As a young plastic surgeon, i did few upper lid blepharoplasty. I love to watch videos about it and so far it is the BEST one explaining the marking!!! Congratulation Sir. Best regards.
@drswapnil12342 жыл бұрын
Amazing amazing amazing. I am an ophthalmologist whos starting on this surgery. Nothing could have been clearer than this video. Thanks a million
@miabs90813 жыл бұрын
It is by far the best blepharoplasty tutorial I have ever seen, thank you sir 🎩
@stephenlee27973 жыл бұрын
Absolutely amazing step-by-step instructions with specific considerations. Many thanks on this video. I really don't understand people thumbing down a video that has an amazing content. More power to you doc ric!
@riccaesar3 жыл бұрын
Dear Stephen. Many thanks! I think (I hope!) some of the thumbs down are for the low production costs - ie not professional quality sound etc etc. But - keeping the costs low keeps the videos totally free :) I really enjoy teaching and get great reward from people like you, who take time to make a kind comment. I appreciate it! Best wishes Ric
@ozguruslu55342 жыл бұрын
I say as a doctor; Excellent knowledge and explanation. You are really fabulous. Very informative content. Thank you very, very much.👏👏👏
@riccaesar2 жыл бұрын
Dear Ozgur, thank you indeed for taking the time to write - I'm delighted you find the video useful. Best wishes with your doctoring :)
@ozguruslu55342 жыл бұрын
@@riccaesar How polite of you to reply. Again 👏👏🙏
@anacabo976 Жыл бұрын
Indeed the very best video I've found on upper blepharoplasty marking!! I'm an Ophtho resident and this was super helpful. Thank you so much :)
@riccaesar Жыл бұрын
Hi Anacabo. Glad you like it! Please feel free to download and use in any of your own tutorials - spread the love :) Best wishes. Ric
@rmkfranky3 жыл бұрын
Excellent presentation.👍 Loved the approach, sequence, different clinical scenarios, addition of browlift and the checklist.
@ralucakocsis6092 жыл бұрын
I have been searching a lot for explicit videos on the entire internet and this doctor and his channel are by far my favs! Keep up the good work and many thanks!
@riccaesar2 жыл бұрын
Dear Raluca. I knew I liked you. :)
@beatrizvallejo58243 жыл бұрын
Muchísimas gracias Dr Caesar, para mí es uno de los vídeos más detallados y explicativos que he visto
@patriciap.5534 жыл бұрын
Brilliant video! Thank you so much for taking the time and explaining all the necessary steps! Great work!
@lancebodily5763 жыл бұрын
Very thoughtful video! I’ve become a strong medial triangle excision proponent myself- it adds a bit more work but I agree it closes much more nicely and in patients that need a larger bleph and so have the wider angle you’re discussing I believe they benefit from some of the more medial tissue excision the medial triangle provides but the medial triangle allows the tissue removal in a safe manner instead of carrying the regular bleph flap medial to the punctum and risking webbing.
@alikucukoduk3992 Жыл бұрын
Dear Sir, this is an excellent explanation and I sincerely thank you. I am using permanent markers 0.3-0.5 mm that are used for writing on CD's or acetate sheets for marking. The ink of these pens dry very quickly and you get a beautiful thin marking which does not disperse with blinking, nor they erase after skin disinfection. Thank you again for your excellent video.
@riccaesar Жыл бұрын
Dear Alikucukoduk. I have some of those markers! - I'll try your recommendation. Thanks for sharing. Best wishes. Ric
@DAVIDSANCHEZ-gw7je Жыл бұрын
Great video! Thanks Dr. Caesar for providing excellent information and explanations. I learned a lot!
@Jamalai3 жыл бұрын
Absolutely wonderful ! Thanks a lot sir for sharin' this great series of tips leading to a successful upper eyelid blepharoplasty ! Lookin' forward to watchin' new videos from you...
@riccaesar3 жыл бұрын
Dear Jamalai, delighted you're finding the videos helpful, and that your patients then benefit - that's what its all about! Best wishes for all your surgery. Ric
@Drhilmi2 жыл бұрын
Awosome presentation Sir, this is the best instructive video ever on bleparoplasty ,your sketchings in video are keys for success.
@arwam94044 жыл бұрын
Thank you..You are the best oculoplastic lecturer!
@neerajkanthwal Жыл бұрын
You are truly a master teacher and agreat surgeon
@lehelm7834 Жыл бұрын
Thanks for sharing your experty. Congratulations for the nicely documented presentation. It was very relevant and I learnt a lot form it.
@equestrianqueen601 Жыл бұрын
Dr. R.C. You voice is very soothing to hear. I’m coming relaxed now lol😂
@SamtenEyeАй бұрын
I always come here for learning whenever i want to do revision
@susanbuenaventura4570 Жыл бұрын
Outstanding. Thank you so much for sharing your expertise and passion for blepharoplasty.
@vilmasemini34322 жыл бұрын
There are lots of Videos but this is totally something else. Perfect 💫👏🏻
@boseemlc2 жыл бұрын
Overtly useful and great tips for good upper lid blepharoplasty, particularly the checkpoints.
@Sumkindamon2 жыл бұрын
Great channel and very helpfull videos! Big thanks and best wishes to you from Siberia, Mr. Caesar!
@user-sn1ft4dg8r Жыл бұрын
Had mine 11 days ago. So far so good. Amazingly pain free.
@chazmuska Жыл бұрын
Did you get knocked out or did local anesthesia?
@user-sn1ft4dg8r Жыл бұрын
@@chazmuska Out. Twilight Sleep.
@nin74642 жыл бұрын
Perfectly explained step by step markings!
@apeiron19843 ай бұрын
mesure twice, cut once. great video sir.
@muhammadaliiftikhar4 ай бұрын
Brilliant video , absolutely loved it
@yamyammaot5 ай бұрын
Thank you for sharing the thought process dr.
@hind62072 жыл бұрын
Perfect way of illustration
@atmdiary99402 жыл бұрын
I want to have that surgery for my eyes someday, when I have lots of money. Thanks for this video Doc!!
@jamalshaterian3 жыл бұрын
thank you dr caesar . an astonishing presentation. very helpful and informative.
You are an excellent teacher and surgeon, you remind me of Prof Andrew Burd.
@GurvinderSingh-cv9fq2 жыл бұрын
Very informative and detailed presentation... Thanks for sharing!!!!
@Alice-tq6bl3 жыл бұрын
Imagine your surgeon turning this on while performing the operation...lol
@martinmauad63412 жыл бұрын
Muchisimas gracias por compartir sus conocimientos y experiencia! saludos desde Argentina.
@moayadification2 жыл бұрын
Always enjoyable to watch
@shawnmcshlow9808 Жыл бұрын
great information, thanks so much Ric!
@hasanadel87753 жыл бұрын
Really love your videos
@yoliegiraldo75402 жыл бұрын
Thank you so much Dr🤩 Fantastic information 👌
@taramedhurst2162 жыл бұрын
Very well presented and easy to understand, thankyou.
@coffee61743 жыл бұрын
please always share tutorial clips like this /// thanks a lot doc
@Yt_elisafann Жыл бұрын
Thank u soo much i agree with all comments🙏🙏🙏
@gayecamo55172 жыл бұрын
Magnificent video.
@ingridh.74203 жыл бұрын
Is there any vedios about brow ptosis repair? In elder orientals,there are many cases encountered both brow and upper lid ptosis.And among these cases,if they asked a combined operation for correction of blepharoptosis with double eyelid,do you think brow lift is necessary? Otherwise,the post-op cases may have a unfriendly look,I think. Thank you so much,since you’re always so kind and nice for all my doubts!
@riccaesar3 жыл бұрын
Hi Ingrid. The best techniques for brow lift are those that leave no scar. For a subtle brow lift, then neutralising the brow depressors with botulinum toxin is very effective, and a useful add to any blepharoplasty. For a more powerful brow lift - the endoscopic technique can be very effective, but this is a larger operation and more expensive. All direct lifts with excision of skin will leave a scar. This scar may be hidden by the hair if pretrichial, or by skin creases with careful placement, but there will always be a scar. For most cosmetic brow lifts, such a scar is unacceptable. Cosmetic trends apply, and lower, fuller brows are considered more youthful than thinner higher brows. I'd always discuss the brow position with my patients, but usually find a blepharoplasty with some botox the preferred solution. This is also very safe, as an endoscopic brow lift can still be done at a later date. Best wishes. Ric
@timonferro2300 Жыл бұрын
Thank you so much for this video!!!
@aysennnalar48543 ай бұрын
Thanks for sharing
@miguelbarreiros2553 Жыл бұрын
Thank you very much for sharing!
@sempa1838 Жыл бұрын
I have also eye lid problem,,so I watch your video mostly so I really like the way you are explaining and your results,,first of all very proud of your great job and my question is my eye lid looks like swelling so I am very upset every day so I don’t want to change it,,so how it can be dangerous or it’s there any problem that we need to face in future???
@emanalshahwan79022 жыл бұрын
Wonderful informative video. Thank you very much
@katarzynan.371411 ай бұрын
fantastic
@annamossakowska7575 Жыл бұрын
I wish I could watch this video before a made my upper eyelid blepharoplasty, or maybe my surgeon... Unfortunately he did not pay much attention to marking. He cut my skin above the natural crease which caused additional crease/wrinkle in my eyelid. It looks really bad. I hope it can be fixed.
@salwaalzahawy17992 жыл бұрын
Thank you very much for this amazing video
@riccaesar2 жыл бұрын
You are most welcome! Best wishes. Ric
@alaidelustre15002 жыл бұрын
Lovely vídeo, Thanks doctor
@draman28033 жыл бұрын
Very well explained 👏
@drammansouri91533 жыл бұрын
thanks dear dr Caesar
@joanamorimitsu55473 жыл бұрын
Thank you, Dr.
@OriginalEye20727 ай бұрын
Medial triangle issue, Amy winehouse, Brow ptosis issue(botox is very useful), Pen is alway stronger than sword. -> Very Thank you for your videdo.
@riccaesar7 ай бұрын
Ha Ha. Great summary of important points! Thank you to you, and to everyone else who takes time to comment. I appreciate it. Best wishes. Ric
@canerkarakaya1352 жыл бұрын
Very nice video, i liked it
@sladajankovic4 жыл бұрын
You explained perfectly🤗🤗🤗
@kahina0791 Жыл бұрын
Thank you very much
@anwaarmohamed99468 ай бұрын
Thanks alot
@jenniferscheffel60202 жыл бұрын
Excellent demonstration. I'm looking at surgeons in my area. Do you have advice on the best questions to ask a surgeon before surgery and how to select a surgeon.
@riccaesar2 жыл бұрын
Hi Jennifer. For a blepharoplasty I'd always recommend an oculoplastic surgeon over a normal cosmetic plastic surgeon, as we train in the knowledge of how to protect the eye. (But there are also excellent plastic surgeons - I'm happy to admit my bias). The questions include - have you been struck off, are you being sued, have you been sued, what is your complication rate, how do you deal with complications, who do I call if something goes wrong. Vital to write out the "rude" questions into a list so you simply ask them all and tick off your list. No surgeon should be the least offended and should be able to answer each question honestly. Every good surgeon will eventually experience all the possible complications. The best surgeons can be sued. You're looking for honesty and someone you trust. Then ask around, word of mouth really matters, not just "reviews" on a website - speak to someone who has had that surgeon operate on them. Then when you meet your surgeon trust your instincts. They should be interested in exactly what bothers you, and how they can help, not just in selling you their service. Be prepared to see more than one surgeon before you choose. (although this can get expensive). Watch out for "free" consultations. A good surgeon should charge you for their time. In the UK, we always recommend a surgeon who also has an NHS post, as this means they have already won that position in open competition and have been fully trained. Take your time and I wish you all the best with any eventual surgery! Best wishes. Ric
@jenniferscheffel60202 жыл бұрын
@@riccaesar thank you for your thorough reply. I will absolutely make a list! There are only two Oculoplastic surgeons in my area (and I’m nervous about both of them from lack of reviews) I live in a relatively large city in the US. I think I’m going to have to search for surgeons outside of my area. Really appreciate your advice! And yes, I plan to pay for more than one doctor consultation before making such a big decision.
@lindatran73853 жыл бұрын
Dr, a very informative video with many examples, great job. I didn’t see any examples of Asian eyes with hooded eyelids. Should I only consider oculoplasty surgeons who have experience with Asian eyes?
@riccaesar3 жыл бұрын
Hi Linda. That is a very sensible question. I live and work in Cheltenham, a very caucasian part of the UK, so inevitably the majority of my patients have been caucasian. Asian upper lids have a lower fat pad and a typically flatter and lower skin crease and do need the above markings to be adjusted. There are separate tutorials specifically on marking the Asian upper lid. Much depends on how "westernised" you want you upper lid to be. I would always recommend seeking out a surgeon with extensive experience in the exact surgery you want, see their before and after photos, and check you like them when you consult with them. Thankfully, most surgeons give a good idea of what they offer on their websites and posted videos, so you don't need to do endless consultations. Best wishes. Ric
@masaoudsousak4475 Жыл бұрын
Great work
@Skno2897 ай бұрын
Perfect 👌
@afify2381814 жыл бұрын
perefect dear pro. need another more section on brow left alone and with upper plepharoplasty . thanks dear 🌹
@yeoo69734 жыл бұрын
Thank you very much for this amazing tutorial!
@omardawood55733 жыл бұрын
Thank you very much , superb
@user-iv9qx9dv1e2 жыл бұрын
Ausgezeichnet arbeit!
@riccaesar2 жыл бұрын
Vielen dank!
@SonHoang-rz9lo3 жыл бұрын
This is very very helpfull, can you give more and more the same video???
@aquilanoncapitmuscas33722 жыл бұрын
Thanks sir..
@cursoresidentesusp14604 жыл бұрын
Wonderful educational video! Thank you!
@EatwithRehan Жыл бұрын
Wow missing ❤
@jasonludlowMD3 жыл бұрын
Very helpful tutorial for the young Ophthalmologist, thank you for sharing Dr! One question, what would be the harm in taking a small medial triangle in all cases, even those with smaller angles?
@riccaesar3 жыл бұрын
As a general rule - never do any surgery you don't need to do! Every additional cut is additional inflammation and scar. However I agree, unless you're certain that the patient doesn't need the medial triangle, it is, in my opinion, better to do it. Always annoying for the patient if you have to take them back for a trim. Bottom line - constantly audit your results, reflect on your pre-op decisions and aim for perfection every time. (but accept that none of us are perfect ). Best wishes. Ric
@jasonludlowMD3 жыл бұрын
Thank you!
@adelalraisi51592 жыл бұрын
Amazing 👍👍👍👍
@selmamohamed12373 жыл бұрын
Thanks for sharing this 🙏 Can you please do avidio on brow and lacrimal gland lifting..
@jadaross39752 жыл бұрын
the way the title says tutorial as if you can do this at home as a diy 😂😂😂
@marceyoutubification4 жыл бұрын
i very like your class, I´m argentina, you speak, very good, for us, latin .with bad englis congratulations¡¡
@natuurlijkenmooi43653 жыл бұрын
Gerat video! thans a lot
@stevenanandan4 жыл бұрын
Wonderful.Thank you very much. Do you have any good video on brow lifts?
@riccaesar4 жыл бұрын
Hi Steven - I mostly use botulinum toxin for a subtle lift and refer most of my other brow lifts on to my plastic surgery colleagues for an endoscopic lift. I do the occasional pre-trichial lift, and rarely a direct lift, and will post one of those when I can. Best wishes, Ric
@PesGamers433 Жыл бұрын
Whic country are you in Sir? u value the symetry and its somthing that many dont consider. My right eyelid need to be lefted
@MariaSydneyacww8 ай бұрын
I had surgery 2 months ago and I can only close my eyes halfway. My eyes are open at night. He also removed all my fat, my eyes are hollow and I look sick. The reason I came to him was to remove a little skin on the outer corner. Now my eyes dont close and I look horrible
@riccaesar8 ай бұрын
Hi @MariaSydneyacww. Who was your surgeon? You need to see them again as soon as possible as your cornea can be at risk if you can't close your eye. Use maximal lubricants and gently stretch your upper lid down several times a day, but most important see your surgeon asap. They need to see you both to help, and to know what the results of their technique have been. I wish you the best of luck in your recovery. Ric
@marziyefotouhi85172 жыл бұрын
Great😊😊
@clairevalentine11923 жыл бұрын
Dear Dr Caesar thank you for this wonderful and very informative tutorial. Have you thought of using a fine felt eyeliner for your surgical marking. They tend not to bleed on the skin.
@riccaesar3 жыл бұрын
Hi Claire. I'd be delighted to try - is there a particular one you recommend?
@clairevalentine11923 жыл бұрын
@@riccaesar Good morning Dr Cesar yes I can recommend blinc ultrathin liquid eyeliner pen. It is excellent for makeup so I cannot see why it would not work for your surgeries. Funnily another I was just about to call your office to book a consultation with you. Hope to meet soon.
@riccaesar3 жыл бұрын
@@clairevalentine1192 Look forward to it! I've just realised a potential problem with the eyeliner pen - it may contain micropigments that could be tattooed into the scar as the skin is cut. We are however constantly on the lookout for better surgical markers, as the bleed of the ink is quite annoying.
@clairevalentine11923 жыл бұрын
@@riccaesar ahh yes that really would be an unwelcome side affect!!!
@topokore41482 жыл бұрын
I want make this surgery.
@kumargera8733 Жыл бұрын
How much it cost upper eyelid for both eyes please
@adedayoadio3676 Жыл бұрын
Can you do blepharoplasty on one side only
@aliomran323 жыл бұрын
Thank you prof.
@cahillmarian3 жыл бұрын
I had a blepharoplasty last November, they did not mark my eyes first and both eyes were done at the same time , now one of my eyes looks bigger than the other and there is still a lot of eyelid, I have been told they need to do the surgery again but I am afraid they will mess up and I will look worse
@riccaesar3 жыл бұрын
Hi Marian. If you are at all nervous I would always recommend a second opinion. All surgeons sometimes have to re-operate to get a better result, but it is important that you are happy with all your communication and experiences. I'd write down all your questions and go through them with your surgeon one at a time and tick them off to ensure you are fully satisfied. If you have lost confidence in your surgeon, it is essential to have your re-do done by someone else. Hopefully your surgeon will take time to explain everything, and you will have a great end result. Best wishes. Ric
@cahillmarian2 жыл бұрын
@@riccaesar thank you for getting back to me, sorry for late reply but have only just seen your message.
@adrianaalexis91863 жыл бұрын
Excelent
@mohdewaje4 жыл бұрын
Sir I would like to express my sincere thanks for such a great demonstration. My 1st question: what is your opinion about temporal brow lift? 2nd question: in cases of asymmetric brow position, don't you think that performing upper blepharoplasty alone my affect future symmetry if brow ptosis get worse with aging. Thanks
@riccaesar4 жыл бұрын
Hi Mohamed. I think temporal brow lift has a place but hiding the scar is the issue, and hairstyles can change. For question 2 - yes. Hopefully you'll improve the symmetry for now, but you may indeed want to offer more surgery as the ageing process continues. An upper bleph will normally last about 10 years. Best wishes Ric
@mohdewaje4 жыл бұрын
@@riccaesar thanks a million And thanks again for your beautiful teaching oculoplastic series. ⚘⚘⚘⚘
@user-qr2zc7ze4m7 ай бұрын
Why dont you teach us by new videos professor?🥰
@sempa1838 Жыл бұрын
Hello how much it can be danger???
@shawkathassan70864 жыл бұрын
Thank sir wonderful
@niarika41512 жыл бұрын
Sir, is upper blepharoplasty last forever??? Plz reply me
@d0perfectnanki Жыл бұрын
may I share your video on my social media account? Thanks dr Ric
@riccaesar Жыл бұрын
Hi, thank you for asking. Apologies for the delay in reply. Yes, I'm very happy for you to share this video. Best wishes Ric
@hayleyjenkins72332 жыл бұрын
How long does the procedure last
@riccaesar2 жыл бұрын
Hi Hayley, typically 10 years. Most patients do it once in their mid fifties. It is however very safe to repeat, as the original scar is removed with the repeat. Best wishes. Ric
@eddieparin29654 жыл бұрын
My wife is interested in both upper and lower blepharoplasty. Are you in N.J?
@riccaesar4 жыл бұрын
Hi Eddie. I'm in the UK! Lots of great surgeons for you to choose from in the USA. I'd recommend looking until you find a surgeon your wife feels comfortable with, who does lots of blepharoplasty, and is honest about the risks and benefits. I'm sure your wife will be delighted. It's a great operation. Best wishes, Ric
@smlesmle78002 жыл бұрын
l can t find lidocaine instead Artinibsa 4% be used in blepharoplasty?
@riccaesar2 жыл бұрын
Hi. I have no experience with articaine in the upper lid, but as it is widely used for dental and maxillofacial work I see no reason why it should not be a safe local anaesthetic. As ever with anything new, I'd recommend a full search of the available published evidence. PubMed is a valuable resource. Best wishes Ric