Blog
My lower eyelid is sagging after eyelid surgery-what should I do?
First take a deep breath. Things happen after eyelid surgery. Many things fix themselves with a little time. Before surgery, your surgeon went through a lengthy list of things that might happen with surgery. Of course it is human nature to think that none of that will happen to you. In some cases I think that the surgeon sends a subliminal message that even though all this stuff is in the consent, it is a mere formality. Having an issue after surgery is an unwelcome shock. If you trust your surgeon, that confidence should help...
read moreIs there any difference between Microbotox and Microdroplet botulinum toxin treatment?
There is an enormous difference between these two similar sounding treatments. Microbotox is a mesotherapy technique used to place very dilute BOTOX solution intradermally. The goal is to use BOTOX to relax the smooth muscles responsible for dilating pores. Proponents of the method feel the treatment helps create a smoother looking skin. This service does not address the muscles that create facial expression and are responsible for facial wrinkles. In contrast, Dr. Steinsapir developed Microdroplet TM botulinum toxin as an alternative method...
read moreI had a midface lift at the time of my eyelid surgery, and now my eyes look different. Will canthal surgery correct my problem?
The most critical issue here is to understand how your face has changed. You are absolutely correct to say that your eyes have changed. However, your analysis of the problem is not correct. I suspect that very few surgeons you consult will understand the issues. At the same time I am equally certain that many surgeons would be more than happy to perform a lateral canthoplasty for you. They will mean well but they are simply going to make your situation worse, not better. I completely agree that surgery has altered the shape of the...
read moreCan I get an anchor blepharoplasty using a double suture threading method?
Let me jump right in and say no. The double fold suture methods for Asian eyelid surgery, are ostensibly closed methods. Small incisions are made in the eyelid for the purpose of hiding the sutures used to form a crease. In contrast, anchor blepharoplasty is an open eyelid method. In order to perform an anchor blepharoplasty, the surgeon must make an upper eyelid crease incision. Through this incision, the orbital septum is identified and opened. A very clear operational understanding of eyelid anatomy to perform the surgical dissection needed...
read moreWill cucumber slices help the dark circles under my eyes?
No. This comes as a surprise to many of my patients: movies, TV shows and spa commercials have made them think that a woman in a Turkish robe reclining with cucumbers over her eyes is the epitome of total relaxation and rejuvenation. But in reality, cucumbers won’t do anything for dark circles. The soothing cool of the cucumber feels nice on the eyelids, but dark circles are a structural issue that a slice of fruit simply can’t solve. Dark under-eye circles can be caused by a number of conditions, including thin lower eyelid skin and not...
read moreI consulted a plastic surgeon for eyelid surgery who said I needed clearance by my general ophthalmologist. Is that really necessary?
Yes, if your plastic surgeon doesn’t specialize in eyelid surgery and lacks board certification in Ophthalmology. Ask yourself if it makes sense to have eyelid surgery by someone who lacks this specialized knowledge and training. Is this really the right surgeon for you? The only time you need to get clearance from an ophthalmologist is when your plastic surgeon is not appropriately trained to take care of the eyes and is therefore unqualified to properly assess the health of your eyes. Board-certified general plastic surgeons lack the...
read moreFillers vs Fat Grafting for the Lower Eyelid
Why does Dr. Steinsapir prefer “off the shelf fillers rather than body fat to fill under the eye? I thought fat transfer lasted much longer than off shelf fillers. What does he recommend and why? Fat transfer has become very popular. Doctors are even calling them “stem cell facelifts.” Technically, adults stem cells are in the grafted fat, so there is a tiny grain of truth to this. Mostly though, it is a lie. These stem cells have nothing to do with the results accomplished with a facial fat transfer. Dr. Steinsapir finds that fat...
read moreEven the Wall Street Journal fails to understand how cosmetic surgeons are trained!
The message that one should only go to a board certified plastic surgeon is the public relations message of general plastic surgeons. While there are many excellent skills that general plastic surgeons offer, it is essential to understand that very few of these surgeons were trained to perform cosmetic surgery in their plastic surgery residency. Additionally numerous surgical subspecialties offer high quality cosmetic surgery and were very extensively trained in these procedures in residency and fellowship programs. In many cases, the...
read moreUpper blepharoplasty made my eyelids heavier and the skin wrinkled. What is going on?
Dr. Steinsapir specializes in fixing unsatisfactory eyelid surgery. As a fellowship trained oculoplastic and cosmetic surgeon, and a board certified ophthalmologist, Dr. Steinsapir is experienced in working closely with his patients to create a personalized treatment plan. If you are experiencing eyelid ptosis and crepey (wrinkled) skin following upper blepharoplasty, it may be that your original surgeon did not have the proper experience to successfully perform your upper blepharoplasty. Crepey Skin When performing upper blepharoplasty,...
read moreI am having BOTOX treatment complications and my wedding is in two weeks. What do I do?
BOTOX® complications can range from minor problems like bruising, frozen forehead, or swelling, to more severe problems like eyelid ptosis, to the even more rare systemic effects including difficulty swallowing. Typically, even these more severe problems will resolve themselves over a period of 4 to 6 weeks without intervention. However, given a very short time frame, it is essential to see a treating physician immediately to determine the best course of action. Fixing Minor Problems BOTOX treatments are popular because they are...
read more
