Treatment Provider

A.J. Amadi, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
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I got the works

My undereye hollows--not dark circles from being tired but shadows caused by the shape and position of the bones under my eyes--had always bothered me. I had tear trough filler 15 years ago which did nothing, and again on my 50th birthday, which I deeply regret because not only did it not fix the hollows, it caused puffiness and edema which was worse. This was followed by several attempts to dissolve the filler. I happened to see a new PA at my med spa to dissolve the filler. She pulled off her mask and showed me her perfect post-bleph lids done by Dr AJ Amadi, who specializes in eyes. Beautiful! I had one consultation with Dr Amadi. He was professional and he seemed to take pleasure in measuring my eyes, describing the anatomy of the eye and face and the surgical techniques. Very academic and bookish and very reassuring because I also have a multitude of non-cosmetic eye issues. He inspired confidence.



Dr Amadi's staff presented me with options including what he called "the home run" which was upper and lower bleph, ptosis repair on one eye, and tear trough silicone implants attached with titanium screws, done under general anesthesia. The mere thought of this procedure was terrifying. And it wasn't inexpensive. However, I figured if I'm doing this then EFF IT, I AM REALLY DOING THIS. He said we'd see a 75% improvement. I hoped he was deliberately underpromising because he planned to overdeliver. I asked if this surgery would do the trick and what about a brow lift. He could've upsold me but he said there's no reason to do a brow lift on me. Nice.



Fast forward to the surgery center in Bellevue. He marks up my eyes. I go under (shout out to anesthesiologist Dr Gold, 10/10 recommend). Four or five hours later I wake up looking like I've been brutally beaten up. Dr Amadi fitted my special compression blepharoplasty goggles that he'd suggested I buy. I went home, rested, took a week off, didn't work out over a month, took it easy.



The first week I lay in bed wearing the compression goggles which are meant to be used in place of icing. You can't see through them! You're blind while they're on. Pro tip, get the goggles and be prepared with lots of podcasts lined up.



Another pro tip, my husband (shout out to Nick, I have no idea how I'd have done this without his support) set up a Ring camera aimed at me while I was in bed during the daytime so he'd be alerted if I started waving my arms. Why? Turns out it is not a great idea to try to feel your way to the bathroom with zero vision goggles on. The only time I took them off the first week was to put the medicated ointment in my eyes which made my vision super blurry. I wondered if my vision would somehow be permanently affected. It wasn't.



The recovery included bruising, swelling that warranted a week of steroids, a stye that needed antibiotics and drops, and anxiety because healing is not linear. One day I was terribly swollen. The next day one side of my face looked great while the other looked bad. The next day it was the other way around. I looked lopsided. I looked lumpy. Suddenly I had huge bruises along my jaw because that's where the blood pooled. Would I ever look good? Did I just make an enormous, expensive mistake even worse than getting the great trough filler? Should I have left well enough alone? Although I'd been warned, I was mentally unprepared for the sh*t show of anxiety.



Fast forward again. I'm a year out from the surgery. I don't think about my hollows anymore because I don't have them anymore. When I close my eyes to put on eyeshadow (which is so much fun these days!) I see faint white scars--but only if I'm looking for them. I am unaware of the fact that there are implants under my eyes because they do their job without being at all noticeable.



Do I sometimes think, hmm, what if he'd taken off a tiny bit more skin? I'm a big fan of what ifs, to my detriment in case that's not obvious so yeah, I do.



Am I happy? Yes! Very!



Would I do it again? Yes!



Regrets? Hand on my heart, I wish I had done this much sooner. It was worth it.



This seems like a good time to say that my eyes look so good that it got me started thinking about procedures like face and neck lift haha!



Segue to--I subsequently had Erbium laser on my eyelids with PA Maria Amadi. That was the finishing touch. Nice!



Many thanks to Dr Amadi and his lovely, super, knowledgeable A++ staff.



Btw, I feel like I got to know Dr a bit better throughout the process. I feel like under all the initial medical jargon straight face he's not just an excellent surgeon, he's a good guy with a New Yorker's sense of humor. Don't overthink it or question the process like I did. Just do

Provider Review

Oculoplastic Surgeon, Board Certified in Ophthalmology
1503 2nd Ave. W, Seattle, Washington
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