Training and board certification
Source for all rows: source
| Stage | Detail |
|---|---|
| Medical school | Medical education in Chicago, graduated "with top honors" (school not named on the site) |
| Residency | General surgery, Los Angeles |
| Fellowship | Plastic and reconstructive surgery, University of California at Davis Medical Center |
- Board certification: "Certified by both the American Board of Plastic Surgery and the American Board of Surgery."
- Fellow of the American College of Surgeons; member of the American Society of Plastic Surgeons, The Aesthetic Society and the American Medical Association.
- Board service with the American Society of Plastic Surgeons; Maliniac Fellow; member of the President's Circle of The Aesthetic Surgery Education and Research Foundation.
- Active staff at Overlake Hospital Medical Center.
- More than two decades in practice.
- The homepage states he leads the Bellevue facility as its sole physician and surgeon; the facility is accredited by the AAAASF (egrari.com).
Eyelid surgery work
- Upper and lower blepharoplasty. Upper blepharoplasty removes excess skin and repositions tissue that causes hooding. Lower blepharoplasty smooths under-eye fullness and the lid-cheek contour, often through fat repositioning (eyelid surgery).
- Incisions: in the natural upper lid crease; for the lower lid, just beneath the lashes. Transconjunctival techniques are "reserved for select cases requiring no external scar."
- Canthopexy is used when appropriate to support lower eyelid stability.
- Surgery is outpatient, under monitored anesthesia, in the practice's accredited surgical center.
- The page separates cosmetic blepharoplasty from functional blepharoplasty, which treats upper lid skin that blocks vision.
- Brow lift. Done as an outpatient under general anesthesia, usually with endoscopic or minimally invasive techniques and absorbable Endotine implants. The page also lists temporal lift, standard lift and a forehead-shortening hairline lift (brow lift).
Galleries:
- Blepharoplasty: 12 patient cases on the first page, most labeled upper and lower lids, some combined with endoscopic brow lift or midface fat injections (source).
- Brow lift: 3 endoscopic brow lift cases, each combined with upper and lower lid blepharoplasty (source).
The site has no separate page for ptosis repair, double eyelid surgery or revision eyelid surgery.
Other procedures
Face procedures listed on the site include facelift, rhinoplasty, chin augmentation, ear reshaping, fat transfer and laser skin resurfacing, along with breast and body surgery. A separate Non-Invasive Center in Suite 105 offers injectables, skin and body treatments (egrari.com).
Insurance and cost
- The eyelid page states that when significant visual obstruction is documented, functional correction "may qualify for coverage subject to insurer guidelines" (eyelid surgery).
- The office policies page states the practice does not accept or process insurance, treats all procedures as elective, and does not provide letters of medical necessity or coding for self-submission (policies).
- The site publishes no eyelid surgery price. Fees depend on upper lids, lower lids or both, and a written quote follows the examination. Full payment is due at the pre-op visit, usually two weeks before surgery (financial).
Recovery
- Swelling and bruising: mild to moderate during the first one to two weeks.
- Sutures: absorbable or removed within several days, depending on technique.
- Travel: generally postponed for at least one to two weeks.
- Final result: eyelid contours look smoother as swelling resolves over the following weeks.
- Brow lift: dressings usually removed the day after surgery; sutures or staples removed within 10 days (brow lift).