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There are currently 37 public questions in the database, with 56 questions waiting for an answer. The answered questions can be seen below.
What can Blepharoplasty Achieve? - Dr. Kami Parsa
The eyes will appear more rested and vibrant after cosmetic eyelid surgery. Most often the results are so natural that friends and coworkers will comment on how great you look, without realizing that surgery was performed. The incision for blepharoplasty is hidden in natural creases of the eyelid, and it heals extremely well.
What do you mean by customized blepharoplasty? - Dr. Kami Parsa
Many plastic surgeons perform the blepharoplasty procedure in the same manner for all patients. This is like visiting a hairstylist who can who can only cut your hair in one way. The Art of Blepharoplasty needs to be refined and customized for each patient individually. As recent as 10 years ago and even today, excessive orbital fatty tissue was removed as part of the blepharoplasty procedure, resulting in periorbital hollowness and a wasted or ill appearance. Today we know that youthful eyes are open and full. This is why Dr. Parsa customizes the treatment plan for each patient individually to achieve a youthful harmonious outcome.
What is Asian Blepharoplasty? - Dr. Kami Parsa
The Asian eyelid is significantly different in anatomy and structure than the occidental eyelid. Approximately 50% of Asians have a defined eyelid crease. This crease divides the upper eyelid into two segments also known as a “double eyelid.” When present, the shape and location of the eyelid crease are lower and different than the occidental eyelid. It must be made clear that most Asian patients without an eyelid crease who seek cosmetic Asian blepharoplasty do not want to look “westernized,” they would like to look like the other 50% of Asians who do have an eyelid crease.
What are the different types of Asian eyelid creases? - Dr. Kami Parsa
Depending on the shape of the face and the patient's own preferences, Dr. Parsa will discuss the various options for the eyelid crease before the operation. The goal is to create a natural Asian crease rather than a wide open “westernized” occidental crease. Here are some examples of eyelid crease positions.
What is the difference between a transconjunctival vs transcutaneous lower eyelid blepharoplasty? - Dr. Kami Parsa
• Transonjunctival Lowerlid Blepharoplasty : This involves making the incision behind the eyelid. This is the most ideal procedure for younger patients or those with very little redundant skin on the lower eyelid. The incision is then used to access the prolapsed orbital fat for repositioning or removal.
• Transcutaneous Lowerlid Blepharoplasty: The incision is made about 1 to 2 mm below the eyelashes on the lower eyelid. This procedure is best performed on older patients or those that may need “skin tightening.” This procedure can also be combined with a SOOF lift to achieve more harmonious cheeks and lower lids.
What other procedures can be combined with blepharoplasty? - Dr. Kami Parsa
Because of their close proximity to the eyelids, the eyebrows and cheeks play an important role in the final aesthetic outcome of the procedure. During the initial evaluation, depending on your needs, a browlift or a mid-facelift procedure might be recommended in combination with the blepharoplasty.
What type of anesthesia is used for blepharoplasty? - Dr. Kami Parsa
Most eyelid surgery can be performed under local anesthesia. If desired, local anesthesia with sedation can be performed. This type of anesthesia, also known as Monitored Anesthesia Care ( MAC ), is performed by an anesthesiologist. The main advantages of this anesthesia are: (1) it does not require putting a breathing tube in the throat, (2) it does not require a breathing machine, (3) the recovery is much faster, (4) there is less nausea after surgery. All of these elements translate into greater comfort and safety.
During MAC anesthesia, an intravenous needle is placed into one of the veins of the arm or hand. Relaxing medication is given to make the patient fall asleep. The amount of medication is adjusted as needed. After the patient is asleep, numbing medicine is placed in the skin of the area that is being operated on. During the procedure the patient is unaware of anything going on and cannot hear anything, yet he or she is breathing normally.
What is the recovery like for blepharoplasty? - Dr. Kami Parsa
Depending on the person's previous medical history there will be some swelling and bruising around the eyelids for one week. There is minimal eye discomfort after the procedure. Ice packs are recommended for the first 2 days to decrease swelling. With makeup, most patients can return to work or social activities in one week.
I am interested in blepharoplasty! How should I proceed? - Dr. Kami Parsa
If you are considering this procedure we encourage you to schedule a private consultation with Dr. Parsa. During this visit he will listen to your concerns and, after a comprehensive evaluation, will discuss the best management for you. If you are a suitable candidate you will be informed of all potential risks of the procedure. Depending on your gender, ethnicity, and age, a customized procedure will be tailored for you. If you are an out of town patient visiting our Beverly Hills Office, please do not hesitate to contact us to help arrange your travel plans.
I have had cosmetic surgery before and now I cannot close my eyes, can you help me? - Dr. Kami Parsa
This is probably the most common complaint that is referred to Dr. Parsa for surgical correction. This problem usually happens when during the previous surgery excess tissue and skin was removed. Depending on the severity of the case there are several procedures which can be done or combined to achieve the desired functional and cosmetic outcome. For example skin from behind the ear, which very closely matches the texture of eyelid skin can be harvested and used to raise the eyelid. The mid-face can also be elevated by suspension sutures to raise the lower eyelid. The conjunctiva (the clear tissue on the inside of the eyelid) can be elevated by borrowing mucosal tissue from the mouth.
