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Eyelid Surgery Specialist

Raymond Douglas, MD, PhD -  - Oculoplastic Surgery

Raymond Douglas, MD, PhD

Oculoplastic Surgery located in Beverly Hills, CA

The way your eyelids rest can completely transform the shape of your face. Whether you want to eliminate your “double eyelid” with Asian eyelid surgery or you want to correct a previously botched eyelid procedure, Raymond Douglas, MD, PhD, has the right treatment for you at his office in Beverly Hills, California. Dr. Douglas is a board-certified oculoplastic and reconstructive surgeon who practices in both Beverly Hills and Shanghai, China. He specializes in both Asian eyelid surgery and eyelid revision surgery. To learn more, call Dr. Raymond Douglas, MD, PhD, or schedule an appointment online today.

Eyelid Surgery Q&A

Eyelid surgery, also known as blepharoplasty or an "eye lift," can be performed on the top eyelids, bottom eyelids, or both, typically to reduce sagging in the lower eyelid and/or remove excess tissue in the upper eyelid. 

As we age, our skin begins to lose its volume and definition. The collagen that once gave our skin its youthful structure and smooth surface begins to decrease, wrinkles form, skin starts to sag, and fat deposits are slowly pulled down by gravity. A loss of skin elasticity combined with decreased tissue volume frequently results in sagging skin on both the upper and lower eyelids, causing wrinkles and bulges. On the upper lid, this can cause the extra skin to hang low over the eye itself, even going so far as to obscure the vision of the patient. On the lower lid, the weight of extra skin and decreased tissue can cause the eyelid to droop so that the white of the eye is visible beneath the iris. This most commonly occurs in older adults, but can show up earlier in life for hereditary reasons.

A blepharoplasty is an effective option to treat sagging eyelids that are the result of the aging process. Upper lids that hang down and obscure vision, lower lids that droop, failing to adequately protect the eye itself, and bulging fat deposits that have slipped out of place are all conditions that are effectively addressed by Dr. Douglas. The results of an upper eye lift can typically be expected to last between five and seven years, while lower lid surgery is more or less permanent. Of course, your eyes will still age, and if sagging becomes an issue again, your doctor may recommend a forehead lift instead of another eyelid procedure.

What is Asian eyelid surgery?

Many people of Asian descent lack a natural crease in the upper eyelid, leading to what is known as the “double eyelid” — an eyelid in which a fold is present above the lash line. During Asian eyelid surgery, or Asian blepharoplasty, the team manipulates or removes excess tissue on the upper eyelid to give the eyes a more open appearance.

While traditional blepharoplasty focuses on tissue removal and repositioning, Asian eyelid surgery is a more delicate procedure that requires a unique understanding of Asian eyelid anatomy. The team specializes in this procedure and takes an artistic approach, paying special attention to the upper lid skin fold.

What happens during Asian eyelid surgery?

Traditional blepharoplasty is designed to rejuvenate and refresh the eyes. Studies show that Caucasian eyes contain specific attachments within the skin along the fold of the upper eyelid, which attach to deeper tissues that retract when the eyes open.

Because those seeking Asian eyelid surgery don’t have folds in their eyelids, those attachments don’t exist. During the procedure, the team makes discreet incisions in the area where the new crease will be. They then create a new attachment through the incisions, which allows for a much deeper fold when the eye opens.

What is eyelid revision surgery?

Eyelid revision surgery is a delicate procedure that corrects mistakes from original eyelid surgery. Some of the most common signs of a failed eyelid procedure include:

  • Drooping eyelids (ptosis)
  • Eyelid that folds inward (entropion)
  • Eyelid that folds outward (ectropion)
  • Bulging eyes (eyelid retraction)

Eyelid revision surgery is a more complex procedure than original eyelid surgery, so it’s important to choose a board-certified oculoplastic surgeon like Dr. Douglas. 

What happens during eyelid revision surgery?

Depending on your unique case, the team may employ a variety of techniques to reposition and manipulate your eyelids to achieve your desired results. Some common problems that they can correct with surgery include:

Bulging eyes

For bulging eyes, the team may use a special technique called orbital decompression — a procedure that removes bone and fat from the socket, or orbit, of the eye to relieve inflammation and reduce the size of bulging eyes.

Volume collapse

If too much fat is removed during your original blepharoplasty, the team may recommend nonsurgical fillers to reduce the signs of hollow eyelids.

Paralysis

Paralysis of the eye muscles can lead to dry, red eyes. The team may use reinnervation techniques to stimulate muscle control and help the eyelids function properly.

Middle lamella scarring

Scarring in the middle lamella — the middle of the eyelid — can prevent the eyelid from moving properly. The team may use biologic remodeling injections to stretch and manipulate the scar tissue.

Skin shortage

If you have a skin shortage around your eyes, the team may biologically remodel and add skin to the area, blending it in seamlessly with the rest of your skin.

Dr. Raymond Douglas, MD, PhD, is a renowned oculoplastic surgeon with a breadth of experience in all areas of eyelid surgery. To schedule an appointment, call the office or book online today.

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