Fairfield Eyelid Surgery doctors

Wilfred Brown, MD Wilfred Brown, MD
Fairfield Plastic Surgeon
260 East 66th Street, New York
3 answers
Tito Vasquez, MD Tito Vasquez, MD
Southport Plastic Surgeon
2600 Post Road Suite 206, Southport
1 answer
Alfred Sofer, MD Alfred Sofer, MD
Fairfield Plastic Surgeon
33 Miller Street, Fairfield
Harvey J. Bluestein, MD Harvey J. Bluestein, MD
Fairfield Plastic Surgeon
325 Reef Rd. Suite 105, Fairfield
Lawrence J. Fliegelman, MD Lawrence J. Fliegelman, MD
New Haven Plastic Surgeon
1305 Post Road Suite 302, Fairfield

Recent Answers

Broken Orbital Bone and is Sinking, What Should I Do? (photo)

I got punched in the face a lot when I had a drinking problem (sober now) but I'm afraid my eyeball is sinking. I know for sure I broke the orbital floor of my eye at least once (the second time I was in mexico two years and couldn't get a professional opinion). I'd like to know if my eye will keep sinking. Please see the photo and let me know if you think this problem can be fixed. Thank you.

A: sinking eye

Although it is obvious that there is asymmetry between your two eyes, it is difficult to tell whether you have a vertical (up and down) or a posterior (backwards) displacement of your left eye.  A proper exam will help determine that.  Also a CT scan of your face (specifically ordered to examine your facial bones) will also be important to find out where the volume of your orbit is being displaced.  Then techniques aimed to restore the bony orbit, in addition to possibly adding volume via bone grafts or synthetic materials, should be utilized to both provide symmetry and correct any visual disturbances.

Tito Vasquez, MD
Southport Plastic Surgeon
Safe to Have Eyelid Lift 3 Weeks After Botox?

i had botox done three weeks ago, is it safe to have eyelid lift?

A: Eyelid surgery after Botox

Upper Blepharoplasty following the treatment of the glabellar area with Botox should not be a problem, however the surgeon perfoprming the blepharoplasty should be aware of thye fact that you received Botox recently.

Botox can raise the position of your eyebrows, but it should only have a minimal effect on the amount of redundant skin on the eyelid itself. I would be reluctant to perform a blepharoplasty if you had a resolving hematoma (bruise) or swelling in the eyelid, as this may make it difficult to judge the amount of skin to resect. Also, if you had any droopinessof the eyelid as a complication of Botox, and the surgeon was not aware of this fact, he/ she may unwittingly attempt to correct this problem surgically.

Wilfred Brown, MD
Fairfield Plastic Surgeon
Crepey Skin and Hollow Eyes After Blepharoplasty

I am 62, and have had lower Blepharoplasty 10 years ago. Now, my under eyes are sunken and the skin has a crepey appearance? What can be done for these?

A: Difficult problems to correct after Blepharoplasty

Treatment of the lower eyelid has, in recent years, become much more conservative. Overzealous excision of fat and/or skin often results in a hollowed-out appearance that accetuates the aged look. Excision of too much skin may deform the lower lid, and will give you a 'sad' appearance. I feel that the best method of correcting your problem would be placement of fat grafts in the area beneath the crepey skin. This not only will fill the hollow, but often gives the skin a rejuvenated appearance.

If you are averse to this, small amounts of Restylane or Juvederm can be placed in the dermis (deeper layers of the skin) with a very fine needle in a grid like fashion. This usually increases the tone of the skin. I would also augment the layer just superficial to the bone along the lower orbital margin and this will fill the area for about a year. The lower eyelid skin can also be tightened using either a mild chemical peel or laser, but I would be very conservative in your case.

Wilfred Brown, MD
Fairfield Plastic Surgeon
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