Doc, your videos are GOLD. Such amazing, detailed and nuanced information that is impossible to find elsewhere. Thank you so much for making these videos!
Thank you so much for your kind words, shangrila628! I'm happy you appreciate the videos. I include information in them that many doctors don't discuss so people are more informed about cosmetic procedures, so they can make better decisions about them.
Wonderfully informative! I did not ask my doctor if he intends to go from the outside or inside of the lower eyelid, of course now that I know the risks, only will I accept it being from being within!
I'm glad you found the video informative, TR_NW. You should know that the transconjunctival approach from the inside of the eyelid is not practiced by most surgeons, so some may downplay the approach since they can't perform it. A surgeon who performs the transconjunctival approach is more specialized in lower eyelid surgery, so I suggest you find a specialist if your doctor is not trained with this technique. I hope this helps you.
Hi Xime Fdez, Positioning, and preventing migration of under eye fillers have a lot to do with the placement technique of the doctor performing the procedure. Also, amount of filler is a factor in migration, but very little filler material is used in the lower eyelids. You can refer to these videos about the placement technique of under eye fillers; and the risks of under eye fillers, and how they are avoided or minimized: ua-cam.com/video/fwTBCiGGQs4/v-deo.html ua-cam.com/video/lA6ietCvZf8/v-deo.html
Hi M Hask, Thanks for watching! While I may know surgeons in the Georgia area, we all have different aesthetic styles and practice focuses. I suggest you ask for transconjunctival blepharoplasty by name which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.
My biggest concern is finding a dr as well trained as you (in my area) I wouldn’t even know where to begin... I guess my question is ... how and where do I look?
Hi Angela c., You can start by asking for the transconjunctival blepharoplasty procedure by name, and insist on not having any external incision and removal of any lower eyelid skin before agreeing to any procedure. If the doctor cannot perform the procedure, or insists that skin removal is necessary (it isn't in most cases, unless the skin folds over as shown in the video for skin pinch blepharoplasty) then look for another surgeon. I hope this helps you.
Really helpful information. It is more like an educational program. Well calculated, judgmental analysis of two approaches or techniques of surgery and how cheap cost could badly affect the results and could increase the upcoming cost to correct it. But even costly surgeons don't care about the technique they adopted and patient do not only suffer physically but financially also. Big thanks you care about your patients.
Hi Talat Alishah, You can start by asking for the transconjunctival blepharoplasty procedure by name, and insist on not having any external incision and removal of any lower eyelid skin before agreeing to any procedure. If the doctor cannot perform the procedure, or insists that skin removal is necessary (it isn't in most cases, unless the skin folds over as shown in the video for skin pinch blepharoplasty) then look for another surgeon. I hope this helps you.
Hello Dr, love your video's content, Q: I suffer from a high level of anxiety while being awake during in a procedure like this one. Any exceptions to the anesthesia from local to general ? I would not mind at all the possible general anesthesia post op effects. Thsnk you !
Hi Rafael Gomez, In addition to local anesthesia, we also use LITE IV sedation to calm and relax our patients during their procedure, so they are in a twilight state of consciousness rather than fully awake during the procedure. I hope this clarifies things for you.
Hi @Princesingh-ss1kw, Sculpting the fat that causes eye bags from the inside of the lower eyelid is safer for patients because it doesn't cut through the eyelid skin, or the muscle that supports the lower eyelid. However, because it is much smaller incision, it is more difficult for the surgeon, which is one of the reasons why most surgeons don't perform this specialized technique. I suggest you seek an eyelid surgeon who performs the transconjunctival blepharoplasty technique over the more common transcutaneous blepharoplasty technique, and insist on no eyelid skin removal. You can refer to this other video about it - ua-cam.com/video/YTTb3ydq550/v-deo.html
Hi Michelle Clark, I have several videos about under eye fillers, for your reference: ua-cam.com/video/lA6ietCvZf8/v-deo.html ua-cam.com/video/VzzsbNDlaHQ/v-deo.html ua-cam.com/video/1_yG7fFEkVo/v-deo.html ua-cam.com/video/yszpZSOEGoQ/v-deo.html
I did my lower eyelid surgery with one of the most famous Beverly Hills plastic surgeons and not only he disfigured my eyes but also damaged my nerve that supports the skin under my eye. I spent a fortune to get disfigured. Now even the specialists are trying to talk me out of skin graft because they say it would drop because of the damaged nerve.
Hi Caterina Ivanova, Sorry to hear about your problem. Skin grafts are normally a last resort in eyelid revision as they can appear like obvious grafts, but there are also graft materials like Enduragen that can possibly be used. I would have to examine your eyelids before I can make specific recommendations for your case. We are also available for online consultation through Skype or FaceTime. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi @calisecockburn9172, You can contact our offices, or our websites to make an appointment. Consultations do require a consultation fee, but the fee can be applied to the cost of treatment. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi angelecara35, Puffy eye bags visible all the time are caused by orbital fat that has pushed forward, so transferring fat to an area with excessive fat isn't the right procedure for treatment. Fat transfer is done by some doctors to treat hollowing, but it is highly prone to complications, so I strongly don't advise it. You can refer to these videos about why I don't recommend under eye fat transfers: ua-cam.com/video/mNo_EBcDi1k/v-deo.html ua-cam.com/video/VzzsbNDlaHQ/v-deo.html
I have had a lot of fillers over the years and it looked great for a long time however, now that Im getting older. Just underneath my eyes are blueing tint all around the tear trough and it's puffy and has little dent all around the lower side. Looks terrible. I don't even want to go anywhere now. I have appointment with Dr Prasad next month. Looking forward to that appointment.
Hi Dawn Martyne Riley, I preserve the lower eyelid rim by not cutting into the lower eyelid support structures by performing transconjunctival blepharoplasty from the inside of the eyelid, so there is no external incision that can compromise support anatomy. I usually perform a canthopexy to help patients who lost lower eyelid support with the external incision of a transcutaneous blepharoplasty, and/or unnecessary lower eyelid skin removal performed by another surgeon. I hope this clarifies things for you.
Hi Dr Prasad. 2 questions. Im 43 years old , never had any work done. Will you be the one performing the surgery? How much a lower eyelid cost ballpark? Just want to know if i have saved enough money to do this surgery now. Thank you
Hi Claudia Mendes, I can certainly perform eyelid surgery for you. We don't have a set cost for eyelid surgery as the extensiveness varies between patients. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, Garden City, Long Island at (516) 742-4636, or Vienna, Virginia at (703) 356-1446. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you regarding price range. I hope to hear from you soon.
Dr Prasad, about the fat pads, how do you actually decide if you do repositioning, or if you remove all three? How is repositioning actually done? I am really apprehensive about the surgery. I haven’t decided on it yet.
Hi, I don't perform fat repositioning because the pedicle of fat used in repositioning is not enough to provide volume in the lower eyelid/ upper cheek area, so I would use a filler instead if there is adjacent hollowing. I hope this clarifies things for you.
@@AmiyaPrasadMD Ok I think I must have misunderstood things. I thought you reposition the bulging fat in the eye bag. But I rewatched this video and heard you say you 'sculpt' the fat. May I know what does it mean by 'sculpt' the fat? Thanks.
Hi, You need to sculpt the fat that causes eye bags before excising it, and sculpting is important for fine contour because some fat is left behind to avoid a hollow appearance. I hope this clarifies things for you.
Hi, I don't show detailed footage of surgery in most of my videos, but I reference and show results of skin pinch blepharoplasty in these videos: ua-cam.com/video/AAH37kjfyK8/v-deo.html ua-cam.com/video/U7kJ4CMcJ0A/v-deo.html
6 days ago I had a lower eyelid correction with fat transfer in which the eye sphincter muscle was tightened. I still have bandages and stitches that will be removed on Monday. There is still some transparent, moist 'mucus' coming out of my left eye in particular. My eye is no longer red. Is that normal, and will it eventually go away? Could that still be wound fluid?
I would love to have a surgeon that does exactly what you do (and the PRP laser treatments!) in the Boston area or southeastern NH. Do I google the transconjunctival surgeons in my area? Any suggestions? I live about 50 minutes north of Boston
Hi Melanie Roofe, Googling for specific surgical techniques might help if their websites do feature transconjunctival blepharoplasty, as well as PRP and laser treatments. However, as many websites may not be as detailed, you may have to contact prospective offices asking if the surgeon performs transconjunctival blepharoplasty by name. Also, expect surgeons' offices that don't offer transconjunctival blepharoplasty to be little defensive about not being trained in this technique. I hope this helps you.
Hi Doc, I'm based out of Delhi- India. I'm struggling with puffy eye bags for yrs now...even my mom had these... kindly suggest incase you know an experienced Doc in Delhi? Also if one gets this surgery from you what is the cost?
Hi Latika Bajaj, Sorry, I'm not familiar with surgeons in Delhi. We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I've watched many videos on Lower bleph and nobody seems to be answering a Q that I am looking for. I did my lower bleph 10 days back. I had a fat reposting done to fill the hollow below my eyes. In that area it feels like a marble in there and is looks slightly protruded. I feel other bruising has all gone now, but that ares looks swollen with the fat repositioning. My surgeon says it will go away in weeks. Any suggestion on this, please?
Hi @peacetoall9818 , As explained in this video, it's not lower blepharoplasty that may be the issue, but rather fat repositioning where fat bent with the blood supply can swell. As an oculoplastic surgeon/ eyelid specialist, I don't recommend fat repositioning because it is a problematic procedure for patients. I made an entire video about the issues related to fat repositioning in the lower eyelids, for your reference - ua-cam.com/video/m-_mFe4eWmo/v-deo.html
Hi Subrina Bailey, You can contact our offices or websites to make an appointment. Consultations can be arranged by our offices to be done remotely on a one-on-one video call on Skype or FaceTime. Consultations do require a consultation fee, but the fee can be applied to the cost of treatment. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi @violetfloris9927, I don't recommend fat transfers behind thin lower eyelid skin, or fat repositioning behind the lower eyelids because both procedures are prone to complications. You can refer to these videos about it: ua-cam.com/video/SF1O-tPVGO0/v-deo.html ua-cam.com/video/m-_mFe4eWmo/v-deo.html
Do you have any recommendations for a great, artistic, oculofacial plastic surgeon in the San Francisco Bay Area, or the Sacramento area? I saw a plastic surgeon out here the other day, who wanted to do a transcutaneous approach on me. He actually did my dad's eyes about 20 years ago though, and they still look good (no ectropion, entropion, rounding, etc). I'm just not sure where to turn, as this physician was the only "word of mouth" plastic surgeon I knew of out here, since moving. Thanks in advance. :)
Hi Doctor Darcy, While I do know other oculoplastic surgeons from around the country, we all have different styles and practice focuses. Not all oculoplastic surgeons focus on cosmetic eyelid surgery. I have seen well done transcutaneous blepharoplasties, but I would rather minimize risks further with the transconjunctival approach. I suggest you look at prospective doctors' before and after pictures, and ask them if they can perform the transconjunctival approach as that usually indicates that they have more experience and expertise with cosmetic lower eyelid surgery. I hope this helps you.
Hi Samia Tourabi, The risks for ectropion and lower eyelid retraction are greatly reduced since transconjunctival blepharoplasty is designed to keep lower eyelid support structures intact to preserve eye shape. However, you must still insist against lower eyelid skin removal to treat wrinkles as this is a major cause of lower eyelid retraction, and ectropion. Wrinkles under the eyes can be treated non-surgically. You can refer to these videos about it: ua-cam.com/video/U7kJ4CMcJ0A/v-deo.html ua-cam.com/video/PXMhY90TReM/v-deo.html
Hi Maureen floralpark, Yes it is as the eyeball is not directly addressed in an upper or lower blepharoplasty, just the eyelids are affected. I hope this clarifies things for you.
Hi there! I commented on ur last video in regards to the surgeon wanting to remove skin from my moms upper eyelid to CORRECT her lower blepharoplasty complications which is ectropion in both eyes and retraction. He wants to use the upper eyelid skin for the skin graft. In ur last comment on ur previous video.....were u meaning that there isn’t much skin in the upper eyelid to be efficient enough for the skin graft?? Also she can run into the same problem (ectropion/retraction) with removing the skin from the upper eyelids correct? If he pulls to much skin from the upper lid? Im very nervous for her to do this corrective surgery 😩
Hi JL123, I said that there is a possibility of doing a graft from the upper eyelid skin, but often there isn't much redundant skin in the upper eyelid. I indicated other grafting possibilities that are not from the upper eyelid, as well as graft materials like Enduragen in your previous questions in the other video. I hope this helps you.
Dr Prasad I had a lower blep done 5 weeks ago by an oculoplastic surgeon. I have lower eyelid retraction and still have some numbness in the lower eyelids. Also movement in my lower eyelid is limited( I cannot squint)How much time do you recommend giving before deciding a revision is needed?
Hi E S, Sorry to hear about your problem. I normally recommend that at least 6 months is needed before a revision surgery can be done due to temporary swelling obscuring results, and affecting the accuracy of a revision. I would have to examine your eyelids, and determine if there was any skin removal, or an incision through the lower eyelid skin and muscle in your previous surgery that could have caused lower eyelid retraction. I hope this clarifies things for you.
@@AmiyaPrasadMD thank you so much for responding. I only had fat pads removed. The doctor is saying that once the internal wound heals the the retraction should go away. Oh and this was transconjunctival too.
Hi Doctor. I have deep set eyes- w hollowness. It was corrected adequately w fillers for yrs. Now, I think I have too much filler. Even had some dissolved. Still see two discrete round deposits of what I think is old filler. Can that be imaged w an MRI? I was told recently by a facial plastic surgeon that I’m not a good candidate for under eye blepharoplasty because I have festoons!?!! Is this so?
Hi jjowhal, It may be possible to locate encapsulated filler with an MRI, or it can be diagnosed by the doctor without an MRI. Lower blepharoplasty is not recommended for treating hollowing, unless the hollowing is result of eye bags making the adjacent area appear hollow. You can refer to this video about it - ua-cam.com/video/Q0QiNH7LUVI/v-deo.html
@@AmiyaPrasadMD - thanks doctor. I’m going for the MRI in a few weeks. My eyes looked a lot better w filler for years. When I went overboard it looked bad. What about festoons? Is that contraindicated for lower blepharoplasty? I’ve been turned away by 2 doctors. Despite my eyes looking quite horrific
Hi@@jjowhal, Lower blepharoplasty can be done if you have festoons, but festoons are not treated with lower blepharoplasty. An examination is needed to determine if your festoons are best camouflaged with filler, or need a separate surgical removal. I hope this clarifies things for you.
I had lower bleph surgery leaving a L shape indentation under my eye a year later I had a revision which caused my lower lid to turn out and even worse I have a large lump of scar tissue under the skin on my cheekbone! I’ve lived with it for 3 years and I would like to have the lid repaired and scar tissue removed via inside the lid. Will scar tissue reappear? Is this a risky procedure?
Hi @KarenWood-bq2lj, Sorry to hear about your problem. I would have to physically your lower eyelids to determine the extent of the scar tissue, and what can be done to repair your lower eyelids to make a risk assessment. Please let us know if you'd like to come in for a consultation. There is a consultation fee that can be fully applied to the cost of revision surgery. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I just had Transconjuctival Blepharoppasty with laser resurfacing 10 days ago. I’m a 41 year old male and I see what appears to be volume loss or a raised wedge on my cheek bones. Is this normal or could it be swelling from the surgery? Also under my eyes are still red from the laser, how long before that starts to fade away thank you.
Hi cornbluff1, I would have to examine your cheek area to determine what the issue is. Post-surgical swelling is possible, but also a difference in volume between your lower eyelids, and the upper cheek area called the eyelid-cheek junction. Sometimes volume enhancement is needed in the upper cheek after lower eyelid surgery to better blend this junction. You can refer to these videos about it: ua-cam.com/video/C1pxoU7e1SE/v-deo.html ua-cam.com/video/46Kp6ayfyzg/v-deo.html
Hi sangeeta arora, You can refer to this video about what recovery is like after lower eyelid surgery - ua-cam.com/video/g71wFEdUtlM/v-deo.html We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
@9:50 and also @10:20 I see patients that have eye bags and these eye bags cause a darkness in the skin. I also have this darkness of skin for my right eye bag. May I know what is the actual cause of this darkness of skin? Does removal of the fats from the bags automatically mean that the area will become lighter after surgery? Thanks.
Hi, You can refer to these videos about the causes and treatments of dark under circles: ua-cam.com/video/QBvjjvxPt2g/v-deo.html ua-cam.com/video/S6_nTRr1tio/v-deo.html
How do I assess if my eyelid prolapse is associated with the deficiency in the projection of the cheek bone and bone structure under the eyes? How do I know if I have deficient bone not projecting forward enough?
Hi, It is best diagnosed by your doctor who can take pictures of your side profile, and show the appearance you won't be able to see in a mirror. I hope this clarifies things for you.
@@AmiyaPrasadMD Thanks Dr Prasad. Would an occuloplastic surgeon do this at all? Is the the standard procedures an occuloplastic surgeon should perform for a patient?
Hi, It's what I and many other doctors do for patients to get a better understanding of their situation. I can't guarantee all doctors do it. I hope this clarifies things for you.
Hi Dr. I have a question….. I had lower eyelid blepharoplasty going on 4 weeks now. My right eye has been tearing up like a week or 2 after my surgery. It’s just my right eye. I have been using eye drip lubricants during the day but that doesn’t really seem to help. Do you happen to know why that is happening or what I can do to stop the watering on my right eye? I would appreciate any suggestions or recommendations. Thank you soo much in advance. 🙏🏻🙏🏻. Oh my lower bleph was done on the inside of my eyes and not through the outside of eyes. Not sure if that makes a difference. Thank You again!!
Hi Aflashofreality, Sorry to hear about your problem, but you should first follow up with your surgeon who can examine the problem physically for a proper diagnosis, and knows details of your surgery. It's possible for dry eyes to affecting only one eye, and make sure your vision is normal to rule out any possible eye problems. If your surgeon can't identify the cause, then I suggest you see an ophthalmologist to check if there are any issues with the eye itself. I hope this helps you.
Too much info u give ... thx a million . Sorry if u already answered this ... but ... so the dark circle skin under the eye is also reduced by removing the fat or is that more about skin quality ? So things like prp or lazers would work for that ?
Hi zibtihaj, Dark circles are not associated with prolapsed fat under the eyes, but they can occur at the same time. You can refer to these videos about how we treat dark circles: ua-cam.com/video/QBvjjvxPt2g/v-deo.html ua-cam.com/video/S6_nTRr1tio/v-deo.html ua-cam.com/video/jQUb67RpaAM/v-deo.html ua-cam.com/video/RHJodb437o4/v-deo.html
Hi Andy Peters, If you haven't had previous eyelid surgery, or injury to your lower eyelids, you will likely benefit more from improving the skin quality non-surgically. You can refer to these videos about treatments for lower eyelid skin: ua-cam.com/video/PXMhY90TReM/v-deo.html ua-cam.com/video/AAH37kjfyK8/v-deo.html
Hi Doctor, thanks for your video. I had a lower eyelid transconjunctival blepharoplasty 4 months ago, in addition I had fat grafting under the eyes. Now, under one eye I have a little lump and my eyes looks slightly uneven ((When I touch this lump I feel a something hard ,obviously some fat that has not survived . My doctor says to wait it might go down but I don't think it will resolve. If I go for a second operation to remove this fat, can I have transconjunctival blepharoplasty? Do you think Ultherapy can help to melt that fat ??
Hi Madina Carter, 4 months after your previous surgery may be too early for a revision, especially if you still have post-operative swelling. I don't recommend or perform fat grafting under thin lower eyelid skin due to the high risk of complications like lumpiness of grafted fat, but I do perform surgical removal of grafted fat as I do perform revision surgeries to correct work performed by other doctors. A thermal device used to melt the fat will injure thin eyelid skin before it even reaches the fat as it lies under the muscle. I hope this clarifies things for you.
@@AmiyaPrasadMD Doctor, thank you very much for your answer. I want to wait couple of months before I make my decision but meanwhile do you think Morpheus8 can help?
Hi@@madinacarter-if6dx, I hope you understand that I can't recommend specific treatments for you without a physical examination of your condition. You can consult with your surgeon who knows details of your eyelid condition regarding further treatment. I hope this helps you.
Doc, your videos are GOLD. Such amazing, detailed and nuanced information that is impossible to find elsewhere. Thank you so much for making these videos!
Thank you so much for your kind words, shangrila628! I'm happy you appreciate the videos. I include information in them that many doctors don't discuss so people are more informed about cosmetic procedures, so they can make better decisions about them.
Excellent and clear!
The most clear information I have found on this subject. Thank you.
You're welcome, Kelly V. I'm glad you found the video informative. Thank you for watching!
This video is a great reference. Thank you for your expertise.
You're welcome, ajordanduh AJ! Glad you found the video helpful!
Great information like always hope to see you soon for my procedures.
Thank you,
ALEXANDER MONDAY! Hope to meet you soon!
You always helpful for who suffering this problem...and they will be always Thankful to you including me
Thank you for your kind words,
Rohit Panchal! Glad you found the video helpful!
Wonderfully informative! I did not ask my doctor if he intends to go from the outside or inside of the lower eyelid, of course now that I know the risks, only will I accept it being from being within!
I'm glad you found the video informative, TR_NW. You should know that the transconjunctival approach from the inside of the eyelid is not practiced by most surgeons, so some may downplay the approach since they can't perform it. A surgeon who performs the transconjunctival approach is more specialized in lower eyelid surgery, so I suggest you find a specialist if your doctor is not trained with this technique. I hope this helps you.
Thanks ! How secure are these fillers? They don’t move in the time?
Hi Xime Fdez,
Positioning, and preventing migration of under eye fillers have a lot to do with the placement technique of the doctor performing the procedure. Also, amount of filler is a factor in migration, but very little filler material is used in the lower eyelids. You can refer to these videos about the placement technique of under eye fillers; and the risks of under eye fillers, and how they are avoided or minimized:
ua-cam.com/video/fwTBCiGGQs4/v-deo.html
ua-cam.com/video/lA6ietCvZf8/v-deo.html
This is great information. Do you recommend any surgeon in the Georgia area? Thanks again!
Hi M Hask,
Thanks for watching! While I may know surgeons in the Georgia area, we all have different aesthetic styles and practice focuses. I suggest you ask for transconjunctival blepharoplasty by name which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.
My biggest concern is finding a dr as well trained as you (in my area) I wouldn’t even know where to begin... I guess my question is ... how and where do I look?
Hi
Angela c.,
You can start by asking for the transconjunctival blepharoplasty procedure by name, and insist on not having any external incision and removal of any lower eyelid skin before agreeing to any procedure. If the doctor cannot perform the procedure, or insists that skin removal is necessary (it isn't in most cases, unless the skin folds over as shown in the video for skin pinch blepharoplasty) then look for another surgeon. I hope this helps you.
Amiya Prasad, M.D. thank you 🙏 so much. This definitely eases my mind , thanks for sharing..love your videos 😊
You're welcome,@@angelac.806! And thank you for watching!
@@AmiyaPrasadMD 🙏
Brilliant video
Thank you, Kristina Hill! I'm glad you found the video informative.
Really helpful information.
It is more like an educational program. Well calculated, judgmental analysis of two approaches or techniques of surgery and how cheap cost could badly affect the results and could increase the upcoming cost to correct it. But even costly surgeons don't care about the technique they adopted and patient do not only suffer physically but financially also.
Big thanks you care about your patients.
Hi Talat Alishah,
You can start by asking for the transconjunctival blepharoplasty procedure by name, and insist on not having any external incision and removal of any lower eyelid skin before agreeing to any procedure. If the doctor cannot perform the procedure, or insists that skin removal is necessary (it isn't in most cases, unless the skin folds over as shown in the video for skin pinch blepharoplasty) then look for another surgeon. I hope this helps you.
Hello Dr, love your video's content, Q: I suffer from a high level of anxiety while being awake during in a procedure like this one. Any exceptions to the anesthesia from local to general ? I would not mind at all the possible general anesthesia post op effects. Thsnk you !
Hi Rafael Gomez,
In addition to local anesthesia, we also use LITE IV sedation to calm and relax our patients during their procedure, so they are in a twilight state of consciousness rather than fully awake during the procedure. I hope this clarifies things for you.
@@AmiyaPrasadMD Thank you Dr for the quick response , much appreciated....!!!
You're welcome,@@rafaelgomez1989 !
so dr PRASAD u recmond surgury in side the eyes or outside is safeest way to opriate?
Hi @Princesingh-ss1kw,
Sculpting the fat that causes eye bags from the inside of the lower eyelid is safer for patients because it doesn't cut through the eyelid skin, or the muscle that supports the lower eyelid. However, because it is much smaller incision, it is more difficult for the surgeon, which is one of the reasons why most surgeons don't perform this specialized technique. I suggest you seek an eyelid surgeon who performs the transconjunctival blepharoplasty technique over the more common transcutaneous blepharoplasty technique, and insist on no eyelid skin removal. You can refer to this other video about it - ua-cam.com/video/YTTb3ydq550/v-deo.html
I would like some more info on under eye filler and your thoughts on it. Thanks
Hi Michelle Clark,
I have several videos about under eye fillers, for your reference:
ua-cam.com/video/lA6ietCvZf8/v-deo.html
ua-cam.com/video/VzzsbNDlaHQ/v-deo.html
ua-cam.com/video/1_yG7fFEkVo/v-deo.html
ua-cam.com/video/yszpZSOEGoQ/v-deo.html
I did my lower eyelid surgery with one of the most famous Beverly Hills plastic surgeons and not only he disfigured my eyes but also damaged my nerve that supports the skin under my eye. I spent a fortune to get disfigured. Now even the specialists are trying to talk me out of skin graft because they say it would drop because of the damaged nerve.
Hi Caterina Ivanova,
Sorry to hear about your problem. Skin grafts are normally a last resort in eyelid revision as they can appear like obvious grafts, but there are also graft materials like Enduragen that can possibly be used. I would have to examine your eyelids before I can make specific recommendations for your case. We are also available for online consultation through Skype or FaceTime.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Dr.prasad how can i get in contact with you I'm suffering from the same under eyes bags
Hi @calisecockburn9172,
You can contact our offices, or our websites to make an appointment. Consultations do require a consultation fee, but the fee can be applied to the cost of treatment.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Can you speak on fat transfer to the undereye area instead of traditional eyebag surgery? The differences?
Hi angelecara35,
Puffy eye bags visible all the time are caused by orbital fat that has pushed forward, so transferring fat to an area with excessive fat isn't the right procedure for treatment. Fat transfer is done by some doctors to treat hollowing, but it is highly prone to complications, so I strongly don't advise it. You can refer to these videos about why I don't recommend under eye fat transfers:
ua-cam.com/video/mNo_EBcDi1k/v-deo.html
ua-cam.com/video/VzzsbNDlaHQ/v-deo.html
I have had a lot of fillers over the years and it looked great for a long time however, now that Im getting older. Just underneath my eyes are blueing tint all around the tear trough and it's puffy and has little dent all around the lower side. Looks terrible. I don't even want to go anywhere now. I have appointment with Dr Prasad next month. Looking forward to that appointment.
Hi KIM GLORIA,
Looking forward to seeing you, and helping you with this problem so you can feel good about going through your day-to-day routine.
how was your experience with the doctor?
Whats does Mr Prasad think of a lateral canthopexy to preserve the lower eyelid rim.?
Hi Dawn Martyne Riley,
I preserve the lower eyelid rim by not cutting into the lower eyelid support structures by performing transconjunctival blepharoplasty from the inside of the eyelid, so there is no external incision that can compromise support anatomy. I usually perform a canthopexy to help patients who lost lower eyelid support with the external incision of a transcutaneous blepharoplasty, and/or unnecessary lower eyelid skin removal performed by another surgeon. I hope this clarifies things for you.
Hi Dr Prasad.
2 questions.
Im 43 years old , never had any work done.
Will you be the one performing the surgery?
How much a lower eyelid cost ballpark?
Just want to know if i have saved enough money to do this surgery now.
Thank you
Hi Claudia Mendes,
I can certainly perform eyelid surgery for you. We don't have a set cost for eyelid surgery as the extensiveness varies between patients. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, Garden City, Long Island at (516) 742-4636, or Vienna, Virginia at (703) 356-1446. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you regarding price range. I hope to hear from you soon.
Thanks, very important to know 🌷
You're welcome, Mel T. I'm glad you found the video informative.
@@AmiyaPrasadMD 😊
Dr Prasad, about the fat pads, how do you actually decide if you do repositioning, or if you remove all three? How is repositioning actually done? I am really apprehensive about the surgery. I haven’t decided on it yet.
Hi,
I don't perform fat repositioning because the pedicle of fat used in repositioning is not enough to provide volume in the lower eyelid/ upper cheek area, so I would use a filler instead if there is adjacent hollowing. I hope this clarifies things for you.
@@AmiyaPrasadMD Ok I think I must have misunderstood things. I thought you reposition the bulging fat in the eye bag. But I rewatched this video and heard you say you 'sculpt' the fat. May I know what does it mean by 'sculpt' the fat? Thanks.
Hi,
You need to sculpt the fat that causes eye bags before excising it, and sculpting is important for fine contour because some fat is left behind to avoid a hollow appearance. I hope this clarifies things for you.
@@AmiyaPrasadMD Wow thanks Dr. This is very important information. Thank you.
You're welcome!
Hi Dr Prasad, in your experience, comparing Asian eyelid blepharoplasty and transjunctival blepharoplasty, which one takes a shorter time to heal?
Transconjunctival blepharoplasty because there is no skin removed, and often no sutures. I hope this clarifies things for you.
Amiya Prasad, M.D. I see. Thank you doctor. :)
You're welcome!
@11:08 Do you have a video on how you do a skin pinch blep? Or explanation on how you do that on patients? Thanks.
Hi,
I don't show detailed footage of surgery in most of my videos, but I reference and show results of skin pinch blepharoplasty in these videos:
ua-cam.com/video/AAH37kjfyK8/v-deo.html
ua-cam.com/video/U7kJ4CMcJ0A/v-deo.html
@@AmiyaPrasadMD Thank you :)
You're welcome!
6 days ago I had a lower eyelid correction with fat transfer in which the eye sphincter muscle was tightened. I still have bandages and stitches that will be removed on Monday. There is still some transparent, moist 'mucus' coming out of my left eye in particular. My eye is no longer red. Is that normal, and will it eventually go away? Could that still be wound fluid?
I would love to have a surgeon that does exactly what you do (and the PRP laser treatments!) in the Boston area or southeastern NH. Do I google the transconjunctival surgeons in my area? Any suggestions? I live about 50 minutes north of Boston
Hi Melanie Roofe,
Googling for specific surgical techniques might help if their websites do feature transconjunctival blepharoplasty, as well as PRP and laser treatments. However, as many websites may not be as detailed, you may have to contact prospective offices asking if the surgeon performs transconjunctival blepharoplasty by name. Also, expect surgeons' offices that don't offer transconjunctival blepharoplasty to be little defensive about not being trained in this technique. I hope this helps you.
Hi Doc, I'm based out of Delhi- India. I'm struggling with puffy eye bags for yrs now...even my mom had these... kindly suggest incase you know an experienced Doc in Delhi?
Also if one gets this surgery from you what is the cost?
Hi Latika Bajaj,
Sorry, I'm not familiar with surgeons in Delhi.
We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I've watched many videos on Lower bleph and nobody seems to be answering a Q that I am looking for. I did my lower bleph 10 days back. I had a fat reposting done to fill the hollow below my eyes. In that area it feels like a marble in there and is looks slightly protruded. I feel other bruising has all gone now, but that ares looks swollen with the fat repositioning. My surgeon says it will go away in weeks. Any suggestion on this, please?
Hi @peacetoall9818 ,
As explained in this video, it's not lower blepharoplasty that may be the issue, but rather fat repositioning where fat bent with the blood supply can swell. As an oculoplastic surgeon/ eyelid specialist, I don't recommend fat repositioning because it is a problematic procedure for patients. I made an entire video about the issues related to fat repositioning in the lower eyelids, for your reference - ua-cam.com/video/m-_mFe4eWmo/v-deo.html
@@AmiyaPrasadMD Thanks for the response, doc. I will watch the other video.
You're welcome,@@peacetoall9818
How can I schedule a consultation with you?
Hi Subrina Bailey,
You can contact our offices or websites to make an appointment. Consultations can be arranged by our offices to be done remotely on a one-on-one video call on Skype or FaceTime. Consultations do require a consultation fee, but the fee can be applied to the cost of treatment.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Do you also perform some fat transfert while performing inferior blepharoplasty !
Hi @violetfloris9927,
I don't recommend fat transfers behind thin lower eyelid skin, or fat repositioning behind the lower eyelids because both procedures are prone to complications. You can refer to these videos about it:
ua-cam.com/video/SF1O-tPVGO0/v-deo.html
ua-cam.com/video/m-_mFe4eWmo/v-deo.html
Do you have any recommendations for a great, artistic, oculofacial plastic surgeon in the San Francisco Bay Area, or the Sacramento area? I saw a plastic surgeon out here the other day, who wanted to do a transcutaneous approach on me. He actually did my dad's eyes about 20 years ago though, and they still look good (no ectropion, entropion, rounding, etc). I'm just not sure where to turn, as this physician was the only "word of mouth" plastic surgeon I knew of out here, since moving. Thanks in advance. :)
Hi Doctor Darcy,
While I do know other oculoplastic surgeons from around the country, we all have different styles and practice focuses. Not all oculoplastic surgeons focus on cosmetic eyelid surgery. I have seen well done transcutaneous blepharoplasties, but I would rather minimize risks further with the transconjunctival approach. I suggest you look at prospective doctors' before and after pictures, and ask them if they can perform the transconjunctival approach as that usually indicates that they have more experience and expertise with cosmetic lower eyelid surgery. I hope this helps you.
Hello, Doctor.
Can I undergo transconjunctival blepharoplasty without the fear of complications such as ectropion and retraction?
Hi Samia Tourabi,
The risks for ectropion and lower eyelid retraction are greatly reduced since transconjunctival blepharoplasty is designed to keep lower eyelid support structures intact to preserve eye shape. However, you must still insist against lower eyelid skin removal to treat wrinkles as this is a major cause of lower eyelid retraction, and ectropion. Wrinkles under the eyes can be treated non-surgically. You can refer to these videos about it:
ua-cam.com/video/U7kJ4CMcJ0A/v-deo.html
ua-cam.com/video/PXMhY90TReM/v-deo.html
@@AmiyaPrasadMD Thank you sincerely, Doctor, for the invaluable and enlightening information that you generously share with us.
You're welcome,@@samiatourabi84. I'm glad the videos helped you.
Dr. Prasad, is Blepharoplasty possible following a retinal detachment surgery?
Hi Maureen floralpark,
Yes it is as the eyeball is not directly addressed in an upper or lower blepharoplasty, just the eyelids are affected. I hope this clarifies things for you.
Oh... btw ..I appreciate your videos, thanks 🙏 for sharing
You're welcome, Angela c.! Thanks for watching!
Hi there! I commented on ur last video in regards to the surgeon wanting to remove skin from my moms upper eyelid to CORRECT her lower blepharoplasty complications which is ectropion in both eyes and retraction. He wants to use the upper eyelid skin for the skin graft.
In ur last comment on ur previous video.....were u meaning that there isn’t much skin in the upper eyelid to be efficient enough for the skin graft?? Also she can run into the same problem (ectropion/retraction) with removing the skin from the upper eyelids correct? If he pulls to much skin from the upper lid?
Im very nervous for her to do this corrective surgery 😩
Hi JL123,
I said that there is a possibility of doing a graft from the upper eyelid skin, but often there isn't much redundant skin in the upper eyelid. I indicated other grafting possibilities that are not from the upper eyelid, as well as graft materials like Enduragen in your previous questions in the other video. I hope this helps you.
Amiya Prasad, M.D. thank you! Sorry, didn’t understand previously. Thank u for ur clarification. Appreciate all ur videos.
You're welcome, @@JL-ke8jq!
Dr Prasad I had a lower blep done 5 weeks ago by an oculoplastic surgeon. I have lower eyelid retraction and still have some numbness in the lower eyelids. Also movement in my lower eyelid is limited( I cannot squint)How much time do you recommend giving before deciding a revision is needed?
Hi E S,
Sorry to hear about your problem. I normally recommend that at least 6 months is needed before a revision surgery can be done due to temporary swelling obscuring results, and affecting the accuracy of a revision. I would have to examine your eyelids, and determine if there was any skin removal, or an incision through the lower eyelid skin and muscle in your previous surgery that could have caused lower eyelid retraction. I hope this clarifies things for you.
@@AmiyaPrasadMD thank you so much for responding. I only had fat pads removed. The doctor is saying that once the internal wound heals the the retraction should go away. Oh and this was transconjunctival too.
Hi@@ES-kw7ur,
You're welcome. Without a physical examination, I would have to defer to your doctor's judgment. I hope it all goes well for you.
Hi Doctor. I have deep set eyes- w hollowness. It was corrected adequately w fillers for yrs. Now, I think I have too much filler. Even had some dissolved. Still see two discrete round deposits of what I think is old filler. Can that be imaged w an MRI? I was told recently by a facial plastic surgeon that I’m not a good candidate for under eye blepharoplasty because I have festoons!?!! Is this so?
Hi jjowhal,
It may be possible to locate encapsulated filler with an MRI, or it can be diagnosed by the doctor without an MRI.
Lower blepharoplasty is not recommended for treating hollowing, unless the hollowing is result of eye bags making the adjacent area appear hollow. You can refer to this video about it - ua-cam.com/video/Q0QiNH7LUVI/v-deo.html
@@AmiyaPrasadMD - thanks doctor. I’m going for the MRI in a few weeks. My eyes looked a lot better w filler for years. When I went overboard it looked bad. What about festoons? Is that contraindicated for lower blepharoplasty? I’ve been turned away by 2 doctors. Despite my eyes looking quite horrific
Hi@@jjowhal,
Lower blepharoplasty can be done if you have festoons, but festoons are not treated with lower blepharoplasty. An examination is needed to determine if your festoons are best camouflaged with filler, or need a separate surgical removal. I hope this clarifies things for you.
I had lower bleph surgery leaving a L shape indentation under my eye a year later I had a revision which caused my lower lid to turn out and even worse I have a large lump of scar tissue under the skin on my cheekbone! I’ve lived with it for 3 years and I would like to have the lid repaired and scar tissue removed via inside the lid. Will scar tissue reappear? Is this a risky procedure?
Hi @KarenWood-bq2lj,
Sorry to hear about your problem. I would have to physically your lower eyelids to determine the extent of the scar tissue, and what can be done to repair your lower eyelids to make a risk assessment. Please let us know if you'd like to come in for a consultation. There is a consultation fee that can be fully applied to the cost of revision surgery.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I just had Transconjuctival Blepharoppasty with laser resurfacing 10 days ago. I’m a 41 year old male and I see what appears to be volume loss or a raised wedge on my cheek bones. Is this normal or could it be swelling from the surgery? Also under my eyes are still red from the laser, how long before that starts to fade away thank you.
Hi cornbluff1,
I would have to examine your cheek area to determine what the issue is. Post-surgical swelling is possible, but also a difference in volume between your lower eyelids, and the upper cheek area called the eyelid-cheek junction. Sometimes volume enhancement is needed in the upper cheek after lower eyelid surgery to better blend this junction. You can refer to these videos about it:
ua-cam.com/video/C1pxoU7e1SE/v-deo.html
ua-cam.com/video/46Kp6ayfyzg/v-deo.html
What's the recovery period of this surgery Dr.? Please write your address in bio. And what's the cost of this surgery?
Hi sangeeta arora,
You can refer to this video about what recovery is like after lower eyelid surgery - ua-cam.com/video/g71wFEdUtlM/v-deo.html
We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
@9:50 and also @10:20 I see patients that have eye bags and these eye bags cause a darkness in the skin. I also have this darkness of skin for my right eye bag. May I know what is the actual cause of this darkness of skin? Does removal of the fats from the bags automatically mean that the area will become lighter after surgery? Thanks.
Hi,
You can refer to these videos about the causes and treatments of dark under circles:
ua-cam.com/video/QBvjjvxPt2g/v-deo.html
ua-cam.com/video/S6_nTRr1tio/v-deo.html
@@AmiyaPrasadMD Thank you :)
How do I assess if my eyelid prolapse is associated with the deficiency in the projection of the cheek bone and bone structure under the eyes? How do I know if I have deficient bone not projecting forward enough?
Hi,
It is best diagnosed by your doctor who can take pictures of your side profile, and show the appearance you won't be able to see in a mirror. I hope this clarifies things for you.
@@AmiyaPrasadMD Thanks Dr Prasad. Would an occuloplastic surgeon do this at all? Is the the standard procedures an occuloplastic surgeon should perform for a patient?
Hi,
It's what I and many other doctors do for patients to get a better understanding of their situation. I can't guarantee all doctors do it. I hope this clarifies things for you.
@@AmiyaPrasadMD Thank you :)
Hi Dr. I have a question….. I had lower eyelid blepharoplasty going on 4 weeks now. My right eye has been tearing up like a week or 2 after my surgery. It’s just my right eye. I have been using eye drip lubricants during the day but that doesn’t really seem to help. Do you happen to know why that is happening or what I can do to stop the watering on my right eye? I would appreciate any suggestions or recommendations. Thank you soo much in advance. 🙏🏻🙏🏻. Oh my lower bleph was done on the inside of my eyes and not through the outside of eyes. Not sure if that makes a difference. Thank You again!!
Hi Aflashofreality,
Sorry to hear about your problem, but you should first follow up with your surgeon who can examine the problem physically for a proper diagnosis, and knows details of your surgery. It's possible for dry eyes to affecting only one eye, and make sure your vision is normal to rule out any possible eye problems. If your surgeon can't identify the cause, then I suggest you see an ophthalmologist to check if there are any issues with the eye itself. I hope this helps you.
@@AmiyaPrasadMD I have an appointment next week with my surgeon. Thank you 🙏🏻
You're welcome, @@adoseofreality8301. I hope it goes well.
So far so Doc, Tks
You're welcome, Ryan H. Nguyen,MD. I'm glad you found the video helpful.
Too much info u give ... thx a million . Sorry if u already answered this ... but ... so the dark circle skin under the eye is also reduced by removing the fat or is that more about skin quality ? So things like prp or lazers would work for that ?
Hi zibtihaj,
Dark circles are not associated with prolapsed fat under the eyes, but they can occur at the same time. You can refer to these videos about how we treat dark circles:
ua-cam.com/video/QBvjjvxPt2g/v-deo.html
ua-cam.com/video/S6_nTRr1tio/v-deo.html
ua-cam.com/video/jQUb67RpaAM/v-deo.html
ua-cam.com/video/RHJodb437o4/v-deo.html
My eyes are not puff i have loose skin that causes a lot of lines under my eyes. Can i still get this done ? Im 35..but had this since i was 25
Hi Andy Peters,
If you haven't had previous eyelid surgery, or injury to your lower eyelids, you will likely benefit more from improving the skin quality non-surgically. You can refer to these videos about treatments for lower eyelid skin:
ua-cam.com/video/PXMhY90TReM/v-deo.html
ua-cam.com/video/AAH37kjfyK8/v-deo.html
Hi Doctor, thanks for your video. I had a lower eyelid transconjunctival blepharoplasty 4 months ago, in addition I had fat grafting under the eyes. Now, under one eye I have a little lump and my eyes looks slightly uneven ((When I touch this lump I feel a something hard ,obviously some fat that has not survived . My doctor says to wait it might go down but I don't think it will resolve. If I go for a second operation to remove this fat, can I have transconjunctival blepharoplasty? Do you think Ultherapy can help to melt that fat ??
Hi Madina Carter,
4 months after your previous surgery may be too early for a revision, especially if you still have post-operative swelling. I don't recommend or perform fat grafting under thin lower eyelid skin due to the high risk of complications like lumpiness of grafted fat, but I do perform surgical removal of grafted fat as I do perform revision surgeries to correct work performed by other doctors. A thermal device used to melt the fat will injure thin eyelid skin before it even reaches the fat as it lies under the muscle. I hope this clarifies things for you.
@@AmiyaPrasadMD Doctor, thank you very much for your answer. I want to wait couple of months before I make my decision but meanwhile do you think Morpheus8 can help?
Hi@@madinacarter-if6dx,
I hope you understand that I can't recommend specific treatments for you without a physical examination of your condition. You can consult with your surgeon who knows details of your eyelid condition regarding further treatment. I hope this helps you.
In Vietnam, this way is very good Đông y
Sơn Hà chữa sụp mí mắt
Is not recent
😭😭😭
Hylauronic filler draws water in
Hi Suzie,
Hyaluronic acid fillers do attract water, but usually not enough to significantly impact results. I hope this clarifies things for you.