Training and board certification
| Stage | Detail |
|---|---|
| Undergraduate | University of Pennsylvania, neuroscience |
| Medical school | Oakland University William Beaumont School of Medicine, Rochester, Michigan; Alpha Omega Alpha |
| Residency | Five years, Otolaryngology-Head & Neck Surgery, New York Eye & Ear Infirmary and Icahn School of Medicine at Mount Sinai |
| Fellowship | American Academy of Facial Plastic and Reconstructive Surgery Foundation Fellowship with Dr. Daniel Rousso, Rousso Facial Plastic Surgery Clinic, Birmingham, Alabama |
- The site calls her a "double board-certified facial plastic surgeon." The home page links to her verification pages at the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology-Head and Neck Surgery (drashleyguthrie.com).
Eyelid surgery work
- Upper blepharoplasty. Removes excess skin, muscle and sometimes fat that cause hooded lids or block peripheral vision.
- Lower blepharoplasty. Removes or repositions fat and tightens skin to treat under-eye puffiness and bags. The page states lower lid fat removal results are generally permanent.
- Combined surgery. Upper and lower blepharoplasty can be done at one sitting, which the page states shares operating room and anesthesia costs.
- Brow lift. Dr. Guthrie may recommend an endoscopic brow lift through tiny incisions with a camera, a lateral (temporal) brow lift for the outer third of the brow, or a trichophytic (hairline) brow lift for a high forehead. Brow lift is done under sedation or general anesthesia as an outpatient and takes about 1 to 2 hours (source).
- At consultation she assesses whether brow position, eyelid skin or both cause the hooding.
Galleries: the site has separate before-and-after pages for blepharoplasty (eyelid lift), upper blepharoplasty (upper), lower blepharoplasty (lower), combined upper and lower (upper and lower) and brow lift (brow lift).
Other procedures
The gallery menu also covers facelift, deep neck lift, rhinoplasty, otoplasty, lip lift, buccal fat removal, facial implants, fat transfer, submental liposuction, earlobe repair and hair transplant. Nonsurgical work includes CO2 laser, Morpheus8, FaceTite and fillers (drashleyguthrie.com).
Insurance and cost
- Upper blepharoplasty "may be partially or fully covered by insurance" when drooping skin significantly blocks peripheral vision (dermatochalasis). A functional evaluation with a visual field test is typically required, and the team helps with documentation.
- Lower blepharoplasty and cosmetic upper blepharoplasty are self-pay.
- The page gives Nashville and Brentwood area ranges: upper blepharoplasty about $3,500 to $6,500; lower blepharoplasty about $4,500 to $8,000. Dr. Guthrie gives a personal quote at consultation.
- Brow lift pricing depends on technique and added procedures; a quote is given at consultation.
Recovery
- Days 1 to 3: bruising and swelling peak in the first 48 to 72 hours; cold compresses and head elevation.
- Day 7: suture removal at the office.
- Days 10 to 14: most patients feel comfortable in public; light makeup once cleared.
- Weeks 4 to 6: most are cleared for all activities, including exercise; final results settle by six weeks.
- Upper eyelid results typically last 10 years or more.
- Brow lift: swelling improves within 7 to 10 days; return to work within 1 to 2 weeks (source).