Bakersfield Eyelid Surgery doctors
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Edmund Fisher, MD
Los Angeles Facial Plastic Surgeon
1555 Vine St Studio 16, Hollywood |
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Peter Ashjian, MD
Bakersfield Plastic Surgeon
1560 East Chevy Chase Suite 255, Glendale |
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James Knoetgen, III, MD
Bakersfield Plastic Surgeon
4850 Commerce Dr., Bakersfield |
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John W. Lang, MD
Bakersfield Plastic Surgeon
2020 21st Street Suite A, Bakersfield |
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Gordon Mitts, MD
Fresno Plastic Surgeon
2525 H Street, Bakersfield |
Recent Answers
Candidate For Transconjunctival Blepharoplasty or Restylane Filler? I am 24 years old and suffer from under-eye puffiness. I'm in dire need to correct this situation in order to restore my youth and happiness and not hide behind my glasses as I've been doing for years. Am I candidate for the less evasive Restylane filler? Or would you recommend full Transconjunctival Blepharoplasty? or im to young for this ?
I myself underwent transconjucntival blepharoplasty at age 30 after considering it for several years prior. A weak orbital septum tends to run in families and will give you the bags under your eyes that are nicely highlighted by your photos. I'm sure your tired of people say you look tired, so I wouldn't hesitate to get a transconjucntival blepharoplasty done by a well qualified surgeon. A note about filler in the tear troughs, I feel that this procedure is overdone as a substitute for patients like yourself who really need a bleph. These patients just tend to have even more puffy eyelids after filler. Wait at least 3 months after surgery for swelling to go down before considering filler.
I'm contacting some doctors in my area. I'd like to visit them prepared with some knowledge about what kinds of procedures would be best for me. Are there any doctors that would have some recommendations for me? Thanks.
I agree with the other surgeons that it is necessary to have a patient focus on what is bothering them rather than an open ended querie for cosmetic surgery. Nevertheless, Farley clearly has cosmetic issues with his lower eyelids that would be appropriate to address in this forum. There are bags under the eyes and tear trough deformities, meaning the area where the lower eye socket bone meets the nasal bone is hollowed out. The most likely anatomic reason for this is that there is relative thinness of the bone in that area, causing a lack of support for the overlying skin and muscle. Notably in Farley, there is scleral show, meaning the whites of the eyes are visible under the iris at rest. I would recommend a lower eyelid blepharoplasty where the fat causing the bags is removed. It will be critical to tighten the loose lower eyelid muscle and finally the extra skin is conservatively trimmed. Finally a teartrough implant could be placed at the same time.
Male 59 years considering Quad Bleph. I have had dry eye problems for several years, would this procedure effect that one way or the other? Thanks, Rob
let me know if additional information is required
Taking a history regarding dry eyes and performing a Schirmer's test on physical exam are important parts of evaluating patients seeking blepharoplasty. That is because blepharoplasty may worsen existing dry eyes or cause it in patients who didn't have it before surgery. The opthalmologist should rule out any diseases contributing to dry eyes and can prescribe a regimen to minimize the problem before surgery. The surgery itself may need to be more limited in aesthetic goals so that ocular dryness is minimized postop. Thank you for bringing up an important issue for patients considering blepharoplasty.
