What is a "Botox lift" or "Botox Brow Lift"?

Q: I thought that Botox could make your face sag more, so how is a Botox Lift even possible? How does a Botox Brow lift work?

A: Botox, if placed in the proper position can raise the eye brows a few millimeters. Now this may work for someone who has mild brow ptosis (droop). Now remember that the effects of Botox lasts approximately 3 to 4 months. And if you seek anything longer than that a surgical procedure such as endoscopic brow lift might be necessary.

What our Eyelid Surgery Patients are Saying

Dear Dr. Parsa:
I have been trying to formulate the appropriate way to express my gratitude to you. It is difficult because it is mingled with all the emotions of Gabe’s ordeal that I have been experiencing. The process began with a tremendous amount of fear and anger which I had to disguise for Gabe’s sake. He kept saying that I needed to be positive. It was the only way that he would make it through all of this, and so we did that together, fortunately with some success. Interestingly, as he progressed in his recovery, my emotions welled to the surface and I had several trying weeks as I dealt with the challenge of ridding myself of the image of a brutal stranger beating my child’s face.

I know that time will heal both of us physically and emotionally. And in all of this was you, our wonderful surgeon, skilled in both your medical specialty as well as your ability to offer us your calming and reassuring presence. All that you are and have done for us means more than I can express to you on this page. Know that I will forever be grateful to you for your extraordinary skills and for steering us with care through our crisis.

P.S. If there is ever another family who would benefit from speaking to me or Gabe, please do not hesitate to have them contact me. I would be happy to offer support for anyone in a similar difficult situation.

Sincerely,
Jade S.

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What our Eyelid Surgery Patients are Saying

Dr. Parsa is an amazing doctor who is very skillful at his work and extremely understanding and caring. The whole procedure, from the first day I entered Dr. Parsa’s office for the consultation to the day of the surgery, has proven to be above and beyond my expectations. Thank you to Dr. Parsa and his entire staff, plus the anesthesiologist, David, was a superb anesthesiologist.

Love,
Lisa V.

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Browlift vs Blepharoplasty - which is best for sagging eyelids?

Q: Is a brow lift (forehead lift) better to raise sagging eyelids than a blepharoplasty?

A: Every time I see a new patient in my office for consultation, after listening to their needs & concerns they get a full comprehensive evaluation. At end of the evaluation depending on the patient’s individual anatomy I come up with a customized treatment plan.

Now because of the proximity of the brow to the upper eyelids and variations in anatomy and the aging process, each person will have different contributions to the sagging upper eyelids. Some people will have severe brow droop which is most of the problem and some people may not have any brow droop. So your treatment plan will have to be customized for you.

Picture of Lower Eyelid Reconstruction Surgery

Picture of Lower Eyelid Reconstruction Surgery
Originally uploaded by OculoplasticSurgery

Some of the most dreaded complications of facial plastic surgery are those associated with the eyelids. The eyes and eyelids are very sensitive structures and are not as forgiving. As an oculoplastic surgeon with expertise in plastic surgery around the eye, a majority of Dr. Parsa's referrals are patients who have had previous complications with facial plastic surgery and now require cosmetic and functional correction around the eyelids. Depending on the specific problem, the necessary correction may involve a simple procedure or a complex eyelid reconstruction. Our goal is to regain normal function while maintaining aesthetic outcome.
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What our Eyelid Surgery Patients are Saying

Dr. Parsa: 

I want to say to you that not only are you a very skillful, gifted doctor in the work you perform, but you also are blessed with something extra which puts you on a higher plane than other surgeons. I believe this extra special quality which you possess is your intuitiveness and listening abilities. I mean you give wholeheartedly to each and every one of your patients to truly hear their personal concerns when sitting in your presence. I know with me, you often had to hear me babble about nonsense. Yet, you still cared. This quality truly enables you to connect with your patient’s real needs, giving a positive end result. I want to tell you that life is definitely a gift. So, I say thank you Dr. Parsa for the gift you have given me. I sincerely express my appreciation and gratitude for your professional work, care, and passion.

Thank you so much.
Janet B.

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Eyelid Belpharoplasty Risks, Problems, What to Know in Advance

Q: In preping myself for eyelid blepharoplasty procedure i'd like to know what to expect beforehand.  Am I taking risks? what problems are possible? help me calm down!


A: There are more than 50 different ways to perform an eyelid surgery. Depending on you, your needs and your anatomy your surgeon should come up with a specific treatment plan to meet your needs. Unfortunately some surgeons only know of one or two ways of doing these procedures and they use that on every patient they see.

So I would say make sure you do your homework before choosing an eyelid surgeon because revisional surgery (fixing previously poorly performed surgery) is more challenging and costs much more than primary surgery. Make sure you at least you ask for an oculoplastic surgeon.

What our Eyelid Surgery Patients are Saying

Hi Marie:

I'm soooooooooooooooooooo happy !!!!Thank you so much and  MY VERY BIG THANKS TO Dr Parsa for his magic ! I truly felt cared for and my long trip was priceless in knowing that I was in good hands from the start ! I'm being good- no sun- no swimming - no weed whacking !!!! But, I  thought I'd share a little photo of what I'm coming home to.....my little swimmers ! They have the end of year Banquet this Friday !

Thank you again for all !
Galen

Dr. Kami Parsa's Media Appearances

Dr. Parsa has appeared on numerous media outlets around the world, including CNN, ABC, NBC, CBS, The New York Times and the Miami Herald.

Oculoplastic Frequently Asked Questions

Q: Will my insurance pay for Blepharoplasty?

A: Insurance paying for upper eyelid surgery
There are three criteria that medicare has established and all three need to be documented before your insurance company considers covering the cost of upper eyelid surgery.

1. Documentation of superior visual field loss: This test is performed with each eyelid taped up to prove improvements in the superior visual field after surgery.

2. Documentation of ptosis (eyelid droop) OR dermatochlasia by your surgeon

3. Frontal and side view photographs documenting the presence of ptosis or dermatochlasia.

Now remember each insurance company is different and may have their own rules for qualifications.

What our Eyelid Surgery Patients are Saying

Dear Dr. Parsa:

You are an angel disguised in human form doing God’s friendly work here on Earth. Even while still healing above and beyond my expectation. Thank you for all your care and patience with me.

Sincerely,
Lisa V.

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Entire Eyelid Surgical Procedures Including Ptosis, Cosmetic & Revisional

Oculoplastic Frequently Asked Questions

Q: Will I be able to close my eyes after eyelid surgery? does the eyelid surgery leave the lids pulled open more so, causing difficulty to close them?

A: Eye closure after blepharoplasty
The eyelids are very delicate. If the blepharoplasty procedure is performed correctly you should have no problems with your blinking or eyelid closure. A major part of my practice is revisional surgery (correcting previous bad surgery) and I see inexperienced doctors taking too much skin which leads to eyelid closure problems.

What our Eyelid Surgery Patients are Saying

Dear Dr. Parsa, Marie, Morgan, and Janet:

Just wanted to say thanks. Dr. Parsa, thanks for your generosity and care above and beyond your call of duty. Marie, thanks for making me feel at home and comfortable. Morgan, thanks for all the phone calls, even when I was not supposed to be there. Janet, you guys are rock stars. Good luck and be well.

Sandra L.

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HAITI MISSION TRIP : SURGICAL FRIENDS FOUNDATION

HAITI MISSION TRIP : SURGICAL FRIENDS FOUNDATION
Originally uploaded by OculoplasticSurgery

Because of the devastating earthquake that occurred in Haiti, thousands of people have lost their lives. The country is in desperate need of continuous help. Surgical Friends Foundation is planning its first trip to Haiti to see patients at Hope Hospital in June 2010. Here is how you can help:

Oculoplastic Frequently Asked Questions

Q: Can eye bags and fat be removed without blepharoplasty?
I have had two eyelifts on the lower lid and there is not a lot of elasticity left. However, I have fat under one eye and would like to if possible have it removed. Is this possible?

A: Multiple lower lid surgeries
The most important advise for you at this time is to make sure you are seen by an Oculoplastic surgeon. I agree with others, It is impossible to answer your question without examining you first. Make sure you do your research before having any other surgery.

Revisional Ptosis surgery for Afican American Female

Eyelid Ptosis occurs when the muscles that raise the eyelid are not strong enough to do so properly. It can affect one eye or both eyes and is more common in the elderly, as muscles in the eyelids may begin to deteriorate. gd

Ptosis wmay be caused by damage/trauma to the muscle which raises the eyelid, or damage to the nerve (3rd cranial nerve (oculomotor nerve)) which controls this muscle. Such damage could be a sign or symptom of an underlying disease such as diabetes mellitus, a brain tumor, and diseases which may cause weakness in muscles or nerve damage, such as myasthenia gravis. Exposure to the toxins in some snake and insect venoms, such as that of the black mamba, may also cause this effect.