Detroit Eyelid Surgery doctors
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Mark Berkowitz, MD
Sterling Heights Oculoplastic Surgeon
44650 Delco Blvd, Sterling Heights |
29 answers | |
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Evan Black, MD
Detroit Oculoplastic Surgeon
29201 Telegraph Rd Suite 324, Southfield |
3 answers | |
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Giancarlo Zuliani, MD
Detroit Facial Plastic Surgeon
1135 West University Drive Suite 440, Rochester |
1 answer | |
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William H. Sabbagh, MD
Detroit Plastic Surgeon
32000 Telegraph Rd., Bingham Farms |
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Hashim Alani, MD
Detroit Plastic Surgeon
29877 Telegraph Rd., Suite 107, Southfield |
Recent Answers
Could the squeezing ability of the meibomian glands get directly impacted by the removal of muscles & fat attached to the under eye fatty tissue during a blepharoplasty?
I'll assume you already know something about eyelid anatomy because I have not had a single patient (in tens of thousands) ever specifically ask about the Meibomian glands! But it is a good question. The majority of the "pump function" of the eyelid muscles relates to the tear outflow system and eyelid closure. Thus, aggressive blepharoplasty with removal of too much orbicularis muscle can cause tearing, hanging out or down of the eyelid (ectropion) or problems with closing the eyes. Most experienced oculoplastic surgeons do not aggressively remove orbicularis muscle.
Blinking of the eyes does indeed help with the secretion of oil from the many small meibomian gland located in the tarsal plates of the eyelids. This oil is excreted from small openings along the eyelid margins and provides a coating to decrease tear evaporation. So one could imagine that in addition to the myriad of other problems you'd have with an overzealous blepharoplasty, decreased meibomian gland secretion might occur as well.
In summary: Choose a surgeon experienced in eyelid anatomy and surgery!
What is the reliability of such techniques compared to the ones that require stitches?
I have been performing lower eyelid surgery using a CO2 ( carbon dioxide) laser for over 15 years. The advantage of this technique:
- No skin incision
- No stitches
- No scalpel blade
This same laser helps to stop bleeding so the surgery can be faster with less swelling and black and blueness than traditional methods. The same laser Mixto can be used to rejuvenate the skin on the lower eyelids.
The attached video is of upper eyelid surgery, where a stitch is necessary.
I am a 38 yr old male who has had a tired appearance under my eyes since I was in my mid twenties. I have a high cheek bone under my eyes. I am considering upper and lower (lower most importantly) eyelid surgery, but money is a factor so I'm saving. In the mean time, I'd like to improve my appearance for less $ and was told by one physician that injections could take care of the lower tired look, but it's not permanent. I am interested in doing this, and having my laugh lines filled in, then in a
Your pictures are quite typical for someone requesting cosmetic treatment for tired eyes. There are surgical and non-surgical options available to you and there are benefits to both. As we age the lid cheek junction becomes exagerrated as the fat around the eye begins to bulge and the cheek fat begins to sag. This causes the undereye area to look heavy and tired. Options to correct this involve a lower lid blepharoplasty with conservative fat excision versus fat repositioning. In someone requesting a cheaper yet "reversible" fix then injection of a hyaluronic filler into the tear trough to smooth out the volume loss here is a great option. Injections of this type last around a year or longer and the introduction of blunt tip cannulas has greatly reduced the swelling and bruising previously seen in my practice.
