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Male Blepharoplasty

The goal of male blepharoplasty is to give men a more youthful, rejuvenated appearance, and in some cases, restore levels of peripheral vision. To differentiate from female blepharoplasty Dr. Zoumalan works more conservatively in the removal of excess fat and skin to maintain a naturally masculine look. The technical aspects of a male and female blepharoplasty are similar, however, Dr. Zoumalan’s detail-oriented care and advanced techniques create a balanced appearance without feminizing the eyelids. Male blepharoplasty includes the following procedures either separately or paired: upper eyelid, lower eyelid, or quad blepharoplasty. Brow position is crucial to evaluate in males such that any droopy brows should be addressed at the same time of an upper eyelid blepharoplasty to ensure a well done result. After a comprehensive oculoplastic examination by Dr. Zoumalan, he will discuss which procedure or multiple procedures he recommends to achieve your desired look.

Upper Lid Blepharoplasty

The upper lid blepharoplasty procedure is recommended for men with excess fat or skin on the upper eyelid. It begins with Dr. Zoumalan making a small incision into the natural fold of the upper eyelid which allows for the removal of excess skin and, if need be, underlying fat pockets. After the removal of skin and fat, the incision is then closed and hidden in the upper fold of the eyelid. To retain a masculine appearance in the upper lids the incision to the eyelid crease will vary from the female procedure. For a more conservative contouring of the eyelid the incision may be placed lower on the lid with less skin and fat removal. In some cases, a brow lift procedure is added toelevate the low set brows, so that brow position is set to a more natural and rested location. With male brow lifts, the desired look is not to dramatically elevate the brows but to maintain their masculine appearance but rather positioned to a position that may have been present years prior for that particular patient. In cases where the area of the eyelid below the brow appears empty Dr. Zoumalan may carefully place either micropearls of fat through fat grafting or hyaluronic acid fillers to soften the preorbital area.

Ptosis Surgery

In some instances, male patients may also have excessive droopiness in the upper lids caused by excess skin or a true droop to the lid. Both can result in ptosis and decrease in ability to see well in the peripheral vision. This droopiness, also known as upper lid ptosis, can be unnoticeable while in severe cases will descend over the entire eye. For many men with ptosis there is concern over having a tired appearance; vision may also be affected depending on how low set the position of the upper lids are in relation to the eye. In the case that ptosis surgery is performed, it is imperative to keep in mind that it is a highly delicate and specialized procedure that should be performed by a skilled oculoplastic surgeon. The procedure is generally addressed at the same time of the blepharoplasty so that Dr. Zoumalan can carefully achieve the patient’s overall desired appearance for a rejuvenated eyelid.

Lower Lid Blepharoplasty

For men that are often mistaken for appearing tired the lower lid blepharoplasty smoothes the contour under the eye and reduces the excess fat or “bags” for a more revitalized look. The “bags” or fullness under the eyes can be caused by several issues ranging from age to heredity or lifestyle. It is not uncommon for male patients in their thirties to develop this issue. A lower lid blepharoplasty removes fat deposits and excess skin that forms on the lower eyelids. Dr. Zoumalan may recommend a small skin pinch through an incision in the outer corner of the eye to tighten any loose skin after the fat removal. For some patients, fat may be transferred to certain areas of the lower eyelid where there is hollowing (volume loss) for a more natural contour. Lower lid blepharoplasty is often paired with chemical peels or lasers in the case of removing fine wrinkles as well as Botox to relax crow’s feet and the corner of the eyelid. These additional procedures will be conservatively applied by Dr. Zoumalan to instill the most natural look possible for his male patient.

Transconjunctival Blepharoplasty

Transconjunctival Blepharoplasty is one type of lower lid blepharoplasty procedure and is a non-visible scar approach with minimal downtime. This procedure works well for men because there is no external scar and eyelid shape is better preserved. It begins with a minimally invasive incision into the backside of the lower eyelid to hide any visible scarring. The small incision removes excess fat and skin to reduce the look of a puffy and tired appearance. Dr. Zoumalan can actually reposition some of the excess fat to help improve any hollowing below the eyelid directly from this approach. After recovering from a transconjunctival blepharoplasty the results will look incredibly natural with no visible scar, so it is easier to avoid complications such as scleral show, dry eyes, and ectropion (where the eyelid is turned out).

Transcutaneous Blepharoplasty

Transcutaneous blepharoplasty,also known as a traditional lower lid blepharoplasty procedure, involves directly removal of excess lower lid skin during the removal of excess fat. In cases where there is excess skin and weakened muscles this procedure is more preferred. It also permits the removal and repositioning of excess fat pockets. By removing the bags and dark circles Dr. Zoumalan’s advanced knowledge on minimally invasive transcutaneous techniques will tighten any loose skin or weak muscles and rejuvenate the lower lids. When done correctly, this procedure is an elegant approach providing a naturally done result. In cases where there is excess skin and weakened muscle present, a transcutaneous approach must be considered.

Fat Repositioning and Injectable Fillers

The tired appearance under the lower eyelids is due to the loss of the subcutaneous adipose tissue usually caused by age, however, it is also seen in men who are very fit and with low body fat content. For these patients with under eye hollows along with excess fat pockets (fat bags), Dr. Zoumalan will recommend both a lower eyelid blepharoplasty along with fat repositioning, which is carefully transferring small amounts of fat to reduce the hollowing effect under the eyes.
In cases where you only have hollowing or volume loss below the eyelid and no visible fat pockets, you may benefit from injectable hyaluronic acid fillers. This is an in-office procedure, which has shown to result in a natural and improved appearance under the eyes for those that have volume loss. When using fillers Dr. Zoumalan makes careful consideration to add minimal volume to the cheek and surrounding peri-orbital area to create a smooth transition from the lower eyelid to the upper cheek and reduce hollowness. By reducing the shadowing on the lower eyelid with volume injectable fillers rather than a lift, which has the potential to feminize the eyelids, it creates an extremely refreshed and healthier appearance for the male patient.

Quad Blepharoplasty

When undergoing an evaluation by Dr. Zoumalan, he may recommend the option for a combination of the upper and lower eyelid blepharoplasty. Male patients with both lower eyelid bags or volume loss, and upper eyelid sagging are good candidates for quad blepharoplasty. The procedure includes all the benefits of the two blepharoplasty procedures with Dr. Zoumalan’s advanced techniques to help the speed the healing process as well as keep the eyelids appearing as natural as possible. After the first 6-7 days of the surgery, the sutures are removed and most of the swelling improves within two weeks. In most cases, it takes 2-3 weeks for swelling to improve, and by then the eyes begin to look more refreshed and alert. Dr. Zoumalan’s minimally invasive approach hides any visible scarring from incisions as well as reduces pain during the procedure, followed only by dull soreness the following few days.

Other Considerations

Quad Blepharoplasty can also be performed with multiple procedures such as fat repositioning, ptosis, facelift, and brow lifts. Much like the individual upper and lower lid blepharoplasty these too are performed with the utmost conservative attention to detail. For males undergoing multiples procedures Dr. Zoumalan takes special consideration due to men generally having more vascular skin, larger faces, and stronger ligamentous support than women. One of the main differences between the male and female brow lift is consideration of the shape of the brow itself. Many women in comparison to men have a curved brow while the male equivalent is more horizontal. When Dr. Zoumalan performs a male brow lift, the outcome is a naturally lower brow line as opposed to the female higher-arching brow, which may appear out of place and unnatural on a masculine face. Dr. Zoumalan performs various brow lifts, and each patient undergoes a customized approach by using the best suited brow lift procedure for them. In certain cases,men may also often benefit from an endoscopic brow lift which is performed with small incisions and allows for a great recovery and result using non-visible surgical incisions.

Why Choose Dr. Zoumalan

Dr. Zoumalan has specialized training as a board member of the American Board of Ophthalmology and a Fellow of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). His work exclusively performing eyelid surgeries ensures the best, specialized care possible for all his patients. The male blepharoplasty procedure especially requires a conservative and experienced surgeon such as Dr. Zoumalan to create a natural, and youthful appearance.

  • Before Photo-Male Blepharoplasty Patient 43
    After Photo-Male Blepharoplasty Patient 43

    Preoperative diagnosis: Bilateral upper lid ptosis and brow ptosis, lower lid excess fat pockets

    Procedure performed: Bilateral upper lid ptosis repair, upper and lower lid blepharoplasty with fat repositioning to lower lids, and left external browpexy

  • Before Photo-Male Blepharoplasty Patient 42
    After Photo-Male Blepharoplasty Patient 42

    Preoperative diagnosis: Bilateral upper lid ptosis and brow ptosis, lower lid excess fat pockets

    Procedure performed: Bilateral upper lid ptosis repair (blepharoplasty) and external browpexy, lower lid blepharoplasty.

  • Before Photo-Male Blepharoplasty Patient 41
    After Photo-Male Blepharoplasty Patient 41

    Preoperative Diagnosis: Excess upper lid skin

    Procedure performed: Bilateral upper lid blepharoplasty and external browpexy

  • Before Photo-Male Blepharoplasty Patient 40
    After Photo-Male Blepharoplasty Patient 40

    Preoperative Diagnosis: Excess upper lid skin

    Procedure performed: Bilateral upper lid blepharoplasty and external browpexy

  • Before Photo-Male Blepharoplasty Patient 39
    After Photo-Male Blepharoplasty Patient 39

    Preoperative Diagnosis: Upper and lower lid dermatochalasia and lower lid fat prolapse.

    Procedure performed: Upper and lower lid blepharoplasty and periorbital fat grafting. Deep plane face lift (facialplasty) and periorbital fat and facial fat grafting performed by Dr. Richard Zoumalan.