WARNING: GRAPHIC CONTENT! MATURE AUDIENCE ONLY!

Take a look at the veteran of plastic surgery, dr. George Boris performing complex eyelid lifts. Dr. Boris takes you through all the steps necessary for performing this complex procedure while also speaking about hazards and best practices to achieve great results.

Boris Cosmetic was founded by dr. George Boris with a single goal: to give people the body of their dreams. The clinic gathers some of the best doctors in the country, who have years of experience and are committed to giving you an experience that will take you to the next level. Their expertise results in thousands of satisfied patients, which allows Boris Cosmetic to be recognized as one of the busiest and most trusted surgery centers in the nation.

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Timestamps:

Introduction 0:00
Procedure on the right upper eyelid: 2:31
About the vital eye structure 5:22
Procedure on the left upper eyelid 6:18
Procedure on the lower eyelids 10:06
Percussion step in Blepharoplasty 15:33
Final results 18:14

Transcript:
Hello, this is Dr. Boris. Today we're gonna do upper and lower blepharoplasty on this lady. She has a lot of hooding and a lot of extra skin in the upper eyelid along with fat in the inner part of the upper eyelid that we're going to take out. When I press down on the eye, on the globe, you can see the fat. She's really got a lot of fat on a low lid.
There are two ways of taking out fat. Sometimes I do it from inside the eyelid, or sometimes I make an incision just under the eyelashes. It's the same unless I want to take out some skin, then I would usually go with the external approach but even with an internal approach, I can take out a little skin if necessary.
But in her case, because she's convex with the respect to the fat pushing on the eyelid, when I take it out the fat will become concave and the skin will occupy more surface area so there's little less need to take out the fat. The concern is not the skin, it is really the fat that she has. So we're going to focus on taking out the fat both in the upper lid and the lower lid and taking out skin in the upper lid.
So we are going to eliminate the hooding and that's basically what we're going to do today. I injected Lidocaine with epinephrine in the upper leaves in the lower lids.
Now I'm going to start with the upper lid. I'm going to take out the excess skin and then we'll go for the fat. I made my incision in the area I outlined which is the excess skin. So I took out the skin now.
So now we've completed the upper eyelids, they're closed and they look really good. The fat is taken out, the extra skin is taken out and I am happy with that. Now I'm gonna make an incision just below the hairs to the eyelashes.
We're gonna begin to see all the fat now coming out, as I dissect this. What I'm doing now is using these retractors to retract the muscle which is over this fat and I'm taking the fat out.
I'm very concerned with the upper and the lower lid, but I am going to just quarter the eyes a little bit, on the muscle, to cut down on the wrinkling that this muscle can create.
There is a lot of fat here that's hiding, that doesn't want to come out. If I didn't look forward, and I closed her you'd see big bowls at the end of the surgery, and we don't wanna do that, we want to get all that fat out so we're looking for that fat here. Here look at this big vessel, here is the muscle, by the way, see the muscle the inferior oblique that we saw on the other side, you know we have the big vessels here we just cauterize them so they don't bleed.
We're closing with the absorbable stitches sutures that will fall out the next few days. That's it.

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