Frederick Eyelid Surgery doctors
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Donald Kress, MD
Frederick Plastic Surgeon
1560 Opossumtown Pike Suite A26, Frederick |
2 answers | |
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James S. Albertoli, MD
Baltimore Plastic Surgeon
56 Thomas Johnson Drive, Frederick |
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Wyatt To, MD
Frederick Facial Plastic Surgeon
63 Thomas Johnson Dr Ste B, Frederick |
Recent Answers
Hi doctors. I suspect I have a ptosis because I find my eyelids constantly straining to stay open (similar to constant stretching of a muscle) and when I raise my eyebrows the eyelid crease don't move up with it, so this doesn't help much. Is this a "levator dehescience" type of ptosis, and which specialists are good for correcting this functional problem?
I don't see any signs of levator problems. You have ptotic brows and ptotic skin of the upper lids. The correction would include endoscopic brow lift with a standard upper blepharoplasty. Manually lifting the brows is an inadequate test because that's only half of the problem.
I had an upper blepharoplasty two years ago where only skin needed to be removed. Now I'd like to remove underlying fat as well. Must my incision site (scar) be re-opened for this to occur?
There is a procedure known as a "stab blepharoplasty" which can be used on the upper lid. Basically, there are two fat compartgments in the upper lid. Small "stab" incisions are made in the old scar and a measured amount of fat removed from the appropriate compartments. The incisions are so small they can be closed with either a single stitch or no stitches.
I have had excellent results in fine-tuning any minor fat adjustments with this procedure. Best of luck.
