Type 1 and Type 2 Eyelids

Type 1 and Type 2 Eyelids One of my colleagues came up with the distinction between two types of youthful eyelids.  Type 1 is a very full upper eyelid that hangs almost over the eyeball itself (not quite).  Type 2 eyelid is an eyelid that is much hollower but at the same time still distinguishes […]

Breaking the Brow into Subunits: Designing a Brow for Cosmetic Improvement In a previous blog we discussed why low, full brows are sexy, youthful and attractive. In this blog, we will delve into the exact subcomponents of a brow that need to be filled to achieve that look.  I break the brow into multiple points depending […]

When Do I Do an Upper-Eyelid Blepharoplasty and How? But should we always just add fillers or fat to the upper frame of the eyelid and never remove any tissues?  The answer is no.  If the eyelid skin is above the eyelash margin, I rarely if ever remove skin.  Filling fat or fillers into the […]

When Do I Do a Lower-Eyelid Blepharoplasty and How? Like the upper eyelid, I find myself performing many more fat transfers to correct the aging process than traditional eyelid surgery.  Further, if I perform a traditional lower-eyelid procedure I will almost always use some fat transferred to improve the result.  In fact, I look at […]

Correcting Fat Loss in IPL Damage: My Thoughts Unfortunately, I have heard a lot on the Internet about facial fat loss following a laser treatment like intense pulsed light therapy, or IPL.  Fortunately, I have never seen a patient of mine with this outcome.  I think partly because this phenomenon is rare and partly because […]

Recovery and Cost of Fillers vs. Fat Grafting I would like to focus on two specific pros and cons with fillers and fat transfer: cost and recovery. In the younger patient (under 35 years of age), fillers typically are the most affordable way to make a face look more youthful. The reason for this is […]

Top 10 Things People Worry about After a Fat Transfer (During the Recovery Period) When I call one of my patients the night following a fat transfer procedure, I usually mention the top few things that can make them alarmed that will resolve over the period of the next couple of weeks.  Here is that […]

High or Low Brows?:  What is Sexier for Men and for Women? I am reading a book called Survival of the Prettiest by Nancy Etcoff in which she says studies have shown that a higher brow actually looks less attractive to subjects who viewed various individuals with different brow heights.  A low brow was considered […]

Understanding the Brow as a Balloon:  The Role of Fat Grafting to the Brow One of the most confusing things that I do is to inflate a brow/upper eyelid with fat or filler when someone instinctively thinks that her brow is already too heavy and sagging.  If someone really does not get it, all I […]

Eyebags, Shorelines, and Rocks When we talk about eyebags, we are focused on the obvious, which is that there is a protuberant bag of tissue. However, is this really the case in the majority of situations? My answer is no. What I oftentimes see is that the lower orbital bony rim becomes exposed over time […]

Fat Grafting Eyelid Series Part 1 of 2:  Rethinking Aging of the Upper Eyelid and Brow Traditionally, we have looked at the aging of the upper eyelid and brow through a gravitational model, i.e., we believe that the aging of the upper eyelid and brow sag over time.  This is not always the case.  In […]