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 This 57 year-old woman from Virginia Beach met with me in consultation because she was bothered by excess upper-eyelid skin and bulging of her lower lids. What is important to note in her case is the location of the lower lid bulge.  Commonly, it is immediately beneath the lashes.  However, in her case, the lower lid bulge was lower and to the side.  This type of bulge beneath the eye is known as a “malar bag”.  This differentiation is important because we generally find it is actually not fat, but a roll of muscle that tends to hold fluid.  Since there is no fat to remove, liposuction does not help.  The best treatment is to re-suspend the muscle that has fallen downward and rolled upon itself.  This is done with a “muscle hitch” technique.  A “muscle hitch” and fat injections were performed on this patient, as well as removal of some of the fat bulging above that area.  In addition, she underwent an upper-lid blepharoplasty and is quite pleased with her overall rejuvenation.  She feels that this procedure has restored youthfulness around her eyes.

Surgeon: Dr. Thomas Hubbard
Patient Age: 57

Case Number: 309

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Practice Policy Update Regarding COVID-19 View Update Online Consultation

Practice Policy Update Regarding COVID-19

We are excited to announce our reopening as of May 1st. While many things have changed, one thing has remained the same: Our commitment to your safety.

Consultations are available in our office and we will continue to offer Virtual Consultations as well. You will be asked to complete your registration paperwork in our secure patient portal prior to your appointment and your consultation fee will be collected by phone to minimize contact.

Here are a few changes we have made as we transition to this new era:

  • Please reschedule your appointment if you are not feeling well, have a fever, have been exposed to anyone with Covid-19 or travelled internationally within the last month.
  • We will limit the number of people in the building and waiting area to maintain social distancing and our staff will be wearing masks until restrictions are eased.
  • Please wear a mask during your visit but do not wear gloves. You will be given hand sanitizer.

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