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Examples of some of Dr. Scaccia's surgical results.
All photos are untouched and shown with patient's permission.
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Eyelid Rejuvenation |
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Early four week postoperative views of a man who underwent bilateral upper lid blepharoplasty and right lower lid transconjunctival blepharoplasty. The patient had years ago undergone a surgical procedure on his left lower eyelid that involved repairing an orbital floor fracture from trauma that resulted in him subsequently losing fat in his lower eyelid. For this reason, no fat needed to be removed from the left lower eyelid, however the patient was a candidate for fat removal only in his right lower lid. This was done with a no exterior incision approach, approaching the fat transconjunctivaly on the inner part of the eyelid. As the swelling resolves, the right lower eyelid will continue to smooth out and improve in appearance. The removal of excessive skin and fat and muscle in the upper eyelid is obvious in his postoperative more wide eyed open view. In addition because of his severe upper eyelid skin laxity and redundancy, medical insurance covered the removal and correction of his upper eyelid skin as it was causing visual impairments. He is already reporting improvement in his vision and significantly less discomfort in his previously described fullness and heaviness of his upper eyelid skin. |
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Eyelid Rejuvenation
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Middle aged lady who presented with both functional and aesthetic visual complaints. She has felt that over the last few years her upper eyelids have gotten heavy and not only does she not like the appearance but she felt the heaviness of her lids had caused her to feel tired, especially when driving at night and reading. She was seen by an ophthalmologist who verified that her visual fields superiorly were being obstructed by the excessive skin and weight of her upper eyelid skin. Because of these findings and her complaints, her upper lid blepharoplasty was covered by insurance. It was also noted on exam that part of the fullness in the outer part of the upper eyelids was due to a prolapsed lacrimal gland. It is a very rare condition that affects only a very small percentage of presenting blepharoplasty patients. She was seen postoperatively two-and-a-half months with still some residual swelling and redness from the surgery. She, however, notes that she is extremely happy with the appearance of her eyelids now and her eyelid fatigue has gone away 100%. The procedure involved removing excessive upper eyelid skin, muscle and also tucking the prolapsed lacrimal gland underneath her orbital bone. This was all done under local anesthesia. Her tearing was not affected even though the lacrimal gland is responsible for producing tears. For this reason, the gland is not resected but carefully sutured in a more superior position. It should also be noted as seen on the lateral views, the two lesions present on her cheek were removed with the radio surgical unit leaving hardly any evidence of the previous lesion or a scar. The radio surgical unit removal of lesions is a very effective way to remove benign skin lesions without requiring sutures or a knife which can sometimes cause small dents and unsightly scars on the skin.
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Eyelid Rejuvenation |
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Ten week postoperative result for patient who underwent forehead/brow lift and upper eyelid rejuvenation. Both procedures fully covered by patient's insurance since here vision was affected by heavy eyelids and brows. Patient now sees and feels much better. Note improvement in forehead wrinkles, frown lines, eyebrow position, and eyelid hooding.
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Eyelid Rejuvenation
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Four-year postoperative result of a patient who underwent upper lid blepharoplasty only. As can be seen in the postoperative picture, the patient's significant amount of eyelid skin redundancy and hooding had been corrected and has held up well over the years. Her vision is also significantly improved, especially when looking upward and laterally since the excess skin blocking her vision has now been removed. Her eyelid crease is normal and her eyelids look brighter and more youthful.
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Eyelid Rejuvenation
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Three-month post-operative view of a patient who exhibits in the pre-operative photos on the left significant hooding of the upper eyelids secondary to excessive upper eyelid skin and low positioned eyebrows. In addition, he was concerned about the tired, aged look of his lower eyelids secondary to excess and wrinkled skin and fat deposits. His excessive upper eyelid skin was so prominent that it was the cause of a visual field loss and, thus, was considered a functional problem that allowed for insurance reimbursement. Post-operatively, the patient's vision improved after removal of the excessive skin. A direct browlift was done which involved an incision directly above his eyebrow hairs that healed well and is barely visible. Excessive skin and fat were taken from both his upper and lower eyelids again with virtually undetectable scars which now allows for a more youthful and open appearance to his eyes.
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Eyelid Rejuvenation
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3 week post-op review, of one of our own nurses, of lower lid trans conjunctival blepharoplasty done under local anesthesia, as per patient choice. No visible scars result from this technique, which resulted in flattening and smoothing of eyelid region after removal of fatty lower lid pouches.
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Eyelid Rejuvenation
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Two month post-op frontal view of brow lift and upper lid blepharoplasty. Note correction of frown lines and forehead wrinkles. Eyebrows placed in a higher but natural position. Excessive skin also removed from upper lids. Her eyelid hooding was such that her vision was significantly affected and allowed for insurance reimbursement. All scars are virtually undetectable and hidden in either the hairline or eyelid crease.
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Eyelid, Facelift and Chin Implantation
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Four month postop result of cheek and neck lift, chin augmentation, and upper and lower eyelid tightening. All incisional scars well hidden in natural skin creases. The patient now appears more youthful and balanced. Note that fat bulge under the chin is now removed with better neck contour. Additional refinements are possible, if the patient desires, with attention to skin care utilizing either chemical peels, laser abrasions and/or Gentlewave LED Photomodulation.
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Eyelid Rejuvenation
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Upper and lower eyelid enhancement with conservative forehead/brow lift.
Result gives more youthful and rested appearance along with vision improvement by removing hanging obstructing lids.
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Eyelid Rejuvenation
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Six week post-operative result of upper eyelid sculpturing done only. Eyebrows were in adequate position preoperatively and did not require surgical correction. Since the patient's vision, when looking up, was impaired by her heavy lids, repair of her eyelids was deemed medically necessary and was covered by her insurance.
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Eyelid Rejuvenation/Brow Lift
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Dramatic improvement in upper lid hooding and eyebrow position. Lower eyelids also tightened. Hooding was severe enough to cause visual obstruction allowing for partial medical insurance coverage.
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Upper Eyelid Rejuvenation
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Upper eyelids tightened only. Conservative skin, muscle and fat removal
to give refreshed, youthful and open eye appearance.
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Facelift, Lower Eyelid Rejuvenation and Botox
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Three month post-op result of facelift, lower eyelid rejuvenation and Botox to forehead. Notice practically invisible scars around eyes and ears. Neck, jaw line and cheeks significantly tighter and more youthful. Patient will be returning soon for CO2 laser treatment to help further improve skin texture and wrinkles especially evident around her mouth.
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Eyebrow and Eyelid Rejuvenation
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Eyebrow & eyelid hooding eliminated. Bags under eyes also removed.
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Upper Eyelid, Midface Lift and Botox
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Rejuvenation of entire upper and lower eyelid region along with midface lift to restore cheek and smile line area. Three-quarter view demonstrates early four-day post-op result while sutures still in with minimal swelling. Note smooth forehead from botox injection.
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Asian Nose and Eyelid Enhancement
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Early post-op result of patient who desired crease formation in
upper eyelid along with added structure to bridge and tip of nose. Nostrils which have been brought down, can be appreciated on frontal and three-quarter view.
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Tip is more triangular, projected and narrowed on
''worm's-eye view" with sutures still in place at seven days post-op.
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