Eyelid Surgery (Blepharoplasty)
 Blepharoplasty can rejuvenate puffy, sagging and tired-looking eyes by addressing excess skin, muscle and fat in eyelids. It is typically a cosmetic procedure but can also improve vision by lifting droopy eyelids out of the patient's field of vision.
The procedure is usually performed with local anesthesia or combined with sedation and may take 1 to 2 hours. Incisions are made along the eyelids in inconspicuous places (in the creases of the upper lids, and just below the lashes on the lower lids). Excess skin, muscle and fat are removed and closed with fine sutures. Dr. Sabry prefers to reposition the fat in the lower eyelids rather than removing it to avoid a "hollow" appearance postoperatively. In the case that no skin needs to be removed, a transconjunctival blepharoplasty can be performed, where the incision is made inside the lower eyelid and there are no visible scars.
Stitches are removed after four days and most people return to work in ten. Contact lenses may not be worn for two weeks. Eyes can be sensitive to light and wind and may be slightly irritating for a short while; eye drops and cool compresses help to alleviate these discomforts.
Complications from the procedure are uncommon, and can include: infection, temporary swelling, double or blurred vision, tiny whiteheads, and difficulty closing eyes when going to sleep. Uneven healing and scarring, and ectropion (pulling down of the lower lids) are very rare and may require surgical correction.
Blepharoplasty may be performed alone or can be combined with other cosmetic procedures such as endoscopic browlift, facelift, fillers (Restylane®, Juvéderm™, Radiesse™) and BOTOX® treatments.
Forehead Lift (Browlift)
 Browlifts can revitalize drooping or lined foreheads, helping you to look less angry, sad or tired. Using either traditional or minimally invasive (endoscopic) methods, browlifts involve the removal or alteration of the muscles above the eyes to smooth lines and raise the eyebrows for a more youthful appearance. The procedure is often combined with other operations such as blepharoplasty (eyelid surgery) and facelifts to create a more youthful appearance.
While browlifts are typically performed on patients aged 40-60 to counteract the effects of aging, anyone with lined or inelastic skin on the forehead - whether it's caused by muscle activity or inherited conditions - are eligible. The procedure is usually performed using local anesthesia and sedation.
Dr. Sabry believes most people are candidates for minimally invasive Endoscopic browlift: three to five short incisions (l2cm) are made behind the hairline. The endoscope is placed in one and forehead reales is performed under direct vision. The muscles that cause deep creases and frown lines are removed to achieve a smooth contour. The forehead is lifted until the eyebrows reach the optimum position when it is fixed with resorbable (endotiene) device. The skin is closed with sutures and staples.
Patients who present with a long forehead (large eyebrow to hairline distance may require a
Traditional browlift with hairline incision where a coronal (headphone-shaped) incision along the hairline, stretching between the ears and across the top of the forehead. Then the forehead skin is lifted, tissue is removed, muscles are adjusted and the eyebrows may be lifted. Excess skin is trimmed and the incision is closed in layers with stitches.
With both procedures, you will be on your feet and able to wash your hair in a day or two, and many patients return to work or school in 7-10 days or less. Swelling and bruising should fade by the third week.
Complications are rare and usually minor but may include temporary numbness, nerve injury, hair loss along scar edges.
Facial Implant Surgery
 Facial implants are often used to enhance your natural features and to better define cheekbones, jawlines and chin, hence, a more distinct look. The implant is chosen based on your facial features and expectations.
The surgery may be performed alone or in conjunction with other rejuvenating procedures ie. Facelift, browlift, rhinoplasty and blepharoplasty.
The chosen implant may be placed through an eyelid or intra-oral incision directly over the cheekbone.
A small incision is used either under the chin or intra-orally to create a pocket and an implant is placed over the chin.
Intra-oral incision is used to create a pocket at the jaw angle or body and implant placed.
Tape is applied over the operative area to minimize swelling. Most swelling, bruising and discomfort may subside within first two weeks. Most patients are able to return to work within a week and resume strenuous physical activities after 4 weeks.
» Additional Facial Procedures
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