Patrick Boulos, MD

Did this procedure for the marks on my face not really that bad but had a few that bothered me, did the laser treatment, it was a bit uncomfortable on the last pass of the laser buT it was tolerable (HAD THE AIR CONDITIONING ON MY FACE FULL BLAST FOR ALMOST AN HOUR AFTER) They supplied a diary for me to folloow to watch my face changes per day - My face seemed like sandpaper around the 3rd day but was right on target for the way it should be - all the brown spots had come to the surface - all the skin felt tight had to put a serum on it almost every two hours to relive the dryness feeling - 4th day all of this peeled off and my skin looked amazing other then some redness - I have now decided to go for the fraxel 1550 that works on fine lines so will keep you all upto date will post photso here of my 3rd day so you can see what this looks like

had complications and side effects with botox and fillers. Dr. B had to repair a job badly done by a nurse.

 

Updated on 1 Jun 2011:

I had surgery to repair the muscles and the excess of skin on my lower eyelids. Plastic surgeons were afraid of doing surgery. They were¸saying that I could have an ectropion so I did researches and I found Dr. B. He is an expert in avoiding ectropion. He did my surgery and my eyelids are perfect.

Since a couple of years I had these bags and hollowness in the tear valley. I take a lot of time to research as it's a really delicate zone and decide to go with dr.Boulos who have an interesting educational background  I have seen a lot of perfect results elsewhere during my research but decide to let myself in is hand as I want a specialist in the eyes..  I have exophtalmy  on one side so I wanted to correct this too.  I had test for the thyroid and scan, plus nerves exam. Everything seem o.k..  So what was suggest was blepharoplasty to remove bags , fat graft to fill the hollowness in the tear through, and canthoplasty to improve the roundness of my exophtalmy.    To fill the hollowness of my upper lid he said filler is better than fat as it is a really delicate zone to work. I will do later.. I had to remove residual filler that I had 1 year prior, (500$). I paid 3500$ for bleph and cantho plus 3500$ for fat grafting. The filler  I had before didn't really helped my problem as I just had half seringe in each lower eyelid and that didn't really improve. Maybe with lot more it will but didn't have the budget to do that 2 times per years so fat grafting seem more interesting. Dr.Boulos took the time to answer my questions. team are also warm and professional. I had local anesthesia and sedation, everything went well during the surgery, no pain, either during or anytime after the surgery. The only thing was I had to stay more time after, cause I was seeing double in the recovery room, everything went fine after rest. The result is a good improvement but not as much perfect results as I see everywhere. The canthoplasty didn't really change the shape of my round eyes and helped for the exophtalmy.

I have this fat that stand out unevenly in my tear through. 

Doctor tell me at 5 months that it was probably residual inflammation but it didn't move at all since 2 months after procedure. I'm now 7 months after.. I try to understand if it's because the fat was unevenly distributed as there's like a hole on one side and the other side have bulged that didn'flat out. Inflammatory process should have disappear after all this time and it's really stable wich make me think it's the fat the problem.. I have my appointment check up this month, will see what he said but if someone have insight i'm curious.  (Sorry for my average english) 



Updated on 23 Jan 2018:
So today was my last follow up after 8 months. That look settle like that for a while as it's not inflammation that create the lump, but my fat that didn't smooth as expected. Fat is really interesting but a bit unpredictable as there's always an amount reabsorbed but it's impossible to tell before. Maybe it's a bit overfilled but in a way I prefer that instead of under filled or all reabsorbed..
I will live with that, although I find it expensive for a good but not perfect result.
Dr. Boulos gave me choices to resolve the lump issues but I think it's too much risks start to play with this and create other issues or risking of removing too much. I will live with that.
Dr. Boulos is a really nice person, he listened to my concerns and takes the time to give me honestly all the possible solution, without pushing.