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Cosmetic

Eyelid Surgery

Trifecta & Quadfecta lift

The Evolution of Eyelid Rejuvenation

We are as unique as our fingerprints. Each one of us has our own genetics, history, diet, habits, and anatomical variations which affect how we look. Therefore it’s easy to understand that there is no one size fits all solution when it comes to facial rejuvenation. I’ve been performing eyelid rejuvenation for close to two decades, and one thing I’ve noticed is that most people just want to look refreshed without looking like someone else, or worse look like they had “bad work done”. One of the philosophies that drives me is to do something natural where no one can tell any work was done. Of course everyone is affected by the aging process differently but these are some of the factors that contribute.

Skin: The skin around the eyes is the thinnest in the body. As we age it gets looser and thinner, resulting in a crepey appearance to the lower eyelids and stretching of the upper eyelids.

Eyebags: Some people anatomically have puffy lower eyelids which results in a shadow effect, especially under certain lighting, which gives the appearance of dark circles and looking tired all the time. Also the structures that hold the orbital fat loosen with time and result in what we call fat herniation and eyebags.

Volume loss: It is a known fact that we all lose volume around the face as we age, and that leads to some of the changes we see around the eyes. For example, the sub-brow fat volume loss can result in descent of the brows and droopy eyelids. We also lose volume around the orbit which is the junction of the eyelids and midface. The part closer to the nose is called the tear troughs; and as we get older we lose more volume laterally giving rise to the lateral hollow. The mid face, which is the cheek area, not only loses volume with time but it also descents and the maxillary bone that supports it also retrudes as we age.

What is the Trifecta Lift?

The Trifecta lift is a surgical procedure that I have created to target the three aspects of lower eyelid aging. This technique addresses the three aspects of lower eyelid rejuvenation.

  • Lower eyelid bags: a customized lower eyelid blepharoplasty is performed through the inside of the eyelids with no visible scars outside. The herniated fat pads are then repositioned to a different degree as needed to create a smooth transition of the tear troughs.
  • Skin: a resurfacing or a tightening procedure is performed as needed to reduce fine lines. It must be noted that dynamic wrinkles which appear when we smile giving rise to crows feet will still be there and treatments with neurotoxins is one of the best and simplest ways to address those issues.
  • Volume loss: I find this is one of the most important aspects of lower eyelid rejuvenation that usually gets neglected because we’re so focused on the “eyebags”. For me the best surgical way to revolumize the midface is to use the patient’s own fat. This is a highly technical procedure, and the goal is to create a natural feel to the midface without making someone look over inflated. Over the past 17 years I’ve performed thousands of these procedures, and I find that revolumizing the midface is one of the most essential components of the Trifecta lift technique which gives natural, long lasting results.
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What is the Quadfecta Lift?

It is the Trifecta lift + addressing the upper eyelid changes, which may include upper eyelid blepharoplasty alone or in combination with brow lift and fat grafting. As mentioned this is not a one size fits all, but addresses the key components of the individuals periocular aging changes.

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What type of anesthesia?

Both the Trifecta lift and the Quadfecta lift are performed under anesthesia. Although upper eyelid blepharoplasty when performed alone is done under local anesthesia, when it comes to total periocular rejuvenation I’ve found that it is much easier and the outcome is much better when these procedures are under anesthesia. This reduces the need to inject a lot of local anesthesia which can distort tissue and affect the outcome of the procedure and result in prolonged healing.

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What is recovery like?

Everyone heals a little differently. Depending on the person’s previous medical history there will be some swelling and bruising around the eyelids for one to two weeks. Most patients can return to work after 5 to 7 days. There is minimal eye discomfort after the procedure. Ice packs are recommended for the first 2 days to decrease swelling. Arnica & Bromelain will help reduce swelling and bruising.

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When can I exercise?

Although walking with proper sun protection is recommended after a few days of rest, no heavy exercise or cardio for two to three weeks after surgery.

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When can I expect final results?

We tell patients that 20% of healing takes place by the first post op week and 60% to 70% during the first month. The sweet spot for any surgical treatment is 3 to 6 months post op. Remember healing is a continuous process and the more you take care of yourself post op and listen to your body the faster you heal.

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Example Patient Story Videos

Trifecta Lift:

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This beautiful patient came to see us after having been injected with #Juvederm products several times. I have said many times, we are seeing a pandemic with patients experiencing chronic swelling after being injected in the tear trough area with these fillers. Always see a specialist when injecting anything around the eyes. Most people are not candidates for these types of fillers, and we recommend other treatments for this area. This patient had to have her fillers dissolved several times, and then we preformed the #TrifectaLift to fix per problem. Her results still look beautiful one year post-op! It was a pleasure to take care of her. If you have a question about #eyelidsurgery, drop us a comment! _ 🎉 Results: Natural ✏️ Note: Individual results may vary 📱 Call or text us: 310.777.8880 📬 Email: info@oculoplastic.info 🌎 website: www.oculoplastic.info 📍Location: 465 N Roxbury Dr., Beverly Hills, Ca 90210 🚘Valet Parking in parking garage 💵 Cost: please visit our website for pricing. This is an actual patient of Dr. Parsa. Copyright. Do not distribute without consent. #transformationtuesday #kamiparsamd #oculoplastics #oculoplasticsurgeon #plasticsurgery #cosmeticsurgery #topdoctors #eyelidsurgery #losangeles #beverlyhills #transformation #makeover #beforeandafter

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This lovely patient's main concern was heavy under eye bags. I performed a lower eyelid #blepharoplasty with micro-droplet fat injections to remove the bags and smooth her mid-face area. Note the natural contour to her eyes. It was a pleasure to take care of her. _ 🌟Results: Natural 📱 Phone: 310.777.8880 📬 Email: info@oculoplastic.info 🌎 Website: www.oculoplastic.info 📍Location: 465 N Roxbury Dr., Beverly Hills, Ca 90210 🚘Valet Parking in parking garage 💳 Cost: Please visit our website for pricing information ✏️ Note: Individual results may vary. 👩 This is an actual patient of Dr. Parsa 📷 Photos used with patient consent and copyrighted. Do not distribute.

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Lower eyelid blepharoplasty + co2 laser resurfacing. Around 40% of our clients are male patients wanting natural and refreshed results. This gentleman was bothered by puffy lower eyelids and I performed a lower eyelid #blepharoplasty. Note the natural results. Have a question? Drop us a comment! _ 📱 Phone: 310.777.8880 📬 Email: info@oculoplastic.info 🌎 Website: www.oculoplastic.info 📍Location: 465 N Roxbury Dr., Beverly Hills, Ca 90210 🚘Valet Parking in parking garage 💳 Cost: Please visit our website for pricing information ✏️ Note: Individual results may vary. 👩: This is an actual patient of Dr. Parsa 📷: Photos used with patient consent and copyrighted. Do not distribute.

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Quadfecta Lift:
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A lot of patients are interested in seeing how they will look and feel a week after surgery. This patient was 6 days post-op (upper and lower #blepharoplasty, fat injection and Co2 laser) and although she still has a lot of healing to do, she looks incredible. ❤️🙏🏼 Thank you for sharing your journey with us! It is so humbling when a patient says something you did is “life changing”. Note: everyone heals a little different and individuals results vary. If you have a question about #eyelidsurgery, drop us a comment! _ 🎉 Results: Natural ✏️ Note: Individual results may vary 📱 Call or text us: 310.777.8880 📬 Email: info@oculoplastic.info 🌎 website: www.oculoplastic.info 📍Location: 465 N Roxbury Dr., Beverly Hills, Ca 90210 🚘Valet Parking in parking garage 💵 Cost: please visit our website for pricing. This is an actual patient of Dr. Parsa. Copyright. Do not distribute without consent. #kamiparsamd #oculoplastics #oculoplasticsurgeon #plasticsurgery #cosmeticsurgery #topdoctors #eyelidsurgery #losangeles #beverlyhills #transformation #makeover #beforeandafter

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Watch this beautiful patient’s transformation. She underwent an upper eyelid blepharoplasty, lower eyelid #blepharoplasty and fat injections to the mid face to replace lost volume. You can also see her journey on our previous post. We love seeing our patients smile in their photos after surgery ❤️ #quadfectalift _ 🌟Results: Natural 📱 Phone: 310.777.8880 📬 Email: info@oculoplastic.info 🌎 Website: www.oculoplastic.info 📍Location: 465 N Roxbury Dr., Beverly Hills, Ca 90210 🚘Valet Parking in parking garage 💳 Cost: Please visit our website for pricing information ✏️ Note: Individual results may vary. 👩 This is an actual patient of Dr. Parsa 📷 Photos used with patient consent and copyrighted. Do not distribute.

A post shared by Kami Parsa MD (@kamiparsamd) on

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This beautiful patient complained of heavy upper eyelids and puffy lower lids. She was a perfect candidate for the #QuadfectaLift, which involves an upper and lower eyelid #blepharoplasty, micro-droplet fat injection using a little of her own fat to fill in any hollowness, restore volume and smooth the transitions, and finally a little co2 laser skin resurfacing. Send us your plastic surgery questions in the comments! _ 🎉 Results: Natural ✏️ Note: Individual results may vary 📱 phone: 310.777.8880 📬 Email: info@oculoplastic.info 🌎 website: www.oculoplastic.info 📍Location: 465 N Roxbury Dr., Beverly Hills, Ca 90210 🚘Valet Parking in parking garage 💵 Cost: please visit our website for pricing. This is an actual patient of Dr. Parsa. Copyright. Do not distribute without consent.

A post shared by Kami Parsa MD (@kamiparsamd) on

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This beautiful patient complained of heavy upper eyelids as well as under eye bags. I performed an upper and lower eyelid blepharoplasty with co2 laser skin resurfacing under her eyes to help tighten the skin. Watch to see her before and after. We thank her for sharing her journey with us! 🙏🏼❤️ _ 🎉 Results: Natural 📱 Phone: 310.777.8880 📬 Email: info@oculoplastic.info 🌎 Website: www.oculoplastic.info 📍Location: 465 N Roxbury Dr., Beverly Hills, Ca 90210 🚘Valet Parking in parking garage 💳 Cost: Please visit our website for pricing information ✏️ Note: Individual results may vary. 👩: This is an actual patient of Dr. Parsa 📷: Photos used with patient consent and copyrighted. Do not distribute.

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For more examples and real patient stories, please follow us on Instagram @kamiparsamd

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Testimonials

4.8 / 5.0

Based on 29 reviews

Dr. Parsa is not only an amazing surgeon! He is also very caring and meticulous! His expertise shows in his wonderful bedside manner overall knowledge of his field. I appreciate his knowledge, advice and professionalism for over 6 years. I trust him with my eyes and refers him to my family and friends! His staff is trusting and caring and I love seeing them!

Erica D.

Words cannot express how thankful and appreciative I am to have found you. I am deeply grateful for you, for your generosity and caring nature as pertaining to my medical condition. As you know, I was apprehensive about having further surgery, but you are and have been reassuring and confident in the type of procedure you would perform in order to fix my eyelid from the beginning. The fact that you are not pushy and gave me the time and space to make the decision on my own allowed me to prepare myself mentally and emotionally, that really made a difference. Besides from that, your continuous generosity made me confident that you were the right doctor for the task at hand. You will never know how appreciative I am of that. I would also like to let you know how pleased I am with the results of the surgery. I have not felt this comfortable in years. My parents are also very grateful since this was my 14th surgery. You have a true gift. Thank you again for your patience, time, concern, and overall care. I pray that God continues to give you strength to help people who truly need life-changing medical procedures.

Sophia P.

Dr. Parsa is an amazing doctor. Warm and very caring. I had my eyes done a couple years ago and I couldn't be happier. Dr. Parsa likes to take the conservative approach which I greatly appreciate in a doctor when it comes to cosmetic surgery. I also go to Dr. Parsa for Botox and he always knows just the right amount. The staff in Dr. Parsa's office are all terrific!

Todd H.