Asian Eyelid Surgery | SF Bay Area Blepharoplasty

Posted October 01, 2016 in Asian Eyelid Lift (Asian Blepharoplasty), Eyelid Lift (Blepharoplasty), Home, Videos

Eyelid Surgery, aka Blepharoplasty, remains one of the most popular Cosmetic Plastic Surgery procedures. Last year, according to the American Society for Aesthetic Plastic Surgery (ASPAS), it ranked number four, ahead of Breast Lifts, and behind Liposuction, Breast Augmentation and Tummy Tucks. The statistics do not break down the number of Occidental vs. Asian Eyelid Surgeries performed, but here in the San Francisco Bay Area, the Asian Blepharoplasty accounts for a significant percentage of all the Eyelid Surgery Performed.

Asian Blepharoplasty

You don’t have to be a Board Certified Plastic Surgeon to see that the Asian and Occidental eyelids have different shapes. These differences are directly related to ethnic changes found in the Eyelid Anatomy. While the goals of Blepharoplasty are the same, the techniques to achieve these goals must be modified for differences in the anatomy between Occidental and Asian Eyelids.

Asian Eyelid Surgery Video (Asian Blepharoplasty)

Below is a segment from my latest KRON 4, Body Beautiful show. Several Asian Eyelid Surgery Before and After Pictures are included, and narrated, to help illustrate what Asian Blepharoplasty has to offer.

Asian Eyelid Surgery Goals

The goals for Asian Eyelid Surgery depend on whether the problem is congenital or acquired. Congenital Eyelid Problems we are born with, and these are often caused by deficiencies in the eyelid’s anatomy. The most common problem is poor connections between the upper eyelid skin and the tarsus, causing a poorly formed eyelid crease and the skin to drop into the eye’s visual field. Acquired Eyelid Problems we earn over time and are caused by aging and relaxation of the soft tissues that protect the eye. Protecting the eye is the primary goal for both types of eyelid surgery. Plastic Surgeons aim to restore the normal anatomy and to provide you with eyelids that look good while they are doing their job.

Asian Eyelid Surgery

If you are considering Asian Blepharoplasty, be certain to choose an experienced and Board Certified surgeon who understands, and knows how to repair, your specific eyelid anatomy and achieve your goals. In the San Francisco Bay Area call (925) 943-6353, to schedule a personalized and private consultation appointment.

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Body Beautiful On KRON4 Wednesday At Noon – Live

Posted September 04, 2016 in Asian Eyelid Lift (Asian Blepharoplasty), Breast Augmentation, Breast Implant Revision Surgery, Breast Reduction, Breast Reduction (Men), Capsular Contracture, Ear Shaping (Otoplasty), Eyelid Lift (Blepharoplasty), Home

Attention Plastic Surgery Television viewers. Body Beautiful will be broadcast live on KRON4 this Wednesday, September 7, 2016, At Noon – Live. So tune-in to get the latest Plastic Surgery News, and see if I get it right on the first take.

Plastic Surgery Topics Will Include…

This week’s show will be thirty minutes packed with what’s new in Cosmetic Plastic Surgery. Topics will some of the most popular procedures here in the San Francisco Bay Area including:

  • Breast Augmentation Revision for…
    • Breast Implant Deflation
    • Breast Implant Exposure (Skin Erosion)
    • Capsular Contracture
    • Symmastia
    • Breast Implant Malposition
    • Breast Asymmetry
    • Breast Implants too small
  • Gynecomastia Reduction (Male Breast Reduction)
  • Otoplasty (Ear Pinning for Prominent Ears)
  • Asian Blepharoplasty (Asian Eyelid Surgery)

There will be plenty of discussion and Before and After Pictures for illustration. Below is a sneak peek.

Breast Augmentation Revision

The patient below had a rare, but serious Breast Augmentation Complication, requiring staged Breast Augmentation Revision Surgery. Her breast implant nearly eroded through the skin on the bottom of her left breast. Oversized Breast Implants in small breasts with poor soft-tissue coverage are at greater risk. This is more commonly seen after Breast Reconstruction when the breast has been radiated to treat breast cancer. It is unlikely to occur in a young, otherwise healthy woman, but it did.

Breast Implant Revision: Sometimes breast implant revision is urgent. The square shape sticking out of the bottom of this patient's left breast is her breast implant, and it's about to fall out.

Breast Implant Revision: Sometimes breast implant revision is urgent. The square shape sticking out of the bottom of this patient’s left breast is her breast implant, and it’s about to fall out.

Breast Augmentation Revision Stage I – The Salvage Operation

The top row of photos are the before and after photos from the first stage of her Breast Implant Revision Surgery. The upper left photo shows that the patient’s left Breast Implant is eroding through the skin of the lower breast. It’s about to fall out, and the current breast implant needs to be removed, urgently. If the Breast Implant becomes exposed, infection quickly follows. After careful discussion, it was decided to proceed with Breast Implant Removal on both sides.

Breast Augmentation Revision - Stage I was urgent removal of the left breast implant, which had nearly eroded its way through the lower pole of the breast. It was elected to remove both implants during stage I, because replacing the original saline breast implants with smaller silicone gel filled breast implants was part of the plan to decrease the risk of recurrence.

Breast Augmentation Revision – Stage I was urgent removal of the left breast implant, which had nearly eroded its way through the lower pole of the breast. It was elected to remove both implants during stage I, because replacing the original saline breast implants with smaller silicone gel filled breast implants was part of the plan to decrease the risk of recurrence.

Having one implant in and one implant out was an option, but would have left her with an almost undisguisable amount of asymmetry. Moreover, the plan was to use smaller replacement implants, to decrease the risk of another breast implant erosion. Leaving both implants out forever would also treat this problem, and completely eliminate any chance of it happening again.

Breast Augmentation Revision Stage II – Asymmetric Breast Augmentation

While the nearly Exposed Breast Implant problem was solved, there were two new problems: 1) obvious breast asymmetry and 2) breasts which are too small for my patient’s preferences. The Breast Asymmetry is two fold. The left breast is smaller than the right, and the left breast is higher and tighter on the chest wall.

Breast Augmentation Revision Surgery - Stage II. The second stage entailed lowering the left implant pocket, expanding the lower, contracted pole of the left breast and asymmetrically augmenting the breasts to decrease the size difference.

Breast Augmentation Revision Surgery – Stage II. The second stage entailed lowering the left implant pocket, expanding the lower, contracted pole of the left breast and asymmetrically augmenting the breasts to decrease the size difference.

Breast Implant Revision Surgery was performed to asymmetrically increase the size of the breasts, and to lower the left breast to match the right. The initial results are shown above, just one week after surgery. An alternative approach would be to raise the right side with a Breast Lift; however, this would require additional, external scars on the right breast.

As time marched on, the results improved. No additional surgery was performed after stage two. While initially the skin stretched well, the muscle was tight. Over several months the muscle relaxed and the symmetry improved, as expected.

Breast Augmentation Revision Surgery – Stage II and a patient patient. As time marched on, the results improved. No additional surgery was performed after stage II. While initially the skin stretched well, the muscle was tight. Over several months the muscle relaxed and the symmetry improved, as expected.

The Breast Revision Before and After Photos above show the results after new, smaller Silicone Breast Implants were placed, and the breasts were allowed to heal. The left picture is one week after surgery. In this photo, the left breast mound is firmer, higher and more projecting, as would be expected when more stuffing is placed in a smaller pillow case.

As the breasts heal, the left breast skin and muscle relax, the left breast implant descends and her results improve. The right, after photo shows the results after a few months. A larger breast implant was used on the left, to correct the asymmetry, and while initially it may seem like her Breast Implant Problems are not completely corrected, over time, it settles down. It is a good deal better than the potentially life-threatening complication she presented with originally, as shown below.

Breast Implant Revision Before and After Photos - the left picture is how the patient initially presented. The second picture is a few months after completion of both stages (breast implant removal and breast implant replacement with pocket modifications).

Breast Implant Revision Before and After Photos – the left picture is how the patient initially presented. The second picture is a few months after completion of both stages (breast implant removal and breast implant replacement with pocket modifications).

Breast Augmentation Revision Consultations

Breast Augmentation Revision is considerably more complicated than primary Breast Augmentation. If you have problems with your Breast Implants, seek an experienced and Board Certified Plastic Surgeon for your revision surgery. If you are in the San Francisco Bay Area and would like to schedule a personalized consultation appointment call (925) 943-6353, today.

PS – Don’t forget to watch Body Beautiful live at noon, this Wednesday, September 7, 2016, on KRON4, the Bay Area’s New Station.

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Lower Eyelids – Blepharoplasty SF Bay Area

Posted August 15, 2015 in Asian Eyelid Lift (Asian Blepharoplasty), Eyelid Lift (Blepharoplasty), Home

This is part two of a series on Eyelid Surgery or Blepharoplasty. Last week, we reviewed Upper Blepharoplasty. This week, it’s all about the lower eyelids. Lower eyelids have different anatomy, different function and are operated differently than the upper lids.

Lower Blepharoplasty Before and After Pictures

There are four major components that distract from a pretty lower eyelid: bags, wrinkles, lower position and increased height of the lower eyelid. Lower Eyelid Lifts are designed to improve all  these.

There are four major components that distract from a pretty lower eyelid: bags, wrinkles, lower position and increased height of the lower eyelid. Lower Eyelid Lifts are designed to improve all these.

Lower Eyelid Surgery (Lower Blepharoplasty)

Last post we discussed the changes usually desired for the upper eyelids: removal of excess skin, removal of fat from the inner and central aspect of the upper lids if disproportionate, changing the upper eyelid fold and repositioning the lid margin to open the eye. These goals apply to the lower eyelids too, but the methods and priorities change. For Lower Eyelid Lifts the goals are: removing lower eyelid bags, tightening the lower eyelid skin, creating or maintaining normal lower eyelid position and shortening the length of the lower eyelid.

Removing Lower Eyelid Bags

The primary concern with the Lower Eyelids is the baggage. As we age, the facial fat over the lower eyelid thins and descends, revealing the fat pads located under the eyes. For some, these bags enlarge with age. For others, the large bags are present at birth and become more noticeable as the facial fat descends. Either way, Lower Blepharoplasty is designed to reduce excess fullness under the eyes.

Transconjunctival Lower Blepharoplasty

The heading above is a mouthful, but easily understood. Trans means across, or in this case through, and the conjunctiva is the pink lining of the eyelid. Lower blepharoplasty, from last post, means lower eyelid changing surgery. Transconjunctival Lower Blepharoplasty is a method of reducing the lower eyelid’s fat pads through the lining of the eyelid. The advantage is that the scar is completely hidden inside the eyelid. This method works best for younger patients who do not have excess skin and wrinkles on the lower eyelids as shown below, and is common enough to be shown on the Wikipedia blepharoplasty page.

Transconjunctival Lower Blepharoplasty Before and After Pictures

The Transconjunctival Lower Blepharoplasty before and after pictures above show how the lower eyelid is smoothed by removing the excess fat contained in the lower eyelid via an incision inside the eyelid.

The Transconjunctival Lower Blepharoplasty before and after pictures above show how the lower eyelid is smoothed by removing the excess fat contained in the lower eyelid via an incision inside the eyelid.

In the Lower Blepharoplasty Before and After Pictures shown above, you can see the bulge in the lower eyelid caused by the excess fat this woman was born with. You can also see her attempt to minimize the appearance with a lighter shade of makeup over the bag. After her Lower Blepharoplasty, the eyelid is smooth and flat. Just enough fat is removed to flatten the bump the excess causes. Removing too much, will cause a hollow. If this patient had wrinkles of loose skin on the lower eyelid, the transconjunctival approach would not be used. Unlike the external approach described below, excess skin cannot be removed with the completely internal transconjunctival method alone.

Tightening the Lower Eyelid Skin

Bigger problems require bigger tools. When the excess lower eyelid fat is combined with loose baggy skin, a Subciliary Lower Blepharoplasty is preformed. Cilium is Latin for eyelash, so the subciliary incision is placed just below the eyelashes on the lower eyelid. This area heals very well, making the incision difficult to see, hidden in the shadow of the eyelashes.

The most frequently used approach for rejuvenating the lower eyelid is the external, subciliary approach. Not only can it remove excess fat like the transconjunctival approach, but it can also tighten the loose skin while lifting and supporting the lower eyelids.

The most frequently used approach for rejuvenating the lower eyelid is the external, subciliary approach. Not only can it remove excess fat like the transconjunctival approach, but it can also tighten the loose skin while lifting and supporting the lower eyelids.

The advantage of the subciliary approach to Lower Eyelid Lifts is the ability to remove excess skin at the same time as reducing the lower eyelid fat. The lower blepharoplasty before and after pictures above show a marked reduction in the lower eyelid bags with tightening of the lower eye skin using the subciliary approach. In this case, only removing the fat is treating only half the problem, and would leave a deflated bag of excess skin under her eyes.

While deep lines caused by skin folds are improved by Lower Eyelid Lifts, the fine lines within the skin need different treatment. The analogy made is between the eyelids and a quilt. Wrinkles in the quilt can be smoothed by gently tugging the quilt flat. This is what lower eyelid surgery does. However, no matter how hard you pull, you cannot smooth the quilting stitched into the fabric. This requires modifying the quilt, not how it lays. For the skin, topical treatments like chemical peels, lasers and dermabrasion are used.

Creating or Maintaining Normal Lower Eyelid Position

The normally positioned lower eyelid covers the lower edge of the colored iris and white sclera under the iris. When the lower eyelid weakens, more of the iris and sclera are revealed. This is termed scleral show, and is associated with a tired, stressed appearance. As the lid descends further, the lower lid may progress to frank ectropion – gapping away from the eye, and interfering with the lower eyelids function of protecting the eye. The pink conjunctival lining may be seen and the tears may not flow properly. This makes the eye feel dry and look red and inflamed. Lower blepharoplasty can be combined with eyelid tightening procedures to prevent or correct this problem.

Before and after photos of lower blepharoplasty with tightening of the lower eyelid support show how the lower eyelid moves up to its ideal position. On the other hand, simply removing the excess fat and skin without the lid tightening would most likely expose more of the white of the eye beneath the iris.

Before and after photos of lower blepharoplasty with tightening of the lower eyelid support show how the lower eyelid moves up to its ideal position. On the other hand, simply removing the excess fat and skin without the lid tightening would most likely expose more of the white of the eye beneath the iris.

Lower Blepharoplasty for the above patient was more risky. He already had scleral show, and the normal lower blepharoplasty removes the excess fat and tightens the lower eyelid skin potentially removing support and pulling the eyelid down further. However, when the problem is recognized before surgery, the lower blepharoplasty is modified to include a lid tightening procedure. This improves the eyelid position and prevents the scleral show from progressing to hound-dog appearance of frank ectropion. Nothing against hound-dogs.

Shortening the Length of the Lower Eyelid

All the pictures above show a reduction in the overall height of the eyelid. More accurately, this is caused by a decrease in the how far onto the cheek the eyelid descends. As discussed above, supporting the eyelid during Blepharoplasty is important to preserving the function of the lower eyelid and for maintaining a rested, alert appearance. A shorter eyelid is also associated with youth. An infant’s lower eyelids are so short that often it looks like the cheeks are encroaching on the eye opening. As we age, the cheek drops, and the lower eyelid becomes more apparent. Around puberty, the eyelid appears as its own aesthetic unit, and as we age, it occupies more vertical space above the cheek, While blepharoplasty can help decrease this appearance, the underlying cause is the cheek descending. Cheek decent is more directly treated with a Facelift, or in cases where the cheeks are small or retruded, with Cheek Augmentation.

Blepharoplasty Consultation Appointment Available Now

If you are considering tightening up you eyelids, give me a call at (925) 943-6353. Eyelid surgery and other facial cosmetic plastic surgery procedures are provided by my San Francisco Bay Area private practice in the East Bay city of Walnut Creek, CA. Your personalized consultation will include reviewing the areas you want addressed and creating a plan specific to your goals.

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Upper Eyelids – Blepharoplasty SF Bay Area

Posted August 08, 2015 in Asian Eyelid Lift (Asian Blepharoplasty), Eyelid Lift (Blepharoplasty), Home

Blepharoplasty is an Eyelid Lift, and literally means eyelid changing. The nature of the changes can be both cosmetic and reconstructive. Differences in anatomy determine the best methods by which to accomplish our desired goals, and since the anatomy of the upper and lower lids are different, so are the methods used.

Upper Blepharoplasty

The changes usually desired for the upper lids are: removal of excess skin, removal of fat from the inner and central aspect of the upper lids if disproportionate, changing the upper eyelid fold and repositioning the lid margin to open the eye. Other adjustments are sometimes incorporated, and often multiple corrections are performed simultaneously. While these are accurate generalities, every upper eyelid surgery needs to be evaluated individually for safe and predictable results.

Upper Blepharoplasty Before and After Photos

The goal of upper eyelid surgery is the removal of excess skin, enhancement of the upper eyelid alignment and removal of disproportionate fat.

The goal of upper eyelid surgery is the removal of excess skin, enhancement of upper eyelid alignment and removal of disproportionate fat.

Removal of Upper Eyelid Skin

The Upper Blepharoplasty Before and After Photos above demonstrate the changes possible when the excess skin is removed from the upper eyelids. This patient’s stern and tired appearance is replaced with a more relaxed and rested sparkle in the eyes. Patients with excess upper eyelid skin often complain about being asked, “Are you tired?” even when well rested. Excess skin may also block the upper and outer gaze, obstructing vision. Blepharoplasty can help alleviate these unwanted signs and symptoms.

Removal of Disproportionate Upper Eyelid Fat

The close-up view of the upper eyelid before and after photos below shows both the excess skin and fat present before Upper Blepharoplasty, and the improvements possible with an Eyelid Lift.

Upper Blepharoplasty removes excess skin and fat from the upper eyelids, providing more rested and alert appearance.

Upper Blepharoplasty removes excess skin and fat from the upper eyelids, providing a more rested and alert appearance.

Above, the heaviness and flattening of the upper eyelids is caused in part by excess upper eyelid skin sagging over the lid margin and resting on the eyelashes laterally. Disproportionate fat of the upper eyelid compounds the problem, giving a tired, puffy and disinterested appearance. Once the excess fat and skin are removed, the appearance is more attentive and approachable.

Changing the Upper Eyelid Fold

While seen to some extent in all races, the Asian eyelid is the most likely to have an indistinct eyelid crease. Sometimes there is only the hint of a crease, and sometimes there are folds on multiple levels. It is caused by a softer attachment between the eyelid skin and the deeper structures of the lid. This allows the eyelid fat to push lower on the lid. This is normal anatomy, but can lead to increased upper eyelid fullness and an increased risk of recurrence after eyelid surgery.

Asian eyelid surgery often includes the formation of a more distinct eyelid crease called the palpebral fold.

Asian eyelid surgery often includes the formation of a more distinct eyelid crease called the palpebral fold.

The above Asian Eyelid Before and After Photos reveals the creation of a distinct palpebral fold (eyelid crease), with elevation of the eyelid skin, reduction of eyelid fat and an elevated upper eyelid position. Several fine sutures are used under the skin to create an attachment that allows the skin to fold smoothly. The eyelid margin was also elevated to open the eyes.

Repositioning the Upper Eyelid Margin

Changing the upper eyelid fold and position is aesthetic in the case above, but is reconstructive in cases where vision is obstructed. In the next case, the eyelids are so saggy that they block the pupils.

Before upper blepharoplasty and levator advancement (muscle tightening), ptosis (sagging) of the upper eyelids is blocking the patient's vision. He underwent reconstructive plastic surgery to tighten the muscles that elevate the eyelid and raise the upper eyelid's edge above the pupils.

Before upper blepharoplasty and levator advancement (muscle tightening), ptosis (sagging) of the upper eyelids is blocking the patient’s vision. He underwent reconstructive plastic surgery to tighten the muscles that elevate the eyelid and raise the upper eyelid’s edge above the pupils.

In the above case, excess skin and fat were removed, and the muscles that raise the eyelids were tightened. The result is obvious when looking at the pupils. Before surgery, the upper eyelid is partially covering the pupils. After Upper Blepharoplasty, a few millimeters of iris are now visible above the pupils. This means light can get into the eye without obstruction, and vision is improved. Lower eyelid surgery was also performed to improve the eyelid position and remove the bags. For about Lower Eyelid Surgery read my next post: Lower Eyelids – Blepharoplasty SF Bay Area.

Upper Eyelid Lifts and Blepharoplasty Consultations

Hopefully, the narrative and photos above help illustrate some of benefits of Upper Eyelid Surgery. To learn what blepharoplasty can do for you call (925) 943-6353 to schedule a private consultation. While the Internet is a great source of general information, there is no substitute for the skill and experience of a Board Certified Plastic Surgeon.

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U.S. Plastic Surgery Statistics – 2014

Posted March 14, 2015 in Botulinum Toxin (Botox Dysport Xeomin), Brazilian Butt Lift, Breast Augmentation, Breast Implant Revision Surgery, Breast Lift (Mastopexy), Breast Reduction, Breast Reduction (Men), Breast Reduction (Women), Butt Lifts, Chemical Peels, Eyelid Lift (Blepharoplasty), Fillers (Restylane Juvederm Perlane Radiesse), Home, Liposuction, Rhinoplasty (Nasal Surgery), Tummy Tuck (Abdominoplasty), Wrinkle Reduction (Non-surgical)

The American Society for Aesthetic Plastic Surgery (ASAPS) has released its 2014 Cosmetic Plastic Surgery statistics. The United State’s premier professional society dedicated to the advancement of Aesthetic (Cosmetic) Plastic Surgery has compiled the procedures performed by its members and others last year, and here are the results:

The ASAPS has released last year's plastic surgery statistics.

The ASAPS has released last year’s plastic surgery statistics.

Plastic Surgery Procedures- Who had What?

More than ten million surgical and nonsurgical cosmetic procedures were performed in the United States last year.

Nonsurgical cosmetic procedures are easier, simpler and more frequently performed than surgical procedures.

Nonsurgical cosmetic procedures are easier, simpler and more frequently performed than surgical procedures.

As expected, nonsurgical procedures accounted for the majority of the total with 8.8 million procedures:

  • Botox – 3.6 million
  • Fillers (Restylane, Juvederm, Perlane, Radiesse – 1.9 million
  • Hair Removal – 0.8 million
  • Chemical Peels – 0.5 million
  • Microdermabrasion – 0.4 million

The top five cosmetic plastic surgery procedures are Liposuction, Breast Augmentation, Eyelid Surgery, Tummy Tuck and Nose Surgery.

The top five cosmetic plastic surgery procedures are Liposuction, Breast Augmentation, Eyelid Surgery, Tummy Tuck and Nose Surgery.

Surgical procedures accounted for 17% of all procedures with 1.8 million cosmetic surgeries:

Plastic Surgery Procedures – What’s the Cost?

Americans have spent more than 12 billion dollars during each of the last two calendar years on surgical and nonsurgical cosmetic plastic surgery procedures. While nonsurgical procedures outnumbered surgical procedures in frequency, surgical procedures accounted for 60% of the total expenditures.

The Fastest Growing Procedure in 2014

Liposuction, Breast Augmentation and Tummy Tucks have increased dramatically since I started my Walnut Creek Plastic Surgery practice in 1997, while Cosmetic Eyelid and Nasal Surgery have remained steady.

Liposuction, Breast Augmentation and Tummy Tucks have increased dramatically since I started my Walnut Creek Plastic Surgery practice in 1997, while Cosmetic Eyelid and Nasal Surgery have remained steady.

Since starting my San Francisco Bay Area Plastic Surgery practice in 1997, there has been a 274% increase in the total number of cosmetic procedures. Surgical procedures have increased by 82% and nonsurgical procedures increased by 508%. The fastest growing procedure in 2014 was Buttock Augmentation, aka the Brazilian Butt Lift (BBL). While the totals are still less than 10% of the number of breast augmentations, the growth was an impressive 86% last year. The BBL, with over 21,000 procedure performed in 2014, moved up steadily from 20th in 2004, and 18th in 2009 to 15th in 2014.

Breast Augmentation Trends

Breast Augmentation was passed by Liposuction again this year for the most popular procedure. The two are usually neck-and-neck for the top spot each year. With the introduction of breast implants 5.0, form-stable, high-strength, cohesive silicone gel, gummy bear or whatever the latest catch phrase is, 80% of breast implants used in 2014 were silicone and 20% were saline. Breast Implant Revision Surgery increased 30% last year, and may be the result of both the improved alternatives in breast implants currently available and the recognition that breast implants are not life-time devices.

The Ladies Have It

Since 1997, the number of cosmetic procedures for women increased over 429%. Women account for 90% of all cosmetic plastic surgery patients. With breast procedures, excluding breast reconstruction, accounting for over one-third of all cosmetic surgery, this is no surprise. 605,987 female breast procedures (breast augmentation, breast lift, breast reduction, breast revision) were performed in 2014. Comparing this with 24,234 male breast procedures (gynecomastia reduction), women account for over 96% of all cosmetic breast surgery.

Cosmetic Plastic Surgery Consultations

If you are considering Cosmetic Plastic Surgery, be certain to find a Board Certified Plastic Surgeon with experience in the procedure you are considering. If you are in the San Francisco Bay Area, give my office a call at (925) 943-6353. My friendly Plastic Surgery staff in Walnut Creek, CA, is available to take your call, and arrange your private consultation.

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All Eyes on You – SF Bay Area Eyelid Surgery (Blepharoplasty)

Posted December 20, 2014 in Chemical Peels, Eyelid Lift (Blepharoplasty), Home, Wrinkle Reduction (Non-surgical)

Eyelid surgery is a way to open tired looking eyes and reduce lower eyelid bags. It can improve your view of the world and how the world views you. An Eyelid Lift is an outpatient Cosmetic Plastic Surgery procedure that can dramatically improve the appearance of the skin around the eyes.

Eyelid Lift Before and After Pictures

Eyelid Surgery, or Blepharoplasty, shrinks the loose skin than overhangs the upper eyelid and tightens the bags often seen in the lower eyelids.

Eyelid Surgery, or Blepharoplasty, shrinks the loose skin than overhangs the upper eyelid and tightens the bags often seen in the lower eyelids.

What Can Blepharoplasty Do For You?

Blepharoplasty literally means “Eyelid Shaping,” and that’s exactly what it does. If you have excess eyelid skin encroaching on your upper eyelashes, or acting like blinders blocking your vision, an Upper Blepharoplasty can help. Removing redundant upper eyelid skin not only makes you look more alert and rested, in cases of visual obstruction, it will increase your field of vision.

Cleaning Up the Upper Eyelids

Excess upper eyelid skin gives a tired look. After upper eyelid surgery, the appearance is alert and rested.

Excess upper eyelid skin gives a tired look. After upper eyelid surgery, the appearance is alert and rested.

Lower Eyelid Bag Removal

The Lower Blepharoplasty can also diminish the tired look. The fat of the lower eyelid can push forward as we age and looks like the puffiness seen with fatigue. A Lower Eyelid Lift can remove the excess fat and tighten the lower eyelid, restoring a more youthful rested appearance.

Lower Eyelid Lift Before and After Photos

While upper eyelid surgery removes hooding, lower eyelid surgery removes bags. The post-operative appearance is alert and rested and still you.

While upper eyelid surgery removes hooding, lower eyelid surgery removes bags.
The post-operative appearance is alert, rested and still you.

What Can Eyelid Surgery Do?

The most common reasons that Eyelid Lifts are performed include:

  • Excess upper eyelid skin
  • Fullness and bagging of the upper eyelids
  • Drooping of the upper eyelids
  • Upper eyelids grabbing eye makeup
  • Bags under the eyes
  • Sagging of the lower eyelids

Blepharoplasty treats excess skin and fat around the eyes. Fine lines of the eyelid skin are often treated with Chemical Peels or Laser Treatments

Upper and Lower Blepharoplasty Before and Afters

The above upper and lower blepharoplasty (Quad Bleph) before and after photos reveal improvements in the upper and lower eyelids' appearance. Less upper eyelid skin means smoother, cleaner lines and that eye makeup stays put better. Lower eyelid improvements include smoother appearance and less bagging of both skin and lower eyelid fat.

This patient had upper and lower blepharoplasties, also known as a “Quad Bleph.”

The “Quad Bleph”

The rejuvenation of all four eyelids, two upper and two lowers, is also know as a “Quad Bleph.” The above Quad Bleph before and after photos reveal improvements in the appearance of both the upper and lower eyelids. Less upper eyelid skin means smoother, cleaner lines and that eye makeup stays put better. Lower eyelid improvements include smoother appearance and less bagging of both skin and lower eyelid fat.

Schedule an Eyelid Lift Consultation

There are a variety of techniques used for eyelid surgery. If you want more information that is specific to your needs, there is no substitute for an in-person and personal consultation appointment. Call (925) 943-6353 to take the next step toward rejuvenating your eyelids.

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Body Beautiful – Facelifts, Eyelid Lifts, Tummy Tucks and Brazilian Butt Lifts

Posted December 06, 2014 in Brazilian Butt Lift, Butt Lifts, Eyelid Lift (Blepharoplasty), Facelift (Rhytidectomy), Fat Grafting, Home, Tummy Tuck (Abdominoplasty)

Facelifts, Eyelid Lifts, Tummy Tucks and Brazilian Butt Lifts (fat grafting to the buttocks) will all be discussed on this week's Body Beautiful airing on the  Bay Area's News Station, KRON4, this Wednesday at 11:00 AM.

Facelifts, Eyelid Lifts, Tummy Tucks and Brazilian Butt Lifts (fat grafting to the buttocks) will all be discussed on this week’s Body Beautiful airing on the Bay Area's News Station, KRON4, this Wednesday at 11:00 AM (12 Dec 2014).

Body Beautiful

It’s hard to believe that I have been appearing on Body Beautiful for seven years. Doing live television is fun with a little unpredictable mixed in. The nice thing about live TV is that viewers can call in and ask questions. Since there are no retakes, the time commitment is exactly the same as the length of the show, plus San Francisco Bay Area travel time. The downside is there are no retakes, so what you see is what you get.

New Studios Just About Finished

The new KRON studio goes live in the next few days, and I hear it’s as beautiful as it is state-of-the-art, but that will be seen next episode. This week’s Body Beautiful will be one of the last shows broadcasted from the old KRON 4 studios. The current TV studio’s layout is the result of years of use. Every inch is utilized, and every wall has a purpose.

Janelle Marie and Dr. Mele getting ready for another episode of Body Beautiful - Looks like we were talking about Breast Implants that day.

Janelle Marie and Dr. Mele getting ready for another episode of Body Beautiful – Looks like we were talking about Breast Implants that day.

The main KRON 4 studio I will use Wednesday has the Body Beautiful set, the main KRON 4 News set, a large green screen and the weather desk, the traffic desk and seating area used for interviews. In the center are the cameras which rotate around to the desired set. There are lots of cables interconnecting all the equipment on the floor and numerous lights hanging from the ceiling. Somewhere behind the green screen is the speaker that I hear your questions through. Above this is the booth where the producer and director produce and direct. The talent is top notch, and everyone is extremely nice, which helps a lot.

This Week’s Body Beautiful

This week I am covering procedures from head to tail. Popular Facial Plastic Surgery procedures like the Face Lift (Rhytidectomy) and the Eyelid Lift (Blepharoplasty) will be discussed, as will Body Shaping procedures like the Tummy Tuck (Abdominoplasty) and the Brazilian Butt Lift (Fat Grafting to the Buttocks).

Be Sure to Call In

During the show, the phone number for KRON 4 will be broadcast. If you have questions about any of the procedures reviewed, or about Plastic Surgery in general, be sure to call in during the show. It the mean time, you can call my office at (925) 943-6353, or send me a note via the contact form in the margin. Some questions are hard to answer without seeing you, but I will do my best to get you the information you need.

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SF Bay Area Eyelid Lifts in Walnut Creek, CA

Posted August 23, 2014 in Asian Eyelid Lift (Asian Blepharoplasty), Eyelid Lift (Blepharoplasty), Home

Eyes play a central role in defining facial beauty. Unfortunately, the eyelids are one of the first facial features to show the signs of aging.

Eyelid Surgery Before and After Photos

The Eyelid Lift or Blepharoplasty removes the skin that hangs over the eyes and the bags that hang under the eyes.

The Eyelid Lift or Blepharoplasty removes the skin that hangs over the eyes and the bags that hang under the eyes.

What Does Blepharoplasty (Eyelid Surgery) Do?

Blepharoplasty is performed to removed excess skin and bagginess from the eyelids. The Blepharoplasty Before and After Pictures above show the difference an Eyelid Lift can make. The excess skin on the upper eyelid presses on her eyelashes causing a heavy sensation, a tired look and it makes wearing eye makeup next to impossible. The lower eyelid is overstuffed and baggy. The after photo shows an alert appearance with a clean upper eyelid fold and smoothed lower eyelid bags.

Blepharoplasty Before and After Pictures

This Blepharoplasty Before and After Photo set shows how eyelid surgery can remove excess upper eyelid skin and lighten baggy lower eyelids.

This Blepharoplasty Before and After Photo set shows how eyelid surgery can remove excess upper eyelid skin and lighten baggy lower eyelids.

Keloids and Eyelid Surgery

My patients of African descent, who are considering cosmetic surgery, usually ask about keloid formation. The techniques used in African Eyelid Surgery are essentially the same as those for Caucasian Eyelid Surgery. While keloid formation is common on the chest, shoulders and ears, the eyelids are a privileged area, and keloid formation is extremely rare. Hypertrophic (thick) scars are also very rare on the eyelids, because the eyelid skin is very thin, and usually heals very quickly. As with any surgery, close follow-up is important to assure the best possible results.

Asian Eyelid Surgery

Asian Eyelid Surgery has many of the same goals as caucasian eyelid lifts, but may also include defining the upper eyelid crease. The Asian eyelid has a poorly defined upper eyelid crease. This allows the upper eyelid fat pad to fall forward and hang lower in the lid. The fold itself may be absent, or may consist of multiple folds. Eyelid surgery can be used to form a single clean fold in the lid and elevate the fat within the upper eyelid restoring a more youthful appearance.

Asian Eyelid Surgery can include refining an ill-defined eyelid crease in addition to removing upper eyelid skin redundancy and lower eyelid bags.

Asian Eyelid Surgery can include defining an irregular upper eyelid crease in addition to removing upper eyelid skin redundancy and lower eyelid bags.

Eyelid Rejuvenation

If you are considering Eyelid Rejuvenation call (925) 943-6353 today and schedule a personalized consultation appointment. More information about Blepharoplasty is available on the San Francisco Plastic Surgery Blog and on my main website, DrMele.com, but nothing can substitute for an in-person consultation with a Board Certified Plastic Surgeon.

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Eyelid Lifts – Blepharoplasty and Asian Eyelid Surgery

Posted April 05, 2014 in Asian Eyelid Lift (Asian Blepharoplasty), Eyelid Lift (Blepharoplasty), Home, Videos

Blepharoplasty (Cosmetic Eyelid Surgery) is the third most common Cosmetic Plastic Surgery. Only Breast Augmentation and Liposuction are performed more frequently.

Why is Blepharoplasty so Popular?

Blepharoplasty is popular with both men and women because not only does it reverse one of the most obvious signs of aging, it also makes us look more alert and interested. As we age, the eyelids tend to loosen and sag. Excess upper eyelid skin can block peripheral vision and cause a heavy sensation as it comes to rest on the eyelashes. Excess lower eyelid skin and fat can give lower eyelid bags, even festooning. This can shadow beneath the eyelids and compound any darkness already present due to pigmentation or vascular coloration. Both excess upper eyelid skin and lower eyelid bags make us look tired, even when we are well rested.

KRON4 Body Beautiful Television Presentation

Last month I had the opportunity to discuss how to improve the appearance and function of the eyelids on KRON4’s Body Beautiful. The show is broadcast live and gives San Francisco Bay Area viewers the opportunity to call in and ask questions. The (415) number used during the video was for the live show. If you have Blepharoplasty Questions call my Walnut Creek Plastic Surgery office directly at (925) 943-6353.

Blepharoplasty and Asian Eyelid Video

Eyelid Surgery Frequently Asked Questions

This Eyelid Surgery Video covers many of the frequently asked questions about blepharoplasty including the narration of multiple Blepharoplasty Before and After pictures:

  • What does Blepharoplasty mean?
  • How is Eyelid Surgery performed?
  • What is done during Upper Eyelid Surgery?
  • What is done during Lower Blepharoplasty?
  • Can the excess skin be removed from my Upper Eyelids?
  • Can the bags be removed from under my eyes?
  • Can all the fat be removed from around my eyes?
  • Before and After Pictures showing the removal of excess upper eyelid skin.
  • Before and After pictures showing the removal of excess lower eyelid fullness.
  • Before and After pictures showing the removal of excess lower eyelid skin.
  • Before and After pictures showing Asian Eyelid Surgery.
  • What is the recovery time after Eyelid Surgery?
  • What is the difference between Eyelid Surgery and a Chemical Peel of the Eyelid skin?
  • How can a distinct fold be made on the Asian Eyelid?
  • What is the difference between an Asian Eyelid and a Caucasian Eyelid?
  • What is the difference between Female Blepharoplasty and Male Blepharoplasty?

Schedule a Private Blepharoplasty Consultation

If you are considering Cosmetic Eyelid Surgery, whether to improve function or appearance, the best way to get your questions answered is with a private consultation. The specifics of what can be done, and what to expect will be explained, and you can get your questions answered fully. Give us a call at (925) 943-6353 to get started today. You can also contact us via the contact form in the left margin.

Dr. Joseph Mele is a Board Certified Plastic Surgeon who has been in private practice in the San Francisco Bay Area, East Bay city of Walnut Creek since 1997.

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Eyelid Lift San Francisco Bay Area | Blepharoplasty Walnut Creek, CA

Posted September 28, 2013 in Asian Eyelid Lift (Asian Blepharoplasty), Eyelid Lift (Blepharoplasty), Home, Videos

Heavy eyelids droop, making us look disinterested or tired. In the extreme, a sagging upper eyelid can block upward and lateral vision. Baggy lower eyelids, on the other hand, won’t block your vision, but they do make us look tired, and can add years to an otherwise youthful face.

Every Blepahroplasty is Different

When it comes to eyelids, Plastic Surgeons are here to help. By removing excess eyelid skin and fat, the Blepharoplasty can reduce the skin folds and open the eye. Every Cosmetic Plastic Surgery, requires specific techniques for individual anatomy. This is particularly important for eyelid surgery.

Male Eyelid Surgery (Blepharoplasty)

Men have differently shaped upper eyelids than women, and require specific attention to the masculine details for the best results. Overcorrecting, or worse over elevating the brow above the, male eyelids leads not only to a surprised look, but also a feminization of the male upper face. Most men do not look better with feminized eyes. Male Blepharoplasty must be performed carefully to get rid of the tired look and maintain the masculine anatomy.

Asian Eyelid Surgery

Asian Eyelids require different techniques than caucasian eyelids. The Asian eyelid attachments and the location of the upper eyelid fat pads are different than the Caucasian equivalent. While eyelid surgery can be used to open the eyelids, it may not be desirable to round the eye opening too much. Julie Chen recently made headlines when she disclosed that she had eyelid surgery to change the shape of her eyelids, after she was told by an agent that she looked bored and disinterested when interviewing a guest due to the heaviness of her upper eyelids.

Blepharoplasty aka Eyelid Lift Surgery Video Presentation

Dr. Joseph Mele appears on KRON4's Body Beautiful to talk about Eyelid Lifts (Blepharoplasties).

Dr. Joseph Mele appears on KRON4’s Body Beautiful to talk about Eyelid Lifts (Blepharoplasties).

This month, I had the opportunity to discuss popular Facial Plastic Surgery procedures like face lifts and eyelid lifts on KRON4‘s Body Beautiful with Janelle Marie. Before and after pictures were provided, as well as many of the options available for today’s San Francisco Bay Are Eyelid Lift patients. Caucasian and Asian Eyelid lift techniques used to restore more briliant looking eyes are reviewed.

Body Beautiful is a live show, so anyone watching can call in and have their questions answered. The (415) number shown during the broadcast is only for the live show, but if you have Blepharoplasty (Eyelid Lift) Questions, call my San Francisco Bay Area Plastic Surgery office directly at (925) 943-6353.

Blepharoplasty (Eyelid Lifts) as seen on TV

Frequently Asked Eye Lift (Blepharoplasty) Questions

The Eyelid Lift Video embedded above answers many of the most frequently asked questions about Blepharoplasties. Some of the information revealed includes:

  • What is a Blepharoplasty?
  • What are the goals for the Upper Eyelid Lift?
  • What are the goals for the Lower Eyelid Lift?
  • What are the goals for the Asian Eyelid Lift?
  • Can Liposuction be used around the eyes?
  • Eyelid Lift Before and After pictures are shown.
  • Asian Eyelid Lift Before and After pictures are shown.
  • Can a Brow Lift be added to a Blepharoplasty?
  • Can Blepharoplasty (Eyelid Lift) be added to a Rhytidectomy?
  • Will insurance cover Blepharoplasty?

More Eyelid Lift and Facial Plastic Surgery Information

More information about Eyelid Lifts and other Facial Plastic Surgery is available by clicking on the area of interest in the column to the left, or by visiting my main website’s Face Page

Other Segments from This Month’s Body Beautiful

To view other plastic surgery video segments from this month,s show, click on the following links:

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