Oculoplastic Surgeon
Dr. Maleki combines exceptional surgical expertise with a keen eye for aesthetic detail, delivering beautiful, natural-looking results. His dedication has helped countless patients achieve their desired aesthetic goals.
Asked By: Isalu82
ANSWER
You would be an excellent candidate for fat transfer (also known as fat grafting) to the under-eye area.This technique offers important advantages over repeated filler treatments. By using your own fat tissue, we eliminate the long-term risks associated with fillers, such as swelling, migration, prolonged edema, or product accumulation over time.With fat grafting, a small amount of fat is carefully harvested from another area of your body — typically the abdomen or thighs. The fat is then processed and refined. We use both microfat (for structural volume and contour) and nanofat, which is rich in regenerative cells, to improve skin quality and texture.This approach not only enhances contour and softness under the eyes but also supports skin rejuvenation in a way that fillers cannot.Because the transferred fat is your own tissue, the portion that successfully integrates and becomes vascularized will remain long term. While some of the transferred fat is naturally reabsorbed during the healing phase, the remaining fat cells can provide a stable and lasting improvement.
Asked By: Friendly139303
ANSWER
I don't think you have lid ptosis and I don't think you need surgery. The asymmetry is very slight and is due to the fact that your left brow is higher which in turn raises your left upper lid crease slightly which give you more eyelid show on the left. It is very subtle, but there.The correction is also very subtle, but would involve a very small degree of botox just above your left brow to drop it a little, or some botox on the right side to raise it a little. You need to find someome who is confident in their skills and making small changes. Good luck !
Asked By: helloshreyakutty
ANSWER
First off, asymmetry if very common and mild degrees of asymmetry is normal. However, if you think the appearance of your eyes are CHANGING, you should have an eye exam as it could be one of the following reasons:1- Eyelid malposition: sometimes one eyelid can droop or become retracted depending on the underlying cause 2- Globe malposition: the eye can become bulgy in certain eye conditions (eg. Graves) or retracted in other conditions (eye socket enlargement)
Asked By: katya
ANSWER
A Co2 laser can be used to make a skin incision like a scalpel. The main advantage is that it cauterizes as it cuts so it minimizes bleeding. So ultimately you may get less swelling and quicker recovery with the co2 laser. In terms of final healing however, I don't think there is much difference between laser vs scalpel blepharoplasty. Both can give excellent results, it just depends which tool your surgeon is most comfortable with.
Asked By: RealSelf Admin
ANSWER
The short answer is that both can correct sagging upper lids. If the brow position is low, it can definitely affect the amount of skin that shows on the upper lids. Typically for men, the brow should sit at the superior orbital rim (brow bone). In women, an aesthetically pleasing brow arches upwards above the orbital rim as you move outwards (lateral brow). When the brow drops below this level, then consider a brow lift. In terms of excess skin, it all depends on the where we want the final lid crease to be. If the brows are sitting in the correct position, the lid crease should sit anywhere between 5-10 mm above the lashes depending on ethnicity and gender. Sometimes, I recommend both an upper blepharoplasty and a brow lift at the same time. Other times, just a brow lift or just an upper blepharoplasty. An consultation is usually required to determine what's the best plan of action.
Asked By: miguel5723
ANSWER
The short and honest answer: You can't really remove dark circles. But don't get disappointed, because there are ways of treating dark circles so they become much less noticeable. But first before treating dark circles you need to know what you are treating. 1. Hollowing: some people have true under eye hollows loss of fat (atrophy) or enlargement of their eye socket over time. This can contribute to the appearance of dark circles because of shadowing effects. The best way and probably quickest way to treat hollowing is with dermal fillers. There are many different types of fillers and we can get into a longer discussion another time of what is best to use around the eyes. 2- Pseudo-hollowing: this is the hollowing that is seeing under an eyebag. This person may have loss of volume in the midface or tear trough, but this hollowing is made 10x worse with the appearance of the eyebag above it. It's like having a huge mountain beside a valley. The valley looks deeper in comparison to the large mountain. The best treatment in this scenario is lower lid blepharoplasty to remove the eyebag and reposition the fat into the valley below. This kills two birds with one stone. 3- Hyperpigmentation of the skin: some patients because of family history or ethnicity general have more pigment in the skin around their eyes. This is probably the most difficult to treat. However, there are lasers, IPL and skin creams that can help improve your tone. But don't despair. You just need someone to point you in the right direction. Consult your favourite skin care specialist or oculoplastic surgeon :)
Asked By: Ruth Folsom
ANSWER
The cost of any cosmetic procedure depends on the city you live in and the expertise of the person who is doing the work. For example in Canada, there may be several thousand general plastic surgeons and only several hundred facial plastic surgeons. Oculoplastic surgery is a subspecialty area that only deals with plastic and reconstructive surgery of the eyelids. In Canada, we only have about 50 oculoplastic surgeons, of which only about handful do cosmetic eyelid surgery regularly. For example, over the course of a typical week, a busy cosmetic oculoplastic surgeon may do 5-10 blepharoplasty surgeries per week, compared to someone who doesn't specialize in eyelid surgery may do blepharoplasty surgery 2 to 3 times per month. The more of a particular type of surgery you do, the better you get at the nuances of that surgery and obtaining consistent results (it doesn't matter what type of surgery we are referring to). In general lower blepharoplasty surgery is more expensive than upper blepharoplasty because it is technically more difficult and much more nuanced. There are lost of options for lower blepharoplasty: external vs internal techniques, fat removal vs fat repositioning vs fat grafting, co2 laser resurfacing vs skin pinch, canthopexy vs no canthopexy, etc. In Toronto, the cost for upper blepharoplasty ranges from 4000$-6000$ compared to the cost for lower lid blepharoplasty which can range from 5000$-7000$
Asked By: zorimar
ANSWER
There are many reasons for uneven eyelids from uneven excess skin to uneven brow position, but when I hear a patient say my eyes were not always even and then become more uneven after wearing contact lenses, 9 out of 10 times it's because of lid ptosis. What happens with some contact lens users is that the contact lens rubs against the back surface of the upper eyelids causing inflammation which then causes the eyelid muscle to slip off it's normal attachment. The solution to do a small out-patient surgery repair to correct the lid ptosis. Typically it takes less than 15 min and can be done under local anesthesia. The incision is hidden on the undersurface of the eyelid so there are no visible scars. Stiches come out one week after surgery. It's really quite a quick procedure with minimal pain and minimal downtime.
Asked By: stelfro
ANSWER
The cost of any cosmetic procedure depends on the city you live in and the expertise of the person who is doing the work. For example in Canada, there may be several thousand general plastic surgeons and only several hundred facial plastic surgeons. Oculoplastic surgery is a subspecialty area that only deals with plastic and reconstructive surgery of the eyelids. In Canada, we only have about 50 oculoplastic surgeons, of which only about handful do cosmetic eyelid surgery regularly. For example, over the course of a typical week, a busy cosmetic oculoplastic surgeon may do 5-10 blepharoplasty surgeries per week, compared to someone who doesn't specialize in eyelid surgery may do blepharoplasty surgery 2 to 3 times per month. The more of a particular type of surgery you do, the better you get at the nuances of that surgery and obtaining consistent results (it doesn't matter what type of surgery we are referring to). In general lower blepharoplasty surgery is more expensive than upper blepharoplasty because it is technically more difficult and much more nuanced. There are lost of options for lower blepharoplasty: external vs internal techniques, fat removal vs fat repositioning vs fat grafting, co2 laser resurfacing vs skin pinch, canthopexy vs no canthopexy, etc. In Toronto, the cost for upper blepharoplasty ranges from 4000$-6000$ compared to the cost for lower lid blepharoplasty which can range from 5000$-7000$
Asked By: RealSelf Admin
ANSWER
I would say for the vast majority of patients, the bulk of the bruising and swelling goes away within 2 weeks and therefore it would be rare that I would recommend a patient take more than 2 weeks off work. If you have a desk job, you probably would be able to back in 5-7 days with the understanding that you would still have some bruising and swelling but that could probably manage to cover up with a little concealer. If your job requires heavy lifting (police officer, firefighter, nurse, etc.), then I would recommend taking a full 2 weeks off work. Now that being said, some patients heal more slowly than this and some much quicker. If you are over the age of 65, are a diabetic, smoker, have hypothyroid or take medications that slow your metabolism, it may take longer for you to heal, so plan for it. This is just for the bulk of the bruising and swelling. In terms of incision lines, sensation of your eyelids to touch and overall final results, I would say wait 3-6 months at least. The reason is that scars continue to mature, sensation of the skin to fine touch and overall healing continue up to a year after surgery. After one year, most people are probably as healed as they are going to be. Which always brings up the next question, what can I do if I'm not happy with my eyelid surgery? The short answer is wait at least 6-12 months before seeing a second opinion. As an oculoplastic surgeon I do a lot of revisional surgery from patients who have had surgery elsewhere. I would say more patients do get better with time, but if you are entirely happy wait at least 6 months before considering a second operation
Dr. Babak Maleki is highly praised for his expertise in , , , and eye procedures. Patients consistently report positive outcomes and satisfaction with his skills and the professionalism of his team. His ability to address concerns and provide realistic expectations is frequently highlighted. The supportive and attentive nature of his staff is a common theme in reviews.
