Buffalo Eyelid Surgery doctors

Todd B. Koch, MD Todd B. Koch, MD
Buffalo Plastic Surgeon
6315 Sheridan Dr, Williamsville
12 answers
William F. DeLuca Jr, MD William F. DeLuca Jr, MD
Albany Plastic Surgeon
711 Troy Schenectady Rd Suite 123, Latham
4 answers
Andrew P. Giacobbe, MD Andrew P. Giacobbe, MD
Buffalo Plastic Surgeon
7 Hopkins Road, Williamsville
Robert Perry, MD Robert Perry, MD
Buffalo Plastic Surgeon
6932 Williams Road Suite 1700, Niagara Falls
David P. Rigan, MD David P. Rigan, MD
Buffalo Plastic Surgeon
3725 North Buffalo Street, Orchard Park

Recent Answers

Is It Uncomfortable to Have Upper Eyelid Surgery with Just Local Pain Medication?

I will be taking one hydrocodone/apap 7.5/500mg tablet and one diazepam 10 mg 1/2 hour prior to the surgery and given a local numbing injection. Do you know from your experience if this a comfortable option compared to general sedation? Plus have you performed this surgery without the protective eye lens cover?

A: ANESTHESIA FOR UPPER EYELID SURGERY

Local anesthesia is a safe and higher effective means for performing upper eyelid surgery.  From your statement you will be receiving oral sedation prior to receiving the local.  This will greatly reduce the perception of injection discomfort.  I see no reason not to precede with this approach.  A general anesthetic will require an anesthiologist and will definitely increase your costs.

Todd B. Koch, MD
Buffalo Plastic Surgeon
Syringoma or Milia?

I have white bumps under my eyes and after a long research I have found out that it could either Milia or Syringoma. The problem is I have no idea what it is.

I have a photo that shows the situation. I would appreciate if someone would help me with this. And is there any safe way to get rid of it?

A: Syringoma Hi, The growths on your lower eyelids are Syringomas. These are difficult to eradicate and frequently recur following treatment. I have used lasers and peels with limited success.
Todd B. Koch, MD
Buffalo Plastic Surgeon
Candidate For Transconjunctival Blepharoplasty or Restylane Filler?

I am 27 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?

A: Transconjunctival blepharoplasty or Restylane filler for lower eyelid bags

As you can see from the various answers there is certainly a difference in opinion on how to handle your situation. I have found that in cases of young individuals like yourself with obvious herniated lower eyelid fat, that a transconjunctival blepharoplasty can achieve very satisfying results. This does not address the fact that your mid face is not very prominent. That would be better addressed with an injectable filler but I think that this would not be a significant issue if you no longer had to deal with the bags.

Surgically we have become more conservative with fat removal over recent years but in your case, I believe that straight forward removal, if judicially performed will give you a nice result without any sort of "sunken-in" appearance. 

William F. DeLuca Jr, MD
Albany Plastic Surgeon
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