Exciting News!

As of March, 2016 Dr. Bharti joins Hunstad Kortesis Plastic Surgery + MedSpa in Charlotte, NC. New and existing patients are welcome to call 704-659-9000 to set up consultations with Dr. Bharti's new office.

Viewing entries tagged blepharoplasty

Case Of The Week: Blepharoplasty (Upper Eyelid Lift) & Congenital Eyelid Ptosis Repair

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This patient was a 55-year-old 5 foot 3 inch female that weighed 110lbs.  Her primary concern was that she had significant excess overhanging upper eyelid skin (dermatochalasis) that obstructed her vision and gave her a tired appearance.  In addition, she had congenital left upper eyelid ptosis (eyelid droop) where her left eyelid was in a lower position than her right eyelid with the eyes open.  She was otherwise a very healthy and active person and did not have any history of eye surgery or dry eyes.  She was seen on multiple visits to discuss her options and then plan for her surgery.  
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Dr. Bharti and her decided to perform a bilateral upper eyelid blepharoplasty (eyelid lift) and a left eyelid ptosis repair.  This was performed in Dr. Bharti’s office procedure room under local anesthesia with the patient awake.  This is a very important part of the procedure when performing the very delicate ptosis repair. Dr. Bharti first cleansed the patient with betadine to disinfect the skin.  The entire time Dr. Bharti was talking and checking on his patient to make sure she was comfortable.  He then carefully marked the incision lines to perform the lid lift procedure to remove the excess upper eyelid skin.  Local anesthesia was then injected.  Ten minutes was then allowed for this to take effect.  After this, the patient felt no pain.  
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Dr. Bharti then carefully removed the excess skin.  After this was done on both sides he then performed the ptosis repair on the left side.  Dr. Bharti did this by performing a levator palpebrae superioris muscle plication (tightening).  This muscle is the muscle that actually opens your eyes.  After the repair Dr. Bharti then had the patient open and close both of her eyes to make sure that they were symmetric.  Once he was sure that her eyes opened exactly the same he then closed the incisions with a suture that would be removed in one week. 

Once the procedure was completed Dr. Bharti immediately started cold compresses to both eyes to keep swelling controlled.  In addition, the patient was given antibiotic ointment to apply to the incision lines and eye drops.  The cold compresses were continued every hour for the first 24 hours.  She was instructed to keep her head elevated.  The patient was sent home with pain medicines but did not require these.  She followed up in one week for suture removal.  Her next postoperative visits were at 1 month and then 3 months.  On her most recent exam she has a greatly improved field of vision, enhanced aesthetic appearance, and symmetry of her eyelid openings.  She now looks more alert and less tired.  She is very happy with her end result. 

Facial Rejuvenation

Woman s_Face We all age.  It starts the day that we are born.  It is a life process that does not discriminate and affects everyone.  Certain behaviors and environmental exposures can speed up the aging process.  Smoking and sun exposure are the main offending agents that will make you age at a faster rate.  It is never too late to stop smoking and to limit your sun exposure.

The question remains: What can I do to erase the signs of facial aging?  To attain a youthful face you must plan your attack using many tools and you must target all portions of your face including your forehead, eyes, cheeks, lips, neck, and the actual skin.  Using these tools you can slow the process of aging, and with surgery you can set the clock back many years.  Below is a list of options that can be utilized to keep your face looking youthful and surgical methods to turn back the clock.   These options are often combined to get the best result.  Each person is unique and will have different goals.  Therefore facial rejuvenation should be customized to each individual patient. 

Nonsurgical Management

1. Meticulous skin care regimen (Example: Obagi NuDerm system)

2. Avoid excess sun exposure

3. Wear sunscreen (most make-up has sunblock in it)

4. Moisturize  (even men need to think about this)

5. Bleaching agent (facial skin darkens as it ages)


Kojic Acid

6. Injectable fillers to fill erase shadows and fill in wrinkles



7. Neurotoxin to stop wrinkles from forming



8. Stimulate new  skin to form

Retinoic Acid

Chemical peels

Surgical Management

1. Skin Resurfacing

Laser Resurfacing


High Strength Chemical Peels

2. Facelift


Full face & neck lift

3. Blepharoplasty (eyelid lift)

Upper Lid

Lower Lid

4. Browlift


Open Approach

5. Rhinoplasty

6. Lip Augmentation


Fat Injection


7. Facial Implants