Absolutely the most talented Plastic Surgeon and I ever worked with. An artist at heart, Dr. D can turn back time with his surgical abilities. His work is remarkably natural and exceptionally noticeable.
Aesthetic eyelid procedures including surgical Blepharoplasty are designed to reduce excess wrinkling, puffiness and fatty prominence in the areas of the upper and lower eyelids. The patient should be aware that the term “upper eyelids” refers to the area above the eye and the term “lower eyelid” refers to the area under the eye. Eyelid surgery (Blepharoplasty) can frequently minimize conditions that give individuals a “tired” appearance such as a wrinkled fold of skin on the upper eyelids or “bags” and sagging skin on the lower eyelids.
Fat in the eyelids is positioned behind a thin fibrous septum that for various reasons may become lax and allow bulging of orbital fat (the fat that surrounds and supports the eye.) This is often seen as “bags” under the eyes that give that tired appearance. The amount of orbital fat reduces somewhat with age but otherwise is constant and is almost never in excess.
For the past years, the majority of plastic surgeons routinely remove the bulging fat from around the upper and lower eyelids. Although the fat pads or bulges/bags are gone, often the eyes look different but not rejuvenated. If excess fat is removed from the lower eyelids, not only will it cause hollows below the eye, it will also create a sunken upper eyelid appearance.
Instead of this routine, older procedure which opens the fibrous septum and removes fat, this new procedure repairs the laxity of this fibrous septum and repositions the fat back into its natural position giving the eyes a more youthful appearance.
Relocating,rather than removing herniating fat pads also has the added benefit of giving the globe of the eye itself a position and projection of youth.
Upper Eyelid Surgery: The incision is generally made in the crease of the upper eyelid and extended down and laterally to the side for a short distance. The excess skin is then removed and the fat is repositioned and secured in place. The incision is closed with sutures (stitches) which are removed over a 5 to 7-day period.
Lower Eyelid Surgery: there are two principal approaches: