Saint Louis Eyelid Surgery doctors

Laxmeesh Mike Nayak, MD Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
607 S. Lindbregh, Saint Louis
14 answers
Samer W. Cabbabe, MD Samer W. Cabbabe, MD
Saint Louis Plastic Surgeon
10004 Kennerly Road Suite 365B, St. Louis
12 answers
Gregory Branham, MD Gregory Branham, MD
Saint Louis Facial Plastic Surgeon
605 Old Ballas Rd. Ste. 100, Saint Louis
9 answers
Herluf G. Lund, Jr, MD Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon
17300 N. Outer 40 Road Suite 300, Chesterfield
3 answers
Timothy R. Jones, MD Timothy R. Jones, MD
Saint Louis Plastic Surgeon
456 N New Ballas Rd Ste 290, St. Louis
3 answers

Recent Answers

What is Wrong with my Eyes, They've Started Drooping? (photo)

Over the last few months, I've developed this odd drooping on my left eyelid, and a fold in my right. This seems to be most prominent in the evenings, and looks better when I'm well rested. I'm in my early 20's and can tell that this is quite a recent development. Not sure if it's relevant, but I have also started getting bad double and blurry vision and muscle weakness. What is wrong with my eyes? Is this ptosis? How can it be fixed? Thanks very much.

A: Droopy Eyelids and Double Vision

Dear Lawgirl_X,   The condition you describe appears not to be a cosmetic issue but a medical issue.  The early onset of your problems-in your 20's-, combined with blurred, double vision and muscle weakness are symptoms of perhaps a larger issue such as myasthenia gravis and need to be addressed by a neurologist and an ophthalmologist.  Please contact your primary care physician who can direct you to the appropriate specialist.  I wish you the best of luck.

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon
Should I Have Eyelid Surgury Soon After Botox Which Caused an Eyelid to Droop?

I had botox injected about 10 days ago and now my left eyelid is drooping. I was planning to have upper eyelid surgury to remove some skin. Do I have to wait to have the surgury until the eyelid drooping from the botox corrects itself?

A: Droopy Eyelid After Botox-How Long To Wait For Surgery

Dear Terri,  While I am sure you are anxious to proceed with your eyelid surgery, I would advise you to wait until your droopy eyelid problems have resolved.  This may take anywhere from 2 months to 6 months depending how fast your Botox lasts.  If you have been using Botox before, you probably already have an idea of the average "lifespan" of the effects of your Botox treatments. It is important to wait until your eyelids have returned to their baseline appearance in order that your surgeon can as precisely as possible obtain the best symmetrical and cosmetic result.  While eye drops can help decrease the droopiness being cause by the Botox, they only work on one of the muscles being affected and therefore only will give a partial improvement and certainly not back to your normal baseline.  Think of it this way, you always want to go into any surgery in the best possible condition you can be.  Waiting a few extra months is worth it.  Good Luck.

Herluf G. Lund, Jr, MD
Saint Louis Plastic Surgeon
Candidate For Transconjunctival Blepharoplasty or Restylane Filler?

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 ?

A: Filler or Blepharoplasty for puffy eyelids.

You have a fairly common problem that we see in young individuals who inherit a tendancy for early puffiness of the lower eyelids.  This is fat that is bulging out due to a weak orbital septum.  In cases like yours, a conservative transconjunctival blepharoplasty should correct the problem.  In some cases, a prominent tear trough deformity also exists and this may require fat or filler injections to help camouflage this depression.  In your case the tear trough or transition zone from the thin eyelid skin to the thick cheek skin is not deep and should be fine after blepharoplasty.  Best of luck. 

Gregory Branham, MD
Saint Louis Facial Plastic Surgeon
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