Treatment Provider

Lawrence Kass, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
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2 mos : Still scary looking, deep hollows (please Do Not use Dr. Kass ) no Movement of lower lids

Please stay far away from Dr. Lawrence Kass, he is practicing 1970's style eye lid surgery - God I wish I had done more research before getting my surgery. I cant beleive I let this man take away my features and my expressions and changed the shape of my eyes and my entire face. Just praying it can be fixed by a surgeon who knows what makes. Womans face look beautiful.
It is 2 months since my surgery and I keep hoping it is getting better, but it may actually be getting worse.
as it heals and the skin pulls tighter below my eyes, the lower lid layers that have fused together by scarring. Are making me look like I am a skeleton because the hollows are so deep under my eyes, giving me dark circles that cant be completely hidden with makeup. Everywhere i go I am having to be concerned with the lighting so
At least I dont look startling to my coworkers.
Still not much dynamic movement of my lower lids, due to the scarring.
Still rounded eyes , the right eye is pulled out showing too much sclera and if I Open my eyes wide I hear a "pop" sound and ther is a little hole on the lateral part of the eye that im pretty sure shouldn't be there.
My eyes hurt, like they have rubber bands around the lids. Not sure if this is "healing", most things i e read say healing should be done by now and there may be suble changes, not major changes.
Please please watch all the eye surgery videos by Michael Law, MD on his website , I wish I had. He tells you what to look for in a surgeon.
How are we to know as consumers that there are some Or even, many
BOARD- CERTIFIED OCULOPLASTIC SURGEONS, like my surgeon, Lawrence Kass, that have NO IDEA WHAT MAKES A WOMAN'S EYES LOOK YOUTHFUL?
How can this be reality? But it is. It is my nightmare.
This Dr. Has ZERO empathy for his patients. Zero. He still will. Not admit that anythig. Is wrong with my outcome.
And when I went to look at his answers to realself questions, he is arrogant and tells the people asking questions to stop their whining and "give it time" on almost every answer. Why didnt I see it? I just thought an experienced board scertified eye specialty surgeon would,know what he was doing. It still blows my mind that he literally gouged the sexy and the personality out of my eyes .
I got my medical records from him, and his office does not even use an Electronic Medical Record, No surpirise, he is in the dark ages with all his methods apparently.
The girl on the phone said " he doesnt use an EMR, hes old school" yes, indeed.
using old methods of cutting out every bit of skin and fat I had above or below my eyes.
I never authorized him to do a cutaneous incision, which he did on my lower lid and caused all the lower lid complications. When I asked him why he did it, when I had said I wanted the interconjunctival incision, he said " I didnt think you'd be happy if I didnt take the extra skin". But he never asked me or told me about the risks. I never knew there was the possibility of what has happened to me.
Also, The "medical record" they gave me, is simply a completely generic template of a quad bleph operation, WITHOUT ONE WORD SPECIFIC TO ME. No mention of how much skin was taken, from anywhere, which I know is listed on other medical records of bleph surgery. It has the "conservative" written all over it, a "conservative" amount of skin was excised, etc. Tell me this:How can it be a "conservative" amount of skin excised, when I have NO FOLD in my right lid, and I can see to the back of the bony orbits on both upper lids, ugly as sin.
Dr Kass was even trying to explain to me how I guess I should feel lucky becasue some of his patients can't close their eyes at night for several months! Oh my Lord! He thinks that is normal too! Holy God. That is an extremely bad complication casued by a surgeon who doesnt know what he's doing.
And are not up on the newest methods.
Please do your research.and learn from my mistake.
I will have to have revision surgery in another 4-5 mos, one, to add fat back to my upper lids and lower lids, to bring some of the feminine softness back to my face, and also another revision to un-fuse the lower lid layers, so my eyelids can move again. I am trying to not think too much about it, but in the meantime my life has been put on hold. I had to cancel two trips to see friends and a personal relationship may have been lost forever due to this timing. I had done the surgery to look better for that meeting, which now has never happened. I dont even want to see strangers becasue I cant smile without looking like a surgery freak.
Ok enough crying for one session of therapy, back to caking on the concealer!
Lord help us all in thsi terrible predicament.

I FINALLY know what is happening with my eyes!

I saw Dr. Michael Patipa in South Florida Wednesday morning, and I feel so much better now.
He listened to my concerns, examined me ( actually touched my eyelids, which Dr. k
Kass has never done post op), and then explained in detail the anatomy of what was going on ( No Virginia, it IS NOT due to mysterious "swelling"), and told me what I could do to help the issue, as well as what options I would have if it did not resolve to my liking after 6 months.
Why couldn't my PS explain this to me?
Did Dr. Kass actually not know what was going on with my eyes? Or did he just not think I deserved to know? Neither answer is good. bizarre.
Another odd issue that came up:
I had 15 units of BOTOX placed in my crows feet by Dr. Kass about a month before my blephoroplasty. Dr. Patipa said he would not do eye lid surgery with Botox on board because it is paralyzing muscles, which makes a lot of sense to me! BOTOX LASTS 3-4 months so it was obviously still paralyzing my muscles at the time of surgery.
I was wondering about that too, whether Dr Kass forgot that I had just had BOTOX done by him? So this is yet another issue, that I will really have to explore. Dr P would not make a judgement on my PS about this, except to say he would not do it. I suppose that, on a positive note, some of my issues may get better as the botox
wears off. Although then i will have my crows feet back.

Dr. Patipa was a very nice, friendly older man, very kind, and very good at explaining the eye structures. He specializes in fixing cosmetic eye surgery complications. He ONLY deals with the outer eye. that is it.
He gave me a copy of a paper he wrote specifically about lower lid complications after eye surgery. Very impressive and exactly what I wanted to know.
He also gave me a drawing of the eye lid structures.

Essentially, almost every one of my issues stem from two things:
1. My lower lid incision scar has fused with my orbital septum in the middle ( the firm structure attached to bone) he said a certain percent of people have this happen (lucky me- 2 complications/ hematoma AND Fusion! - I always was an over achiever!)
and therefore is extremely tight, especially under the left eye where I had the hematoma, which only recently resolved.
2. I have lower lid tendon laxity ("hammock" tendon - it is loose) plus I dont have muscles due to botox. He said it is not the norm to have such laxity at age 52.

He said he did not think that too much skin or fat was removed,
so that was good to hear. He said it was still very early post op at 5-6 weeks, so the lower lid scars would soften up a lot, especially with massage. He really believes in massage, not injecting anything. But he said they were very tight.

* The fusion and subsequent tightness is the reason my lower lids are not moving or "dynamic" when I smile, causing me to look like I am wearing an eye mask and my eyes are "frozen"! - Thank you, Thank you, Thank you! This is what has really been scaring me. I knew there was a rational explanation and this was not "normal", nor due to some generic swelling.
He said I was very observant to have noticed that, but I don't see how anyone would not notice that freaky frozen look, (except apparently Dr Kass and the ladies in his office.) Again, it may well look normal in another month or two, but why the charade at my PS office?

Dr. Patipa showed me the finger massages I need to do 4 times a day, 25 repetitions, really pushing the lid up in the middle, it hurts on the left side, but I will get that sucker to move, believe me. I have been massaging the right lid already, so it is already much easier to move.

* He said because it is so tight - it is causing the under eye fat to be pushed backwards, creating the hollows and darkness under my eyes.

* He said the tightness combined with my lower lid laxity (loose "hamock" tendon under lower lid) - is causing my eye to be pulled down, making the eyes too round and/or odd shaped.

* He said the lateral (outer) canthus of the eye should be 2 mm higher than the inner canthus, so that the tears can drain properly, which is not the case right now either.

I will do my massaging and hope that I see improvement week by week, but I feel a lot better finally knowing what is going on. I am experimenting with makeup to cover the dark circles in the meantime, and I will be going back to see him again in 3 mos. He told me the options if I am not satisfied with my results at 6 mos post-op, which will be at the end of November, such as tightening the hammock tendon. (I feel like I will want this done in 6 mos because I really want my almond- shaped eyes back).
I am Very happy that I was pro-active and got a second opinion. Very happy with Dr. Patipa's consultation, information and education.
I would recommend anyone with post-op complications to see him before deciding what to do.

Very very nervous- Eyes too round- frozen with smile, etc, etc

Still trying to just chill out but as old problems resolve a little, new problems start- ugh. Scary. Looking a bit like an extra on the walking dead, lol, wish it was actually funny. Makes a big difference if I put on a ton of base make up under my eyes to hide the dark circles.
Hematoma is STILL there, I keep thinking it will go away TOMORROW....
Still hard to tell how that left eye will look when The hematoma is gone.
Right eye still the most worrisome to me as it still has an odd shape being pulled down and laterally. Some days it seems to be getting better. I am doing upwards massage for a few minutes every few hours, but sometimes it just seems to look the same. My eyes are both much rounder than before surgery, i look at my before pictures and want to cry.
I am sad to report that Dr. Kass has been pretty awful as far as making me feel better and giving me guidence and education on what is happening. I am very disappointed in his lack of empathy in this matter. Instead of helping me,He seems to take it as personally that I would suggest anything is wrong. Get over yourself Doc, these are MY Eyes, here, this is NOT about you!

Pretty strange. His staff are very nice but they are telling me how great it looks as if there are no problems, which actually makes me more nervous than if they acknowledged that I am having some issues due to the hematoma etc, but it will turn out great eventually. I am not sure any of the staff ladies are actual nurses or medical people at all, anyway. There is Just a basic lack of acknowledgement that anything is abnormal with my surgery or recovery coming down from the top, since that is the odd stance Dr. Kass seems to take as well.
I am pretty sure I was told that it would be fine in 2 weeks and
I could even travel and see someone in a month for sure (!) so I know it is not normal to take this long to heal. But Now I am hearing things from the Doctor and staff that oh yes, it takes 2 mos, 6 mos, 1 year to heal...Really? I never heard that before surgery! Yes i know that it takes up to a year to COMPLETELY HEAL AND SETTLE, but I was NEVER told that it might take that long for INITIAL healing. What is going on?

Anyway, it is just scary to have your eyes look abnormal to what they looked like before, and I am still hoping it will resolve fine, but since Dr. Kass had previously told me that he has done over 10,000 eye surgeries, so he knew the hematoma would heal, it seems reasonable for me to expect him to know what to tell me is going on with my issues now in SPECIFIC TERMS, , and to tell me what his experience is with these issues. ....and to not just give me a a generic answer to every inquiry, basically that EVERYTHING is due to swelling. ... and make an appt to see me in a month!
My issues:
*Eyes too round, dont look like myself at all
*When I smile. My face looks frozen, and scary, eyes dont move. I look
I am wearing a mask- this makes me really scared. I have no emotion in my face!
*On the sides, my eyelashes are now vertical, so I can no longer get them in a crimper! (Upper lid pulled down too tight?)
*scleral show, lower lid drooping (called retraction) on right eye (I asked, and the Dr. Said he did not do anything to support the lower lid during surgery, he did not elaborate, or tell me why he didnt, of course)
*hematoma still there under left eye, so it is hard to know if the lower lid will droop or not when it is gone or how the shape will be, right now the eye is a bit too big for my liking
* eye sockets very pronounced and hollowed out , skull-like, with dark circles under both eyes. Worse, of course, on the hematoma side, but it makes me nervous that it is on the right side too. Why would i have a depression there if everything is due to "swelling"? And Dr. Kass said "people get fillers for that" - What? I just had a lower bleph and he is saying I can get fillers ? I thought he just told me everything was due to swelling? Am I supposed to need fillers right AFTER getitng a lower bleph? That doesnt sound too positive to me....
* rounded lateral canthus- outer eye is not an acute angle causing a sad eye look

I sent a photo (with makeup on) to a frined of mine a few days ago just to get her opinion, and she is now freaking out! She thinks i look like a Meth addict! What does that tell you - that I look "refreshed" as the staff told me at Dr. Kass' office?

Again, SURE- this may all resolve in another 3 - 4 weeks, I hope to God it does, but on the basis of Dr Kass inability to acknowledge and help me through this annormally long recovery, I dont think I would recommend him to anyone. If I ever have another surgery, I will absolutely ask the surgeon what possible complicarions there are, and exactly how he would handle them if they occur. I would also ask what his rate of complications was. We all want to be so politie, but when it is our faces and surgery , it is NOT the time to be overly concerned with hurting the Dr's feelings by simply asking important questions. If a surgeon is uncomfortable answering those questions, then they will surely be uncomfortable handling any problems, so I would move on down the road. The best surgeon in the world can have complications, so it is something they should all know how to deal with.

Btw, those of you following my review know that I have done everything I can to facilitate a quick recovery., And lI have put my life on HOLD to take it extra easy, no exercise, no traveling, (put a big trip on hold already) no bending, etc, sleeping on my back on the couch and in a recliner for almost 5 weeks! ,thank God I haven' t had to work or I dont know what I would have done. Going back in 2 weeks. I have already had to tell many people about this surgery that I didnt want to tell because it was unavoidable. I wanted it to be a complete secret and even paid one of Dr. kass' staff to pick me up and take me home the day of surgery to avoid letting any friends or neighbors know. ( also feel she charged me an exhorbitant fee for that service which She did not tell about up front, ( I would NOT have done it if she had)so I just figured it wouldn't be too much - wrong. another disappointment.

I decided I need to get a second objective opinion.
Even if another PS can just tell me that they have seen my issues before, and it will resolve in time. Or at least tell me what is going on, so I understand it. I wish I could get that from my PS , but apparently not.
I have an appt Wednesday with an oculoplastic Surgeon who specializes in eye surgery complications, so am looking forward to finding SOMETHING out. Ill let you know how it goes. Ill post some pics, I wish I Could show my whole face because then you can see a lot more how the eyes just dont match my face, its truly sad.

Ok thats my story-Tell me your thoughts, thanks in advance.

Provider Review

Oculoplastic Surgeon, Board Certified in Ophthalmology
6025 4th St. N, Saint Petersburg, Florida
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Ill review the doc when I am done with everything