Training and board certification
Source for all rows: source
| Stage | Detail |
|---|---|
| College | Ohio State University, double major in Fine Arts and Microbiology |
| Medical school | Medical College of Ohio (Merck Award, 1981) |
| Internship | General surgery |
| Residency | Otolaryngology and Maxillofacial Surgery, University of Cincinnati College of Medicine |
| Fellowship | Facial Plastic and Reconstructive Surgery, Tulane University, New Orleans; also Clinical Instructor in Facial Plastic Surgery |
- Board certification: "Board Certified by the American Board of Facial Plastic and Reconstructive Surgery, the American Board of Otolaryngology-Head and Neck Surgery"; Fellow of the American College of Surgeons.
- Ran a private facial cosmetic surgery practice in Boca Raton, Florida, for eight years while on the teaching faculty at the University of Miami Hospitals.
- Former Director of Facial Plastic Surgery, Albert Einstein College of Medicine and Montefiore Medical Center, New York.
- Presented on the deep chemical peel at the 2024 AAFPRS Annual Meeting in New Orleans.
Eyelid surgery work
- Upper blepharoplasty. Usually under conscious sedation with local anesthesia. Dr. Shire marks the upper eyelid crease, removes the measured excess skin and, if needed, a small portion of the orbicularis oculi muscle and a small amount of fat; sutures close the incision (upper).
- Lower blepharoplasty. Takes less than an hour per eyelid. Two techniques: transcutaneous (incision just below the lash line, allowing fat removal or repositioning, muscle tightening and skin removal) and transconjunctival (incision inside the lower eyelid for fat only, no visible scar) (lower).
- Fat repositioning. Lower lid fat can be repositioned for patients with a hollow look beneath the eyes (blepharoplasty).
- Brow lift. Performed under mild sedation and local anesthesia. Dr. Shire offers six brow lift procedures. The site describes the Minimal Incision Brow Lift (MIBL), also called Botox Assisted Brow Elevation (BABE), which uses Botox to help position the brows, needs three small incisions above the hairline and no fixation screws, and takes 30 to 40 minutes (source).
The blepharoplasty gallery shows 12 before-and-after image sets of upper, lower and combined eyelid surgery (source). The brow lift gallery shows 9 image sets, some combined with upper and lower blepharoplasty (source).
Other procedures
The site lists facelift, revision facelift, mini facelift, neck lift, rhinoplasty including ethnic and revision rhinoplasty, chin augmentation, otoplasty, lip lift, deep chemical peels with phenol-croton oil, laser resurfacing, and injectables (source).
Insurance and cost
The site publishes no practice prices and no statement on insurance or Medicare coverage for eyelid surgery. The upper blepharoplasty page cites a United States average surgeon's fee and lists facility, anesthesia and medication costs as separate parts of the total.
Recovery
- Upper blepharoplasty: most patients return to work and daily activities within five days; bruising gone by three weeks; swelling gone after two months; final outcome in four to six weeks at minimum; crease scar fades over 6 to 12 months (upper).
- Lower blepharoplasty: recovery generally about 14 days; sutures typically removed after a few days, or dissolvable sutures are used (lower).
- Brow lift (MIBL): most patients return to their normal routine within a week; strenuous activity avoided for about a month; no dressings, bandages or drains (source).