What Causes Ptosis?

The two types of ptosis are acquired and congenital. Acquired ptosis is most common in aging adults and is related to the weakening of eyelid muscles. Congenital ptosis is present at birth due to the lack of development of eyelid muscles. According to National Library of Medicine, the drooping eyelid can be caused by normal …

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When to See a Doctor

The need for surgery depends on surgeon evaluation. The patient’s middle part of the face as well as the position of eyelids are photographed and reviewed to determine the best form of treatment. Patients can suffer from a variety of symptoms including double vision, weakness of facial muscles, weakness in arms or legs, difficulty speaking …

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What to Expect After Surgery?

The eyelids may appear swollen and vision may be blurry, but elevation and applying ice packs reduce swelling. Vision will progress and resume normal function over time. The eyelids will feel stiffer than usual, this is normal. The more stiff the eyelids feel, means the muscles were very weak prior to surgery. Patients can resume …

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Final verdict: Did she have Surgery or Fillers?

This particular patien below came to see me for the bags underneath her lids. On exam, she has herniated lower lid fat pads which are resulting in her tired apperance. Prior to the advent of eyelid filler treatments, she would traditionally have required blepharoplasty surgery to rejuvenate her lower lids. But we now know that …

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Natural appearing lip augmentation

Most of my patients that see me for lip augmentation really just wish for fuller lips that still appear natural. I avoid the over-filled apperance and respect the natural appearance of a “normal lip” where the upper lip is slightly smaller (up to 33%) than the lower lip. I like to use the micro-cannula for …

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Achieving symmetry in blepharoplasty surgery

Facial asymmetry is seen in almost everyone, especially around the eyelids. For example, one brow may be slightly elevated more than the other side or one eyelid may have more “excess skin” than the other side. Aging is an evolving process that often accentuates the asymmetries we see in people. I often see people who …

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