Worcester Eyelid Surgery doctors

Frank P. Fechner, MD Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
428 Shrewsbury Street, Worcester
43 answers
Kimberley O'Sullivan, MD Kimberley O'Sullivan, MD
Boston Plastic Surgeon
14 Denton Road, Wellesley
2 answers
Stuart H. Bentkover, MD Stuart H. Bentkover, MD
Worcester Facial Plastic Surgeon
123 Summer Street Suite 675, Worcester
David W. Connors, MD David W. Connors, MD
Worcester Plastic Surgeon
10 Winthrop Street, Worcester
Deborah Ekstrom, MD Deborah Ekstrom, MD
Worcester Plastic Surgeon
39 Salisbury St, Worcester

Recent Answers

Filler or Lower Blepharoplasty for Lower Lids? (photo)

I am 40 and have genetic under-eye hollowness. It has become markedly worse over the past few years. I really want to do something more on the permanent side, but am now thoroughly confused: An oculoplastic doctor has said that I am not a candidate for a lower bleph/that it wouldn't make me look good. I have, however, seen that it gives amazing results on plenty of people with similar appearances. So - do I add or remove? Advice welcome! Thank you.

A: Fillers are great, but lower eyelid blepharoplasty has greater longevity.

Hi,

Although I am a huge advocate of the use of Radiesse to reestablish the roundness of the cheeks and the fullness between the upper cheek and the lower eyelid which will have the wonderful benefit of blunting the fat hernia, I believe your best choice would be a blepharoplasty.  I do both procedures in all aged individuals.  In your case, I would recommend a lower eyelid blepharoplasty.  Your skin tone is excellent and your face appears very young. The Radiesse is great, especially as the face deflates and sags but your primary problem is the visibility of the fat hernia.  The lower eyelid blepharoplasty is a terrific and effective procedure with great longevity.  This will address the issue rather than mask it. The cost of the Radiesse over a short period of time will be greater than the blepharoplasty.  The healing from the blepharoplasty will be quick- sutures are out in 3-4 days and echymossis resolves within 2 weeks ( considering you have no complications!).  Good luck!

Kimberley O'Sullivan, MD
Boston Plastic Surgeon
Tired Eyes at 25: Brow-lift or Blepharoplasty to Upper Lids? (photo)

Hello, I am a 25-year old female looking for a solution to my tired-looking eyes. I used to get compliments on my eyes all the time, but no longer, and I believe my upper lids are to blame. I also notice that it is harder to apply eyeshadow these days, especially in the crease area (or lack-thereof). I have attached a photo for reference. Would a brow-lift or a blepharoplasty better suit the situation? I can provide additional photos if needed. Any input is much appreciated! Thank you

A: Multiple small changes may be the cause I certainly would be hesitant to suggest blepharoplasty or browlift surgery. You have ralative hollowness and a filler could add some upper lid fullness. In addition, a little Botox can raise your outer brow to see if this achieves the look you desire. Older photos would be helpful, too.
Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
Which Would be the Best Option, Blepharoplasty or Filler? (photo)

I am 36 fair-skinned with very thin skin with less than optimal elasticity. I have bags under my eyes that are far worse in the morning compared to the evening hours. I also have dark eye circles. I have fairly prominent cheek bones. Do I need Blepharoplasty or filler? I'm tired of ALWAYS looking tired no matter how much I sleep.

A: Under-Eye Hollowness

You raise an important question - for yourself and for many other patients with similar issues.

Although it is "easy" to remove some fat from the lower lid region and reduce the bags, I do not think that this will achieve the right look for you. You have already prominent eyes (as far as I can tell from the photograph) and filling of the hollowness beneath would likely provide a softer and more pleasing look. Injectable hyaluronic acid fillers are one option; fat grafting is another choice. This tear-trough region is the most delicate area to treat and I would strongly recommend to see a cosmetic facial surgeon who regularly deals with the complexity of the lower lid-cheek region.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
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