Chandler Eyelid Surgery doctors
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Todd Christopher Hobgood, MD
Phoenix Facial Plastic Surgeon
3501 North Scottsdale Road Suite 160, Scottsdale |
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Remus Repta, MD
Phoenix Plastic Surgeon
9250 N 3rd Street Suite 1003, Phoenix |
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Lawrence Shaw, MD
Scottsdale Plastic Surgeon
8913 E. Bell Rd Suite 201, Scottsdale |
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David M. Creech, MD
Chandler Plastic Surgeon
895 S. Dobson Rd Suite 1, Chandler |
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Jeffrey Edelstein, MD
Phoenix Oculoplastic Surgeon
2905 W. Warner Rd Suite 20, Chandler |
Recent Answers
I have sunken dark circles & wrinkles under my eyes. I am 36 & have had these since my early teens at least. I would like to have an eye lift. I have Melasma, & have found that after acne has healed it is often replaced with a new melasma patch. I am concerned that the scarring will cause melasma under my eyes. I have also had non malignant melanomas removed about 10 years ago, & ended up with keloid scarring for 12 of the 13 removed. Every stitch mark is still visable. Am I likely to scar?
There are many types of skin and we classify these according to your genetic background and pigmentation. The classification actually takes into account your response to sun damage and scars. Interestingly, the eyelids are one area that is very resistant to scarring and pigmentation, so that is very much in your favor. With careful skin preparation using topical agents prior to surgery, and mindful planning of your incisions, you will be able to achieve your goals.
Orbital hollowness is frequently a complication with traditional blepharoplasty. Fat sparing blepharoplasty addresses this issue by tightening the orbital septum and pushing orbital fat back into it's anatomical position. I would like to hear opinions on why fat sparing blepharoplasty is not more widely practiced. Would it be appropriate to use this procedure in cases with only mild orbital fat prolapse, and where the main issue is mid face descent? thank you for your answers
Simply stated, we tend to lose facial fat and volume as we age. In my practice I save virtually all of the fat from the lower eyelid and in most cases transpose this into the hollow tear trough under the eye. I do leave this on the pedicle to preserve blood supply and insure a healthy graft that remains over time. Sometimes I will actually use facial fat transfers from abdominal fat liposuction to add additional volume to the lower eyelid. I personally believe that facial volume should be preserved in all cases, especially in the area of the tear trough near the nose.
What is a "pinch" and how does it differ from lower lid blepharoplasty? When is it useful?
The Pinch Lower Blepharoplasty can be a very valuable and less invasive approach to contouring the lower lid. In patients who have a strong muscular sling, excess skin is separated from the muscle using a dissection technique and sometimes medications injected to the skin. The excess skin is simply trimmed off and the edges are carefully closed. Some patients with fat pockets or weak muscles under the eyes require more support and contouring, and other methods are employed. See a specialist who is board certified and be certain to ask how many surgeries that doctor performs on patients just like you! Stay healthy!



