Birmingham Eyelid Surgery doctors

Michael S. Beckenstein, MD Michael S. Beckenstein, MD
Birmingham Plastic Surgeon
800 St. Vincent's Drive Suite 610, Birmingham
2 answers
James C. Grotting, MD James C. Grotting, MD
Birmingham Plastic Surgeon
One Inverness Center Parkway Suite 100 , Birmingham
2 answers
Paul S. Howard, MD Paul S. Howard, MD
Birmingham Plastic Surgeon
3401 Independence Drive, Suite 211 Suite 211, Birmingham
2 answers
Christopher J. Schaffer, MD Christopher J. Schaffer, MD
Birmingham Plastic Surgeon
140 Village Street Suite 100, Birmingham
2 answers
William J. Hedden, MD William J. Hedden, MD
Birmingham Plastic Surgeon
140 Village Street Greystone Cosmetic Center, Suite 100, Birmingham
1 answer

Recent Answers

Eyelids Hooding Too Soon, Need Advice on Which To Choose

See photos. I'm 32 and my skin is otherwise in great condition with no permanent wrinkles yet. I am wondering which would be right for me (and my budget). I've read there are many different methods, but based on these photos, looking for your advice. This is making me look older than I am I feel. Thermage Eyes ($1000 for eyes only) Pixel Perfect Fractional Rejuvination ($300 for eyes only) Blepharoplasty ($3000) Any Other Suggestions?

A: You may have ptosis.

You may have ptosis, it appears so on your pictures.  The last thing you need is a blepharoplasty.  You need to see an opthalmologist.  There is a simple operation to correct ptosis if that is indeed what you have.  

Melanie L. Petro, MD
Alabama Facial Plastic Surgeon
Will Eyelid Retraction Relax Post Surgery?

I had a levator recession done on upper eyelid. It was 4mm asymmetry from other eye with about 1-2 mm scleral show. It was my second surgery, after a mullerectomy where eye became immobilized. So I am extremely happy with the functional results.

Issue is eyelid is about 1 to 1.5 mm higher than other. It fluctuates, but thats the range. I'm 2 months post surgery, and feeling the tightness of scarring occurring. Question is, is there a chance it can relax and lower a bit? Is that possible/likely?

A: Lid retraction surgery at two months

Lagophthalmus or eyelid retraction is most commonly caused by thyroid problems including Graves Disease or due to traumatic scarring. Partial Mullers muscle resection is commonly performed to relax a scarred and spasmed Mueller's Muscle as seen with Graves. Further lid positioning can then be performed with a levator lengthening procedure, which seems to be your circumstance. Maximum scar retraction occurs at about 6 weeks post-op and can continue if unabated for many more weeks. Scar massage and squinting exercises can help to release the retraction. A 2mm discrepancy is within the tolerance of the surgery at 2 months and will probably not require revision.

Paul S. Howard, MD
Birmingham Plastic Surgeon
Eyelid Hollowness After Upper / Lower Blepharoplasty

After having an upper and lower blephoplasty I was left with complete hollowness and new eyelids which look very aging. This was NOT what I originally went in for. The only reason I went in was for my right eye having SLIGHTLY less eyelid showing compared to the left eye which was perfect. Now he made the left eye with more eyelid which I hate and the right eye. What can I do to get my old eyes back or is this not possible?

A: Hollow eyelids and blepharoplasty

Some of the natural consequences of aging are the loss of upper eyelid fat, bulging lower eyelid fat and and the overall loss of facial fat. It is evident that there is virtually no circumstance where eyelid fat should be removed as this causes premature aging and violates our Hippocratic oath to "do no harm". Once the eyelids are hollow, repair and replacement of the fat can be challenging but since fat is deficient the treatment will be fat replacement in the form of fat grafts.  Treating the manifestations of aging include repairing weakened septal tissue and addressing the laxity and loss of skin tone on the lower eyelid. Many of these aging issues are exacerbated by poorly performed primary blepharoplasty but are treatable as long as the problem is correctly identified.

Paul S. Howard, MD
Birmingham Plastic Surgeon
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