Southlake Eyelid Surgery doctors

Scott E. Kasden, MD Scott E. Kasden, MD
Dallas Plastic Surgeon
1422 Main Street Suite 274, Southlake
85 answers
Walter D. Gracia, MD Walter D. Gracia, MD
Arlington Plastic Surgeon
1204 5th Avenue, Fort Worth
10 answers
Michael A. Bogdan, MD Michael A. Bogdan, MD
Dallas Plastic Surgeon
410 N Carroll Avenue Suite 170, Southlake
6 answers
Michel Siegel, MD Michel Siegel, MD
Houston Facial Plastic Surgeon
7700 San Felipe Street Suite 420, Houston
6 answers
Adam Bryce Weinfeld, MD Adam Bryce Weinfeld, MD
Austin Plastic Surgeon
1400 North IH-35 Suite 320, Austin
2 answers

Recent Answers

What is Transconjunctival Blepharoplasty?

A friend mentioned getting Transconjunctival blepharoplasty.  What does this mean? Is it better than traditional eyelift surgery? I'm 52 and would like to help my under eye bags.

A: Transconjunctival Blepharoplasty - An approach to the fat

A Blepharoplasty is any operation around the eyeball that improves the external cosmetic appearance.  Often we divide the operation into upper lid surgery (Upper Blepharoplasty), and lower lid surgery (Lower Blepharoplasty).  When you look at lower eyelid aging, you can divide it into several different components:  Skin, Muscle, Fat, and attachments to deeper structures.  Transconjunctival just refers to an approach [a place to make a cut.  Literally: Trans (thru) the conjunctiva (the mucosa inside the eyelid).]  It allows the surgeon to remove / reposition the fat, and release some of the attachments.  If a patient only has fat excess making their lower lids look old, then a transconj belph will work very nicely and has low risk.  If you have skin excess, then other approaches are needed as well (such as a peel or even skin excision).  Your surgeon may still use the transconjunctival approach to address the fat, but you might require a scar on the outside of the lid to remove excess skin.  Don't go shopping for a particular named procedure - rather visit with a surgeon who specializes in eyelid surgery, discuss what you would like to improve upon, and listen to their plan on how to achieve your goal.

Dr.B

Michael A. Bogdan, MD
Dallas Plastic Surgeon
Can You Perform Blepharoplasty for Hollow Lower Eyelids?

Can you perform Blepharoplasty for hollow lower eyelids to pull the skin upward?

A: Blepharoplasty

In a word , yes. If the lids are "hollow" I would only remove the excess skin and not remove any fat. A good picture would help to see what is needed.

Walter D. Gracia, MD
Arlington Plastic Surgeon
I Have Had Lower Eyelid Surgery, 3wks Now and Still Red and Scarred, what Can I Do? (photo)

i had lower and upper eyelid surgery on the 15th of november, 2011....my upper lids are still red but are coming along.....with makeup i can see an indentation where the scar is......the lower lid the scar is more visible and even more so with makeup....i had to take an extra 2 wks off work.....what is the advise for me....i was told that i would return to work looking like i was relaxed....instead i am super stressed as its soo visible......please help. my surgeon is brushing me off.

A: Prominent lower lid bleph scars at 3 weeks

Your pics show a recovery that is within the normal range.  The redness may persist for many weeks.

What you can do now to help is to apply scar creams to facilitate fading of the scar (silicone, Mederma, etc.).  Massage of the scar per your surgeons instructions can soften it, and reduce visibility.

Many higher end mall stores have cover make up that will take care of it.

In the mean time, for your own sanity, stop thinking of the scar so much.  It will take its own time to settle in, and it looks like you will get a great result.

Perhaps you should take a different approach completely.  Go everywhere without makeup.  Proudly announce that you had a blepharoplasty, and you feel great about it.  What the heck, the secrets you keep own you.

Scott E. Kasden, MD
Dallas Plastic Surgeon
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