Blepharoplasty (Eyelid Plastic Surgery) Before & After Pictures

Blepharoplasty | Eyelid Surgery Before After Photos | Altamonte Springs FLEyes are one of the most prominent features of the face. Signs of aging around the eyelids or any anomaly in the eye area will be conspicuously noticeable and make a significant impact on the facial aesthetics. The condition can easily be corrected with a relatively minor surgery called blepharoplasty. The surgery is less invasive, but still highly sensitive and intricate because it involves the eyes.

Prior to making a decision on blepharoplasty or eyelid cosmetic surgery, a candidate should review blepharoplasty before and after pictures. An experienced surgeon will usually ensure that these pictures are made available to a patient during the initial consultation process. Board certified plastic surgeon Dr. Thomas Fiala provides blepharoplasty and other procedures to patients in Orlando, Altamonte Springs, FL, and nearby locations.

What are Blepharoplasty Before and After Photos?

Before and after photos in case of blepharoplasty refer to a pair or group of images pertaining to a previous patient who has received the surgery successfully. The images include photos taken prior to the procedure and after the procedure at a time when swelling and bruising has disappeared and full effects of the surgery are visible. The surgeon will take these photos with the patient’s consent and make sure that these are used in a discreet way for other patients.

The only purpose of eyelid cosmetic surgery before and after photos is to serve as a useful aid for new patient who need to understand various aspects of the procedure. The surgeon will explain to them about the aesthetics of eyelid surgery and what it can or cannot do for them. The intent is to help new patients make an educated and well-informed choice about blepharoplasty. The surgeon never wants their patient to be caught off guard after the surgery or shocked about what has occurred.

This is a terrible situation for any surgeon and something they best hope to avoid. No one going into cosmetic surgery should be ignorant about what to expect on a fundamental basis. This is why pictures are showed and aspects are explained as best as possible and why the patient must sign off on the surgery before it begins, certainly verbally.


When a new patient walks into the office of a plastic surgeon to seek consultation on blepharoplasty, they may not necessarily have a clear idea about how the procedure may improve their eye appearance or meet their personal aesthetic goals. The surgeon will use a set of blepharoplasty before and after photos (briefly mentioned right above) to provide a better understanding of the potential effectiveness of this surgery.

Some patients may need lower or upper eyelid surgery, while some others may need a combination of the two. In some cases, an additional procedure such as brow lift may be recommended. In all such situations, the patient can make better decisions when these pictures are made available. Dr. Fiala receives patients from Orlando, Altamonte Springs, FL, and surrounding areas for blepharoplasty.

Being Realistic

Most satisfactory outcomes in aesthetic procedures are usually achieved in cases where the patient is affirmative, has clear set of priorities and realistic expectations from the surgery. Blepharoplasty ‘before and after’ photographs will help to achieve these goals. Patients will know what to expect and what not to expect from the surgery, and will take a moderate view of the procedure.

Online Photos

The plastic surgeon may upload these pictures on their practice website. New patients may simply access these photos online and review the potential results even before they are ready to seek a personal consultation at the surgeon’s office.

For more information of the treatments and procedures offered at this Plastic Surgery Center & Orlando Medical Spa by Dr. Thomas Fiala please contact us at (407) 339-3222 or visit ; ;

Very quietly, almost under the radar, Allergan has changed the terms of their saline implant warranty.
It only affects patients who have received saline implants after July 1, 2014.  The changes do not apply to patients who receive gel implants.
Now, under their “standard plan”, they will continue to give lifetime replacement in case of deflation for both sides.  However, there is no more financial assistance for surgery costs.  Zero money to help patients with expenses.  This is the big change.
They have, however, now introduced a new “Premier” level of warranty, which costs $200 to purchase, and the patient must enroll within 45 days of surgery.  With this plan, up to $2400 of financial assistance is available during the term of the warranty.  So this would probably be used up with one operation.
Editor’s note:  While Allergan is certainly within their rights to change their warranty policies, I really dislike how they haven’t brought this to the attention of the plastic surgery community.  No emails, letters, announcements, messages from our rep – nothing.   I found about the changes quite incidentally today (9/16/14), so I am posting this immediately for the information of our upcoming patients.
As yet, there are no implant warranty changes announced by either Mentor or Sientra.
It gives me great pleasure to announce the 2014 results of Orlando Magazine’s  “Best of Orlando” issue.
(drum roll…)
We have been selected as the best plastic surgery office in Orlando, for the second year in a row.
In this poll, held annually, readers write in, or vote online, for their favorite shops, restaurants and services.  Although there are a few other local newspapers and magazines that have these polls, the Orlando Magazine “best of” is really the grand-daddy of them all, and carries the most prestige.
Congratulations also go to Drs. George Pope and Edward Gross, who got the silver and bronze medals in this category.
I’m very grateful to our patients and friends who took time out to vote for us, making us the top-rated plastic surgery office.  I appreciate your faith and trust in our service, and will continue to work everyday to bring you the best surgical results possible, together with a great patient experience.  That’s our motto – and we take it seriously.
Thanks again for your support!
Dr. Fiala
In this month’s issue of Plastic & Reconstructive Surgery, is a study that will be of interest to all who follow breast augmentation.  It’s a 5 year analysis of capsular contracture rates using Sientra implants for first-time breast augmentation, and a look at some of the factors that influenced capsule formation in 2560 first-time breast augmentation patients.  A variety of surgical methods – subglandular, submuscular, different incisions, and other factors were reviewed.
The investigators found that, in looking at the group as a whole:
–  subglandular placement of implants increased the risk of a capsule by 4.6 times
–  use of  periareolar incisions had more contractures than inframammary incisions by 1.5 times
–  Sientra smooth implants had 4.7 times more contractures than Sientra textured implants overall.
These findings have been noted in previous implant studies, so they were not any big surprise to me.  They confirm my decisions to switch away from the periareolar incision, and stay with the submuscular dual-plane placement method.
To me, the most interesting part of this article was the grouping of capsule formation rates by technique:
smooth implant in a subglandular pocket 21% capsule rate
smooth implant in a submuscular pocket 5% capsule rate
textured implant in a subglandular pocket 5% capsule rate
textured implant in a submuscular pocket 2% capsule rate
Since I currently do my breast augmentation operations with a submuscular pocket, this data suggests that if I were to use Sientra textured implants, I could reduce my capsule rate to 2%, from its current rate of 4% with smooth gel implants.  That’s a pretty convincing argument to recommend these implants.  Based on 200 augmentations a year, for example, I could potentially prevent 4 women from having issues with capsules each year, just by choosing a different implant.  And that, to me, is well  worth considering.
If you suffer from the facial redness associated with rosacea, listen up.
There’s a new prescription cream that can treat the redness and flushing effectively.  It’s called Mirvaso; it’s FDA approved and available in local pharmacies.  Mirvaso is applied once daily, and it can significantly reduce facial redness for up to 12 hours.
This is pretty exciting – previously we had to use lasers or IPL to treat the facial redness of rosacea; now we have a medication that can do the same thing!
For more information, and to view clinical photos of patients treated with Mirvaso, see their website,

In the “Seems Like an Obvious Result” Category, here is a study from this month’s issue of PRS, showing good outcomes and improved quality of life and self-esteem with tummy tucks and abdominal liposuction, either separately or in combination. Here’s the summary, courtesy of PS News.


Dr. Eric Swanson, a plastic surgeon in Kansas, formally evaluated quality of life and other outcomes in 360 patients undergoing liposuction and/or abdominoplasty to remove excess abdominal fat. About 60 percent of patients underwent liposuction alone, while 35 percent underwent a combination of liposuction and abdominoplasty. The rest underwent abdominoplasty alone.

The patients’ average age was 42 years; 85 percent were women. Thirty percent of patients underwent other cosmetic plastic surgery procedures (such as face lift or breast augmentation) at the same time. Outcomes were assessed an average of four months after surgery.

Patients undergoing liposuction alone had shorter recovery times: average time off work was about six days, compared to 16 days with abdominoplasty (with or without liposuction). The liposuction-only patients also had less discomfort: average pain score 6 out of 10, compared to 7.5 for those undergoing abdominoplasty.

Combined Procedure Yields Best Results

Patients undergoing abdominoplasty rated their cosmetic outcomes higher than others: average score 9 out of 10, compared to 8 out of 10 with liposuction only. Liposuction plus abdominoplasty produced the highest patient satisfaction rate-over 99 percent-with no increase in pain compared to abdominoplasty alone.

Ninety-eight percent of patients undergoing liposuction plus abdominoplasty said they would undergo the procedure again and 99 percent that they would recommend it to others.

Overall, 86 percent of patients reported an improved sense of self-esteem after surgery. About 70 percent reported improved quality of life, more commonly after liposuction plus abdominoplasty.

Quality of life is an increasingly important focus measure of effectiveness for all types of medical and surgical treatments. Even though liposuction and abdominoplasty are among the most frequently performed cosmetic surgery procedures, few studies have formally evaluated their impact on quality of life and other patient-reported outcomes.

“Liposuction and abdominoplasty, individually and in combination, produce high rates of patient satisfaction and reliably improve self-esteem,” Dr. Swanson writes. By formally assessing these important outcomes in a large number of patients, he hopes his study will provide a clearer picture of the expected results and recovery times associated with these widely performed cosmetic surgery procedures.


Editor’s note: We find similar results in our Orlando practice. Tummy tuck, with or without liposuction, makes a dramatic improvement in self-esteem and quality of life, according to our patients.  Kudos to Dr. Swanson for formally documenting this finding.

Guess which country has the most plastic surgery per capita…I’ll give you a hint – it’s not the United States or even Brazil, that hotbed of South American cosmetic surgery, although in total numbers, the U.S. is #1.

I was surprised to learn that, according to research firm Trend Monitor, South Korea has more procedures per capita than anywhere else. Nearly one out of five women there have had “something done” – whether it’s a non-invasive procedure or actual surgery. Here’s the graph, reproduced from The

Seroma – a post-operative fluid collection – is the most common complication after a tummy tuck.  It happens in about 5-10% of abdominoplasties.  Surgeons generally try to prevent this problem by using one of three strategies – suction drains, internal “quilting” sutures or fibrin glue. Each technique has its advocates, and arguments about which technique is best persist at the plastic surgery meetings.So, a comparison study of the techniques was inevitable. In the study I’m reviewing today, published in Aesthetic Plastic Surgery, 43 tummy tuck patients were divided into 3 groups, receiving either drains, quilting sutures or fibrin glue during closure of their tummy tuck. Ultrasound scanning was then used to check for the presence or absence of fluid at 15 and 30 days post-op.

Results: both quilting sutures and drains worked significantly better than fibrin glue.  Seromas were less common at 30 days than at 15 days in all treatment groups.

Comment:  This result pleases me, since I use one of the better techniques (drains) when I perform a tummy tuck.  Also, fibrin glue is quite expensive,so avoiding its use saves some money for the patient.  The fibrin glue, even though it sounds high-tech and modern, failed to perform here.  The results of using fibrin glue during facelift surgery have also been unimpressive in other studies.

In general, seromas are more common if:
– liposuction is performed at the same time as a tummy tuck,
– in patients that are having an abdominoplasty following gastric bypass surgery with massive weight loss
Fortunately, most of the time, even if a seroma appears, it’s a minor, short-term nuisance, and is easily handled.
This week, the FDA approved a new hyaluronic filler, called Belotero Balance.  It’s made by Merz Pharmaceuticals, the makers of scar product Mederma and Botox wanna-be Xeomin.  Belotero has been on the market in Europe in 3 separate formulations, which are designed for different applications.  So far, the U.S. only gets this one version.Like the other HA’s already on the market, Belotero is not permanent.  I believe the duration of treatment from Belotero Balance is similar to that of Juvederm and Restylane.  However, Belotero is the first HA filler to be manufactured with a new cross-linking process, that makes it smoother and less prone to lumpiness.  The technique is called “Cohesive Polydensified Matrix (CPM) technology” – which sounds very Star Trek…and allegedly this method gives the product better elasticity and smoothness.

Various European websites claim this smoothness allows a less painful injection and also gives a nicer feeling initial result for the patient, but I’ll have to see some science on those claims first!  So far, this study suggests that Belotero Basic, one of the 3 European formulations, is equal to or slightly better than Restylane during the first 4 weeks after injection.

We’ll be evaluating this product for use in our injection practice, to add to Restylane, Juvederm, Prevelle Silk, Radiesse and Sculptra.  We’ll keep you posted!

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