon can be arranged.
Another set of urgent post-operative issues include difficulty opening or closing the eyelids, double vision, or other restrictions in eye or eyelid movement. Right after surgery, local anesthesia can account for some of these types of issues, but after 24 hours, the presence of this type of an issue, suggests a mechanical problem created by the surgery. In some cases, these issues require urgent surgical exploration. In all cases, you should be seen by your surgeon to assess what is going on. Recognize that non-eyelid surgery specialists often perform eyelid surgery. These surgeons lack the ability, skill, training, and equipment to properly examine your eye. Eye pain and light sensitivity can be caused by a corneal abrasion, corneal ulcer, or intraocular inflammation. Without a slit lamp and the necessary training, your surgeon cannot diagnosis these issues. Immediate consultation with an oculoplastic surgeon or general ophthalmologist may be necessary.
Once you get about a week out from surgery, the issues tend to be related to eyelid shape, surgical symmetry, visible scars, and eyelid malposition. Generally, these types of issues get better with time. However, problems that can persist are evident even this early after surgery. It can be difficult to determine which issues will settle down and resolve on their own to your personal satisfaction. It is important to discuss your concerns with your surgeon. Surgeons will sometimes attempt to minimize your concerns. This may be appropriate. It often comes down to a level of trust. If you feel like your trust and confidence in your surgeon is being abused, that is a significant warning sign. Patients are not often wrong. If you have a concern, your surgeon should also be able to see it and explain to you why or why it is not a concern, and what will need to be done about it. It may be as simple as “we will watch this.” When your feelings are not validated or your feel you are not being told the truth, there is often a break-down in the doctor-patient relationship. This is when a second opinion can be helpful.
It you have healed and surgery is in the past, this does not mean you have no options. A detailed personal consultation can establish precisely what is causing your issues and how best to correct the problems. This type of work requires considerable maturity and experience. It is often necessary to have unique solutions tailored to you personal situation. A cookie-cutter approach is not going to do it. Dr. Steinsapir takes the necessary time to define your problems and the best approach needed to help you achieve your goals.
Dr. Steinsapir provides attentive, comprehensive care to ensure you achieve the results you desire, and he always designs your care on an individual basis, making himself available to answer all your questions so you can feel confident both before and after treatment. He can take over your post-operative care if necessary or coordinate with your surgeon to provide input and suggestions to help speed your recovery. To learn more about fixing eyelid surgery, please call today to schedule a consultation with 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 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.
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.
Complications after surgery
Complications following a midface lift and eyelid surgery are especially disconcerting because they can affect the basic functions of your eyes. Whether your eyes begin to droop, tear, or fail to blink, any change in the way your eyes and face function is reason to be concerned. But sometimes, inexperienced surgeons panic in these situations (even long-in-practice, but inexperienced surgeons) and respond with a shoot-from-the-hip, fix-it mentality, and may push you to undergo corrective surgery immediately. Your surgeon may just want to take care of the problem as quickly as possible and as a result, you may feel pressured to have a corrective surgery. There are certainly times where immediate work is appropriate. Before you agree to such a fix, ask yourself if you are still comfortable trusting your surgeon. In his book Blink, Malcom Gladwell describes the process of “thin slicing;” the way our intuition rapidly assesses a situation. That intuition is ignored at our peril. If the hair on the back of your neck is standing up because your surgeon wants to hustle you back to surgery, ask yourself: are you comfortable with what is being proposed? If you are not comfortable, your best course of action is the natural one―dig in your heals. There are occasional situations that are medical emergencies. However, these are truly rare. There is almost always time for a second opinion.
Undergo a consultation
Before taking any action to correct your complications, carefully weigh your confidence in your current surgeon. There is no substitute for an in-depth personal consultation because discussing your problem with your doctor over the phone doesn’t allow him or her to see, and fully understand the physical complications. Occasionally, the description of what is going on and the actual physical complications are not the same. Fixing complications is specialized business. Even if your surgeon does a lot of primary cosmetic surgery, he or she may be relatively unsophisticated when it comes to repairing surgical complications, especially when this work affects the function of the eyelids.
If you are not 100 percent confident in your surgeon and are casting about for opinions from strangers, listen to your feelings. Do not blindly follow the recommendations your original surgeon or any surgeon whose recommendations do not make sense to you. Don’t commit to a second surgery unless you have a clear understanding of the following:
- What is going on and why these complications are occurring,
- What type of surgery your doctor has planned,
- Why a surgical solution is necessary,
- The risks of a second surgery, and
- The probability of success or failure.
The risks of midface and lower eyelid surgery and corrective surgery
Lower eyelid surgery and midface surgery have significant risks associated with them. Your surgeon may not fully understand these risks. If you’re experiencing complications it does not mean that your surgeon did something that another surgeon might have done in a similar circumstance. However, how your surgeon addresses the problem can make a profound difference and he or she should not rush the process.
The anatomy described in some of the most important and most recent papers in the field of lower eyelid and midface surgery done through a skin incision under the lower eyelashes (infracillary incision) is inaccurate. Dr. Steinsapir recently reviewed the literature on this subject and presented it before the Fall 2010 American Society for Ophthalmic Plastic and Reconstructive Surgery Scientific Symposium. Some of the core papers describe anatomic hypotheses rather than proven anatomic fact. Unfortunately, a hypothesis is a scientific guess―it does not make an established anatomic fact. Lower eyelid surgery through the lower eyelid skin is one example of this. Surgery damages the motor nerves that help support the lower eyelid margin leading to complications that can surprise the unsuspecting surgeon. Naturally, they are not going to say that they are surprised but be assured they would not perform surgery this way if they thought it would cause a problem.
So why do doctors still perform this kind of surgery despite the risks? Despite the inaccurate papers it is possible to dissect in this plane in some cases without significantly altering the nerve supply to the orbicularis oculi muscle. Motor nerve damage to the orbicularis oculi muscle near the upper and lower eyelid margin affects the blink and weakens eye closed. Without this critical blink function, tears do not move across the corneal surface properly resulting in dry eye and tearing issues. When the lower eyelid slumps, it does not properly cover the lower portion of the eye and there is increased corneal drying.
The remedy for midface and lower eyelid surgery complications
To address eyelid complications from a midface lift or lower lid surgery, the best answer is to avoid further eyelid tightening and allow the tissues to heal. By preserving as much of the lower eyelid function and not cutting out additional tissue―as would be the case if your doctor were to try to fix the problems immediately following your initial surgery using a technique called canthoplasty―there are many more options and increased likelihood of an improved outcome if you allow the tissue to heal. While in the healing process, keep lines of communication open with your surgeon or look for oculoplastic surgeons for consultation who have as a focus of their practice the repair of unsatisfactory cometic eyelid surgery. Be skeptical of solutions that must be done “urgently” or don’t make sense. While very few of these complications mend themselves, with time it may improve so less work than originally thought may be necessary.
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.
Blepharoplasty Reconstruction
Blepharoplasty, also known as eyelid surgery or a lidlift, is one of the most common cosmetic surgeries and has a remarkable track record for safety. Because incisions are made along the creases of the upper eyelid, below the lower lashes, or from the inside of the lower lid, scarring is minimal and relatively hidden. Complications can occur, even when surgery is performed by experienced surgeons. Complications that can compromise the outcome of eyelid surgery can include hematoma, infection, or eyelid function problems that result from excessive skin or muscle removal, or motor nerve damage. When the cosmetic or functional result is unacceptable, reconstructive surgery is needed to address these issues.
Potential Concerns
The traditional approach to upper eyelid surgery has been to aggressively remove skin, muscle, and fat. The result of this outdated philosophy is “the surgical look” with a high sulcus and no upper-eyelid fold. While some are happy with the cleaned-up appearance created by this type of surgery, a certain percentage of individuals are unhappy with the alterations caused by their changed appearance. Unfortunately restoring the upper eyelid fold is virtually impossible. Fillers can help soften the appearance, but restoration of the upper eyelid is not feasible as it is with repair of the lower eyelid.
Other upper eyelid issues are more amenable to corrections. One such concern is laxity of the skin in the upper eyelid, below the upper eyelid crease. The skin takes on a crepe appearance. Crepe skin appears thin and dry and doesn’t hold makeup. This can be corrected with a precision anchor blepharoplasty.
The indiscriminate removal of skin, muscle, and fat can have more serious complications than just the “surgical look.” Over-aggressive cosmetic surgery can, result in damage to the muscles that allow the eyelid to close, shortening the upper eyelid and preventing the eye from closing. The lower lid can also become retracted, pulling the lower lid downward. Often, individuals come to Dr. Steinsapir with unique issues that require unique surgical solutions. While there are complications that can’t be fully corrected, many of these issues can be improved functionally and cosmetically by a very limited number of specialized eyelid surgeons who offer these types of reconstructions. The process starts with a detailed personal consultation.
About Dr. Steinsapir
Dr. Steinsapir is a much sought after oculofacial surgeon. He is an innovator in minimally invasive cosmetic and reconstructive procedures and has invented new methods for treating with BOTOX, Fillers and cutting edge reconstructive eyelid and midface surgery. He specializes in high precision eyelid surgery and is a leader in correcting prior facial and eyelid surgery, including multiple revised cosmetic eyelid reconstructions. He attended medical school at the UCLA and completed ophthalmology residency at The University of Chicago. He is multiple fellowship trained including three years of fellowship training in oculofacial plastic surgery at UCLA, and a two-year cosmetic surgery fellowship in Rancho Mirage. He is widely published and lectures to other surgeons nationally and internationally. He is an associate clinical professor of Ophthalmic Plastic and Reconstructive Surgery at the Jules Stein Eye Institute at UCLA. His private practice is located in West Los Angeles, immediately serving the Los Angeles and Bevery Hills communities. Additionally, individuals from all over the country and the world regularly come to Los Angeles for this expert care.
I had cheek implants in the past. What are my options for improving my appearance now?
If you have had cheek implants in the past and seek further improvement today, you have many options available to you depending on your present situation and goals in addition to the nature of your prior treatment. The history of treatment approaches in combination with your medical circumstances and personal goals can shed much light on the best ways to improve the appearance after prior cheek implants.
You may already know that there is not a single type of cheek implant. Nor do follow-up, refresher, or corrective treatments follow one simple or standard approach. After all, cheek implants have evolved over the years, going through medical advancements and new approaches as cosmetic surgeons researched the most effective forms of cosmetic facial treatment. Here are a few kinds of cheek implants styles that have been used or are currently in use and what can be done when issues occur.
The Early Cheek Implants
The cheek implants that were performed in the 1980s and early 1990s tend to follow two basic types: the older style “button” shape implants, or the elliptical shape. With these cheek implants we see that as time passes after the original surgery, loss of cheek soft-tissue (which tends to happen with age) causes the contour of these implants to stand out. The result that doctors and recipients of the early cheek implant observe here is prominent mounds of volumes where the implants are. These appear obvious and stand out even to the untrained eye as disturbingly unnatural.
If you are experiencing this situation, consult with an expert facial cosmetic surgeon who can help you determine your best treatment option. For some individuals, facial fillers can be used to soften the contour around these implants and obtain a more natural appearance characterized by the fuller and more balanced features associated with youth. However, the best approach is usually the removal of the original implant and, when necessary, its replacement with an alternative and more natural implant as custom-designed by the best cosmetic surgeon for you.
Cheek Implants beyond the 1990s
Since the 1990s, implants have evolved to a more anatomic shape. Most implant related issues are the result of oversized implants or implants that have settled in less than ideal fashiion. Cheek implants fitting this description may require surgical removal and, if indicated, replacement. Cheek implants like this were often placed through a lower blepharoplasty incision or through an incision in the mouth. Implant placement can be associated with motor nerve damage to the muscles of facial expression or can compromise the appearance of the lower eyelid. It’s possible that post-surgical changes associated with the eyelid surgery may need to be revised at the same time the prior cheek implant is removed. Depending on the nature of the lower eyelid issue and the cheek contour, the old implant may then be replaced. As many of these situations have unique characteristics, Dr. Steinsapir prefers hand-carving a custom ePTFE implant to replace the old implant.
Revisions to the Submalar Implant
Another style of implant is called a submalar implant, which sits low on the cheek. While this submalar volume positioned at a low level may have appeared complementary at the time of the surgery, some find that this implant begins to look objectionable as the face ages. Occasionally this problem is made worse because the original surgeon chose the wrong size of implant, or because the implant may not have settled correctly after surgery. In these circumstances, the best approach is to remove the original implant, and then replace the volume deficiency with a hand-carved custom orbital rim implant in conjunction with a vertical midface lift.
Improvements with the Best Cosmetic Surgeon
The success of your follow-up improvements to prior a facial cosmetic surgery will be closely tied to your choice of a leading cosmetic surgeon who has specialized expertise in the treatment you need, and the establishment of open and comfortable communication that leads you to both feel confident in your treatment path. As you seek a cosmetic surgeon whose experience and personality are a good match for your treatment needs, consider how Dr. Steinsapir can help you obtain the outcomes you desire. Dr. Steinsapir attended medical school at UCLA, studied ophthalmology at The University of Chicago, and completed multiple fellowships in orbital and oculofacial plastic and cosmetic surgery. Today he is an associate clinical professor of ophthalmology at UCLA’s prestigious Jules Stein Eye Institute, and his private practice in West Los Angeles helps many individuals to obtain the improved aesthetic and natural results they have always wanted. To learn more about your cosmetic treatment options, contact us today to set up your no-risk consultation with Dr. Steinsapir.
Fixing Lower Eyelid Surgery
Eyelid surgery is a great option for many people seeking to improve their looks and their interactions with others. You can usually anticipate that your lower eyelid surgery will be a positive experience that improves your appearance and your confidence, but there are still occasions when an individual may need to seek revisional eyelid surgery with a top oculoplastic surgeon, especially if the original operating surgeon was not chosen with the greatest care. If you are concerned about the outcome of a past eyelid surgery and want to know how to address any issue you perceive, here are a few items to consider as you move forward toward attaining your treatment goals.
Have you had time to heal?
After an eyelid surgery, you might experience some apprehension as you anticipate your results and wonder if you made the right decision. Most individuals find that they are very happy with their eyelid surgery results, so before you start to fret make sure you’ve allowed yourself healing time to see improvement. In a very few, rare cases an individual needs to seek immediate medical attention for eyelid surgery complications, but this is not common.
If your concerns are aesthetic, it’s generally advisable to wait six to twelve months after a lower eyelid surgery such as lower blepharoplasty to seek revisional treatments. This is because it’s important to allow all the tissues to fully heal and observe your final results before modifying the outcome with additional surgery. Especially in cases when an overaggressive surgery leads to the need for corrective surgery, your corrective surgery should preserve your tissue as much as possible to improve your look rather than making the problem worse. This is why a conservative approach after ample healing time is most effective.
Since you begin to see the results of your eyelid surgery earlier than the time for corrective surgery, you should be openly expressing any concerns that arise with your original surgeon on an ongoing basis. If you feel you could benefit from a second opinion with a specialist in eye plastic surgery and its correction, this can also help you to calm your worry and consider your options.
Who can help?
In many cases, individuals worry needlessly about an overall great surgery because they haven’t let themselves heal or are nervous enough to imagine problems that aren’t there. On the other hand, with any medical procedure you run a risk that it will not go exactly as you had hoped, and eyelid surgery is no exception. If you want to learn more about whether you might need your lower eyelid surgery fixed, you can be glad that expert help is available.
First you should consult with your original surgeon wherever possible. Your surgeon who performed your first eyelid surgery should be eager to help you address any concerns you have and find the best solution together. However, sometimes part of the problem may be that your surgeon lacks the specialized skill in conservative eyelid surgery that is needed for precise and natural results, and in these cases consider consulting with an additional doctor for a new viewpoint based on experience and expertise.
It takes extensive training, experience, skill, and specialization to be able to perform the best eyelid surgery, and additionally there are very few doctors with focus on skillfully correcting eyelid surgery. We invite you to consult with Dr. Steinsapir, who makes eyelid surgery as well as corrective eyelid surgery based on years of education, training, and experience a major focus of his practice in Los Angeles and Beverly Hills. Dr. Steinsapir works from a philosophy that natural results are achieved through conservative surgery that enhances your eyelid’s natural contour. This approach helps to prevent the need for corrective surgery to begin with. If you are already concerned about a prior eyelid surgery, or if you are seeking lower eyelid surgery and want to minimize your risk of needing corrective surgery later, contact us today and consider how a fresh opinion from Dr. Steinsapir can help set you on the right track for to achieve your goals.
