Eyelid Surgery: Q&A
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Dissapointed in Answers from Surgeon - How to Find the Best Plastic Surgeon for a Man?
My husband is almost 40 and has very deep set eyes & is experiencing sagging eye lids, deep and numerous lines in his brow and eye area. Had a "consult" with MD, was told that a brow lift was out of the question as it would make him look too effeminate. A very slight bleph was possible, but he had to talk him into that. He basically acted as if the only option for men was Botox. This is becoming costly. My husband is disappointed & feels hopeless. Is this true? This is my MD, so I am angry.
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19 Doctor Answers |
Asked by
jcutter
in Georgia
+2
Misplaced anger at your plastic surgeon
Presumably, if this is YOUR doctor, they have gained your trust in taking care of you. Sometimes we need to advise patients that there isn't any reasonable surgery for the anatomy that God gave them. This is good medicine and ethical practice. It is entirely inappropriate for you to respond with anger about this. Frustration, dismay maybe, but anger? Go seek a few other ideas but beware of the doctor who says you can have anything you want and realize...
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Brow lifts in men.
Sometimes patients think that we are like a drive-thru: you place your order and you get what you want. But that shouldn't be the case. A surgeon should advise against certain procedures if they are not appropriate for the patient. Getting "angry" at the surgeon for that is misguided.
Male brow lifts can have two important downsides: 1) it most certainly can feminize his appearance if done aggressively...and if not aggressive enough, he will feel like he didn't get his...
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Don't get angry, get a second opinion
Judging from the description of your husband, he would benefit from a brow lift. This procedure would take care of the 'deep creases' in his brow and would improve his saggy upper lids. Deep set eyes can be improved by repositioning the fat around them with a revised blepharoplasty. These procedures need to be customized to your husband's specific needs. Asking to view before and after pictures should give you an idea of surgeon's expertise and level...
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Totally Pleased with Upper Bleph - West Orange, NJ
I'd been considering having this done for years. At 51, I decided it was time. Surgery is...
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Don't make a surgeon do something they are not comfortable with.
Being angry is inappropriate. The surgeon is advising you that they do not think they can achieve what you are asking for. Please respect that. If you don't like the opinion, don't get made at the surgeon. Go get another opinion. However, please recognize that the first surgeon may be absolutely correct. However, don't let this stop you from getting other opinions.
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Second opinion
Your surgeon may well be right - non-invasive options may be his best choice. But if you are not happy with his recommendations, get another opinion! Surgery on men is very different from surgery on women, and goals should be different. Feminizing a man to get rid of wrinkles is a poor trade.
My other suggestion is to make sure you are working on the inside as much as the outside. The goal of cosmetic surgery isn't necessarily to get rid of wrinkles, it is to become more happy with...
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+1
Your Surgeon is Following the Hippocratic Oath
Actually, I would like to applaud this Surgeon for showing appropriate restraint with procedures that are not likely to be beneficial. The responsibility of the Surgeon is to apply the correct procedure to the individual patient; this is simply following the Hippocratic oath and I recommend that you be thankful for it.
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A second opinion is certainly your right!
Hello,
Without seeing a picture of your husband's eyes it will be difficult to comment on possible options for periorbital rejuvenation. Your husband is young and with deep set eyes, presumably not showing much visual aging. Your doctor may be correct that non-surgical options are optimal for him at this point. Other options may include periorbital laser and fillers or fat injections. If your doctor does not want to offer these options then a second opinion...
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Heavy eyelids and brows in a male
Eyelid and eyebrow rejuvenation in males is indeed different than in females. However, that does not mean it is not feasible. In some situtaions an upper blepharoplasty can be performed in conjunction with internal elevation and/or stabilization of the eyebrows through the eyelid incision. This procedure, referred to as internal browpexy, can help provide improvement in the function and appearance of the eyelid/eyebrow complex and is partcularly useful in men...
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Male Brow Lifts
Raising brows in men do have some technical differences to consider. Where can the scars be best hidden when you consider possible future frontal hair loss? Sometimes it is in a forehead crease. How can we position the eyebrows so that the masculine features are enhanced? For men, it should not be much higher than the orbital rim. Will the male prominence of frontal sinus projection interfere with the result? This is a characteristic of men...
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Find a surgeon for male patients
While non-invasive procedures may be the best choice for this patient, he should be made aware of all of his options, as well as the benefits and drawbacks to each. Surgical options for men are different from women. I would recommend a second opinion with a qualified plastic surgeon who performs both non-invasive and surgical procedures on men.
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Find a surgeon you are comfortable with
Find a surgeon you and your husband are comfortable with. I always strongly recommend patients get second opinions if there are any concerns. Not all surgeons are comfortable with cosmetic surgery on males. Make sure you see before and after photos. Warmest regards,
Dr. Pippin
+1
Male facial surgery
Each surgical or non-surgical recommendation should be customized for each individual patient. This means that any surgeon should listen very carefully to your husband in terms of what bothers hin and what improvement he is seeking. This also means taking into consideration what your husband may or may not be willing to tolerate as side effects or risks. However, what also must be realized by some patients, although I do not know if this applies to your husband's situation, is that...
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Cosmetic Surgery for Men
There are many surgeons who specialize in cosmetic surgery for me as it is often quite different than the gaols for surgery on women. I would strongly suggest at least one other opinion with such a surgeon. There are many factors that make facial cosmetic surgery different andmore challenging for men as compared to women. Your surgeon's concerns regarding feminization of your husband may be very valid and getting angry about that serves no purpose. I would strongly suggest...
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Angry
Without pictures it is impossible to give you an opinion on what would help your husband. You need to get more consultations and then decide
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Many men have forehead lifts or upper lid surgery!
Many men have forehead lifts or upper lid surgery! It depends on how sagging and whether he has hair loss. See a surgeon who is very experienced in male surgery. We wrote a text on this more than 30 years ago.
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Surgery for men
There are non-surgical and surgical options available for both men and women and it sounds to me like you may need to seek another opinion from someone who does have male patients. men and women vary in their approach to plastic surgery and have to be dealt differently. Find someone with whom your husband may connect better.
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Dissapointed in Answers from Surgeon - How to Find the Best Plastic Surgeon for a Man?
I have performed brow lfts and eyelid surgery for over 20 years and it is true that brow lifts can make men appear feminine however, a properly performed upper eyelid surgery would not. He may want to get a second opinion.
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Male aesthetic surgery
Some surgeons are not as comfortable operating on men as they are on women. Some procedures need to be approachaed slightly differently. However, male surgery is becoming much more common. In my practice alone about 35% of my patients are men and the results with their surgery is excellent. It is certainly very possible to correct brow and upper eyelid hooding issues without creating a feminine effect and leaving the brows masculine in appearance. I would seek the advice of a board certified...
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+1
How to pick a plastic surgeon.
Tips on picking a Plastic Surgeon
Article by George J. Beraka, MD
Manhattan Plastic Surgeon
1) Is the surgeon a member of the American Society for Aesthetic Plastic Surgery? Members usually do a lot of cosmetic surgery.
2) Did you sense a commitment to excellence in the office. Did the surgeon spend a lot of time with you? Someone who rushes through the consultation may rush through the surgery.
3) Were you treated as an individual? Did the surgeon present you with a surgical...
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