May 31st, 2013 Miguel A. Delgado Jr, MD
After Correction of Scleral Show
Scleral show is where the white of the eye is visible under the iris that creates a round eye appearance. This can be caused by over resection of the skin from blepharoplasty surgery (eyelid surgery), trauma, sustained inflammation, thyroid disease or aging. The exposure can cause redness, discomfort, dry eyes and/or tearing. It is considered the most common complication from eyelid surgery, although many times it will resolve on its own within a few weeks of surgery.
There are different ways to restore the lower eyelid to an appropriate position, usually tightening a loose eyelid or in some cases may require a skin graft or canthoplasty surgery which is a procedure that reshapes the eye.
To find the best treatment for a patient suffering with this condition, would be to schedule a consultation with a Board Certified Plastic Surgeon who will be able to recommend available options.
March 15th, 2013 Miguel A. Delgado Jr, MD
American Society of Plastic Surgeons
2012 Annual Statistics
The latest statistics on cosmetic plastic surgery procedures for 2012 were released by the American Society of Plastic Surgeons (ASPS). Surprisingly breast augmentation is not the fastest growing procedure as it has been in the past. Cosmetic plastic surgery procedures show a 5% increase over 2011. This increase is fueled by the significant uptick in minimally-invasive procedures enjoyed by many San Francisco Bay Area patients such as; Botox, Dysport, Juvederm, Restylane and Radiesse.
Facelifts increased by 6%, and eyelid surgery was up 4%. There are several different theories as to why facial rejuvenation is seeing such an increase. Some believe that facelifts became less popular during the economic downturn, but people seem to be feeling better about the economy and are more optimistic about the future. Also, it is believed as the “baby boomer” generation is growing older many are opting for methods to maintain their youth. They are staying active longer and remaining in a competitive work place much longer than even a decade ago.
The top 5 procedures were:
• Breast augmentation (286,000 procedures, down 7 percent)
• Nose reshaping (243,000 procedures, no change)
• Liposuction (202,000 procedures, down 1 percent)
• Eyelid surgery (204,000 procedures, up 4 percent)
• Facelift (126,000 procedures, up 6 percent)
Note that while breast augmentation remains the #1 procedure, it was down 7% from 2011. Interestingly for men, male breast reduction surgery increased by 5%, this is believed to be attributed to increased awareness and acceptance of the procedure.
January 30th, 2013 Miguel A. Delgado Jr, MD
Excess skin at the lateral brow is a common complaint of patients that have had upper eyelid surgery. Having a lateral Browpexy at the same time as upper eyelid surgery addresses this issue. This combination of procedures rejuvenates not only the upper eyelid but the outer aspect of the brow. The lateral Browpexy does not lift the entire brow, only the outer third. For those Marin County patients that would be a candidate for the Browpexy, it is a great procedure as it is less invasive than traditional brow lifts with a faster healing time.
San Francisco Bay Area women love this procedure; they like to combine it with “corrugator muscle excision”, this is the muscle that allows the eyebrows to squeeze together forming frown lines between the eyes. With excision of this muscle, the effect is similar to Botox treatments, except the results are permanent.