Oculoplastic Surgeon Taban MD: Revisonal Surgery

Eyelid Rejuvenation Treatment – Lecture by Dr. M. Ray Taban

Dr. M. Ray Taban is an assistant clinical professor of OculoPlastic Surgery at UCLA. He will be lecturing on “Eyelid Rejuvenation Treatment” to the public on May 7th, 2012 at First United Methodist Church, at 1008 11th St. Santa Monica. You can RSVP for this lecture by calling (800) 516-5323.

TabanMD

9735 Wilshire Blvd, Suite 204

Beverly Hills, Ca 90212

Doctor@TabanMD.com

310-278-1836

Los Angeles, Santa Barbara

www.tabanmd.com

Forehead and Brow Management

How to Reduce Pain During Neurotoxin or Filler Injections?

They are various techniques and products that can be used to reduce the pain during neurotoxin (Botox, Dysport, Xeomin) and filler (Restylane, Juvederm, Radiesse) injections.  Dr. M. Ray Taban discusses the various options available.

1. Using the smallest needle possible.  That would be a 32g needle for neurotoxin injections and slightly larger for the fillers.
2. Applying numbing cream prior to the injections.
3. Applying ice prior to and during the injections.
4. Performing various distraction techniques, such as tapping somewhere else on the face with a finger.
5. Mixing botulinum toxins (Botox, Dysport, Xeomin) with bacteriostatic (preservative) saline, rather than preservative-free saline.
6. Minimizing the number of injection points.

For more information about neurotoxins and filler injections please visit TabanMD.com

TabanMD

9735 Wilshire Blvd, Suite 204

Beverly Hills, Ca 90212

Doctor@TabanMD.com

310-278-1836

Los Angeles, Santa Barbara

www.tabanmd.com

Eyelash Lengthening – Latisse

Eyelashes are an important component of eye beauty. As with many other things, they diminish and become less prominent with age. Make up (i.e. mascara) and eyelash extensions can give the illusion of thicker and longer lashes, but it is temporary. While there are many eyelash lengthening/thickening products on the market, the one that gets the most attention and is FDA approved is Latisse. It has been featured by celebrity spokesmodels, including Brooke Shields, Christina Hendricks, and Clair Danes.

Latisse works by prolonging the growth cycles of the eyelashes, making them longer, thicker and darker over time. Noticeable results typically occur after six weeks, with full results after 12-16 weeks. Unfortunately, if you stop using the product, your lashes will slowly return to their previous state.

They are very few rare side effects other than transient irritation of the skin or the eye. They include pigmentation of the skin and the iris. There are also a few contraindications, which is why you should see your ophthalmologist or oculoplastic surgeon for clearance prior to using and have periodic checkups.

For more information about Dr. Taban and the Latisse procedure please visit his website at TabanMD.com

TabanMD

9735 Wilshire Blvd, Suite 204

Beverly Hills, Ca 90212

Doctor@TabanMD.com

310-278-1836

Los Angeles, Santa Barbara

www.tabanmd.com

 

What is Unique About Asian Blepharoplasty?

Asian eyelids are anatomically different than Caucasian eyelids. The upper eyelid orbital fat is more prominent and the upper eyelid crease is lower or nonexistent in Asian eyelids. About half of all Asians are born without an upper eyelid crease (“single eyelid”) while the other half are born with an upper eyelid crease (“double eyelid”). The eyelid crease, when present, can be broken or continuous, partial or complete, nasally-tapered, parallel, or multiple, in contrast to classic semi-lunar shape of Caucasian upper eyelids. The shape and the eyelid corners (canthus) of Asian eyelids are also different from Caucasian eyelids.

The goal of Asian blepharoplasty should be to be achieve a natural, symmetric result and preserve the Asian features of the eyelid, with or without formation of a “double eyelid”, as desired by the patient. Making an Asian eyelid to look like Caucasian or “Westernized” is unnatural and unpleasant. The goal is to preserve the natural prominent upper eyelid orbital fat while creating an aesthetically pleasing Asian eyelid crease comparable to natural born Asian eyelid with double eyelid crease.

Procedure:
Asian eyelid crease surgery can be performed to create a “double eyelid” appearance in those with poorly defined creases or to even out asymmetric creases. There are two main types of techniques for Asian blepharoplasty or eyelid crease formation, namely incisional and non-incisional. In short, non-incision (suture) technique is faster with quicker recovery but its effects are less predictable and likely not long-lasting. The incisional technique, on the other hand, is more predictable and long-lasting. Both operations are usually performed under local anesthesia with or without sedation. Similar to most eyelid surgeries, there is a recovery period of about 7-10 days with swelling and bruising.

Combination surgery:
It is important to note that Asian blepharoplasty may not be adequate to achieve the desired result as some may have concurrent ptosis (droopy upper eyelid) due to weak or aging levator muscle, which is responsible for upper eyelid lifting and its position. In these instances, the blepharoplasty or eyelid crease surgery needs to be combined with ptosis surgery. Asian upper blepharoplasty can also be combined with lower blepharoplasty or other eyelid surgery.

Dr. M. Ray Taban is an assistant clinical professor of oculoplastic surgery at UCLA, who uses the latest minimally invasive technique in Asian blepharoplasty. His membership in the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) indicates he or she is not only a board certified ophthalmologist who knows the anatomy and structure of the eyelids and orbit, but also has had extensive training in ophthalmic plastic reconstructive and cosmetic surgery. He is also member of the American Academy of Cosmetic Surgery (AACS).

What is Blepharospasm?

Blepharo means “eyelid”. Spasm means “uncontrolled muscle contraction”. The term blepharospasm ['blef-a-ro-spaz-m] can be applied to any abnormal blinking or eyelid tic or twitch resulting from any cause, ranging from dry eyes to Tourette’s syndrome to tardive dyskinesia. The blepharospasm referred to here is officially called benign essential blepharospasm (BEB) to distinguish it from the less serious secondary blinking disorders. It is a chronic benign (non life threatening) condition with abnormal, uncontrolled (involuntary) eyelid and facial spasms or contractions on both sides. Patients with blepharospasm have normal eyes. The visual disturbance is due solely to the forced closure of the eyelids. Blepharospasm should not be confused with true eyelid droopiness (ptosis) and hemifacial spasms (one sided eyelid or facial spasms/contractions). Support groups are available (www.blepharospasm.org).

Treatment:

The mainstay treatment for blepharospasm (and hemifacial spasm) is periodic botulinum toxin injections. This is a toxin produced by the bacteria Clostridium botulinum. It weakens the muscles by blocking nerve impulses transmitted from the nerve endings of the muscles. When it is used to treat blepharospasm, minute doses of botulinum toxin are injected intramuscularly into several sites above and below the eyes. The sites of the injection will vary slightly from patient to patient and according to physician preference. They are usually given on the eyelid, the brow, and the muscles under the lower lid. The injections are carried out with a very fine needle.

There are a variety of botulinum toxin products including BOTOX, DYSPORT, and XEOMIN. Botox was first approved in 1989 to treat blepharospasm. They each work by temporarily weakening or paralyzing the affected spasmodic muscles. Benefits begin in 1-14 days after the treatment and last for an average of three to four months. Long-term follow-up studies have shown it to be a very safe and effective treatment, with up to 90 percent of patients obtaining almost complete relief of their blepharospasm. Side effects are usually rare and technique dependent. They include drooping of the eyelid (ptosis), double vision (diplopia), and tearing. All are transient and recover spontaneously.

There are surgical treatments available for refractory blepharospasm, including facial nerve ablation and orbicularis myectomy. Dr. M. Ray Taban, assistant clinical professor of oculoplastic surgery at UCLA who treats many patients with this chronic
condition.

TabanMD

9735 Wilshire Blvd, Suite 204

Beverly Hills, Ca 90212

Doctor@TabanMD.com

310-278-1836

Los Angeles, Santa Barbara

www.tabanmd.com

Eyelid Surgeon Dr. Mehryar (Ray) Taban: Facial Fillers and Injectibles

Dr. Mehryar (Ray) Taban discusses the positive outcome of using fillers or injectibles.

What is An Orbital Fracture (blowout) Surgery?

Recently, Pirates pitcher A.J. Burnett underwent surgery to repair a right orbital fracture (blowout fracture), according to widespread media reports. The injury happened when he bunted a ball off his eye socket during practice. Dr Taban, assistant clinical professor at UCLA, explains orbital fracture (blowout) repair and its associated recovery time.

Trauma to the orbit and eye area most often results in bruising (black eye). It can also result in fractures of the orbital bone, most commonly the orbital floor (known as orbital blowout fracture) and/or orbital medial wall. The orbital bones “blow out” into adjacent sinuses.

Not all orbital fracture need to be repaired, since the bones of the eye socket don’t move like your arm or leg. Only large fractures or fractures causing double vision should typically be repaired in a timely fashion. Thorough examination of the eye, for possible associated injuries, is critical.

Orbital fracture repair is usually performed within 1-2 weeks from the time of injury. Sometimes the bone can be repositioned adequately but, in some cases, a synthetic material may be required to give support to the orbital wall(s). If the bony orbital rim is fractured, it may be necessary to reposition the bones back to their normal position and stabilize them with a small metallic plate and screws. The surgery is usually done on an outpatient basis.

The recovery can vary depending in the extent of the injury but most patients can return to work in as early as one week and can resume athletic activities in one month. Dr. M. Ray Taban, assistant clinical professor at UCLA and chief of oculoplastics at Martin Luther King Hospital, frequently treats patients with orbital fractures, using latest minimally invasive techniques. Click on the following link for a recent article published by Dr Taban on orbital fractures using an absorbable implant.

TabanMD

9735 Wilshire Blvd, Suite 204

Beverly Hills, Ca 90212

Doctor@TabanMD.com

310-278-1836

Los Angeles, Santa Barbara

www.tabanmd.com

Is it Normal for One Eyelid to be Drooping After Blepharoplasty?

See original post on RealSelf.com here.

Question:

Is it Normal for One Eyelid to be Drooping 3 Weeks After
Blepharoplasty?

“After recent (3 weeks ago) blepharoplasty of the upper lids, my left lid is droopy with some swelling. My doc said come back in 3 weeks and prescribed lube drops. Is this normal for one eye to droop and the other not at this stage. Also I am still using the neomycin and dexamethasone oinment for the suture scars. I’m concerned since the dexamethasone is a steroid, and perhaps I’m over using it. Could I use just a triple antibiotic ointment as well? thanks”

Dr. Taban’s Answer:

Droopy eyelid after blepharoplasty

“Using ointment at this point is not needed.  The droopy upper eyelid could be from residual swelling of the upper eyelid or it could have been present prior to the blepharoplasty.  Blepharoplasty only removes excess skin from the upper eyelids.  It does NOT actually lift the eyelids. If there is true droopy upper eyelids (ptosis), then that requires ptosis surgery by tightening the muscle responsible for lifting the eyelids.  You should wait at least 3 months from your surgery to allow any residual swelling to subside.  If at that time there is still droopy eyelid, then you might need ptosis surgery.  See an oculoplastic surgeon.”

TabanMD

9735 Wilshire Blvd, Suite 204

Beverly Hills, Ca 90212

Doctor@TabanMD.com

310-278-1836

www.tabanmd.com