Training and board certification
Source for all rows: source
| Stage | Detail |
|---|---|
| College | Colgate University, Hamilton, New York; B.A., Economics, 1991-1995 |
| Medical school | Virginia Commonwealth University-MCV, Richmond, Virginia; M.D., 1995-1999 |
| General surgery | University of Maryland, Baltimore, 1999-2000 |
| Residency | Otolaryngology-Head and Neck Surgery, University of Maryland, Baltimore, 2000-2004 |
| Residency | Plastic and Reconstructive Surgery, The Methodist Hospital, Houston, 2004-2006, with rotations at CHRISTUS St. Joseph Hospital, MD Anderson Cancer Center and Memorial Hermann Hospital |
- Board certification as printed: "Board Certified American Board of Plastic Surgery"; "Board Certified American Board of Facial Plastic and Reconstructive Surgery"; "Board Certified American Board of Otolaryngology Head and Neck Surgery."
- Member of the Rhinoplasty Society.
- Clinical faculty member, Division of Plastic and Reconstructive Surgery, Harbor/UCLA.
- Research and presentations on gene therapy for head and neck cancer, pain pumps after abdominoplasty and the internal nasal valve. Raised on the Palos Verdes Peninsula.
Eyelid surgery work
- Upper blepharoplasty. An incision in the supratarsal crease, about 10 mm above the lashes; excess skin, then redundant muscle and fat, are removed based on the patient's anatomy.
- Asian blepharoplasty. The incision may sit 6 mm above the lashes to keep ethnic characteristics, or 8 to 10 mm for a more westernized look. The surgery creates a double eyelid and supratarsal crease; the epicanthal fold may be modified to an inside or outside fold.
- Ptosis surgery. Done at the time of blepharoplasty, usually by plicating or shortening the levator aponeurosis to raise the lid.
- Lower blepharoplasty. An incision below the lashes; the fat in three compartments is removed or repositioned over the orbital rim to fill the tear trough, then excess skin and muscle are removed.
- Transconjunctival approach. An incision inside the lower lid removes fat but not skin, for patients with bags and little excess skin.
- Canthal tightening. Canthopexy places a suture through the lateral canthus and orbital rim; lateral canthoplasty divides and reattaches the canthal ligament.
- Anesthesia: local, local with IV sedation, or general; outpatient.
- Brow lift. The brow page lists endoscopic (three small hairline incisions, subperiosteal), coronal, pretrichial (front of hairline, can lower a high hairline), lateral, mid-forehead and direct brow lifts, plus Botox and fillers (source).
Gallery: the blepharoplasty gallery shows 19 before-and-after pairs, with captions crediting lower eyelid blepharoplasty to Dr. David Bray, Jr. (source). The site has no separate brow lift gallery.
Other procedures
The site offers facelift, neck lift, rhinoplasty, otoplasty, chin surgery, lip augmentation, skin cancer and nasal reconstruction, injectables and migraine treatment, plus breast surgery and revision, abdominoplasty, liposuction and gynecomastia (drdavidbrayjr.com).
Insurance and cost
The eyelid and brow pages state no price and say nothing about insurance or Medicare coverage.
Recovery
- Swelling begins to subside after the first day; some blurred vision is normal (source).
- Sutures out: 4 to 5 days. Swelling and bruising last about 10 days; makeup can be worn to conceal them.
- Lower blepharoplasty: normal activities within 10 to 14 days; strenuous exercise and heavy lifting avoided for a few weeks.
- Brow lift: one-to-two-week recovery; complete recovery can take a few months (source).