Sourced directly from Dr. Mahsa A. Sohrab's social posts and replies.
How long does it take to see the final results after eyelid surgery?
Final results for eyelid rejuvenation procedures typically take anywhere from 3-6 months to fully manifest.
How should I apply post-operative ointment after eyelid surgery?
The practice provides antibiotic ointment for post-operative care, which is safe to use in your eyes. You can apply it using a fingertip or a cotton swab. Using the ointment tube itself is least preferred to avoid contaminating the tip.
What causes under-eye bags and hollowing?
Under-eye bags and hollowing can be genetic, age-related, or a combination of both factors.
Is surgery always necessary for under-eye bags and hollowing?
No, not everyone with under-eye bags and hollowing needs surgery. The best candidates for lower eyelid surgery typically have visible under-eye bags that haven’t responded to other treatments, where surgery can still make a real difference.
What is Dr. Sohrab's approach to brow lift surgery?
Not all brow lifts are the same, and there isn’t one 'best' approach for everyone. The correct technique depends on much more than simply whether your brows have dropped. When evaluating for brow rejuvenation, Dr. Sohrab examines the entire upper face: brow position and shape, forehead anatomy, hairline, degree and location of brow descent, upper eyelid skin, and the result the patient is hoping to achieve. Depending on those factors, different approaches may be considered—from a temporal or lateral brow lift to endoscopic or other surgical techniques. Sometimes, what looks like an upper eyelid problem is actually being influenced by the position of the brow. The goal is to choose an approach based on the individual patient’s anatomy, concerns, and desired outcome—not simply the name of a procedure.
Is bruising common after cosmetic procedures and how is it treated?
Yes, bruising is a common occurrence after cosmetic procedures, even for doctors. Dr. Sohrab personally experienced bruising under her eyes after PRP injections despite icing and taking Arnica. Her preferred bruise treatment is Sciton BBL (BroadBand Light), which she uses after a few days. This quick light treatment helps bruises disappear more quickly and also provides an anti-aging benefit.
What should I expect regarding scars and healing after upper blepharoplasty?
Upper blepharoplasty scars are carefully placed within the natural eyelid crease. As your incision heals, your body temporarily increases blood flow to the area, which often makes the scar appear pink or red during the first several weeks to months. This is a normal part of the healing process, and the redness typically continues to fade as the scar matures, allowing them to become increasingly difficult to notice. Patients should protect their incision from the sun, follow post-operative instructions, and be patient with the process, as healing takes time.
What if my upper blepharoplasty results 'wore off' or I still have heavy eyelids?
While a second upper blepharoplasty can sometimes be the correct treatment, often the real issue causing heavy upper eyelids after a previous procedure is brow descent, not excess eyelid skin. As our brows naturally lower with age, they push more tissue onto the upper eyelids, creating the appearance of 'extra skin.' Performing another upper blepharoplasty without recognizing this can leave patients disappointed or even over-resected. The key isn’t automatically doing more surgery—it’s making the right diagnosis. During a consultation, Dr. Sohrab evaluates both the eyelids and the position of the brows to determine what’s actually causing the heaviness so she can recommend the most appropriate treatment. If you’ve ever wondered whether your previous upper bleph 'wore off,' this is an important conversation to have before considering another procedure.
What is the role of stitches in plastic surgery, particularly blepharoplasty?
In plastic surgery, stitches do much more than just close a wound. They help reduce tension, support deeper tissues, improve alignment of the skin edges, and create an environment that allows healing to occur as predictably as possible. Scar quality is determined not only by where the incision is placed, but also by how the tissues are repaired underneath. That is why careful closure is such an important part of each blepharoplasty surgery.
When can I get Botox after eyelid surgery?
In most cases, Dr. Sohrab recommends waiting 4 weeks after eyelid surgery before treating the area around the eyes with Botox. Treating too early can have a higher risk of migration and impair your body’s ability to clear the swelling. The best approach is to discuss timing with your surgeon, who can evaluate your healing and determine when treatment is appropriate. Individualized treatment plans are offered.