Worse off than before, March 18, 2014, 3:55 pm
Dr. Gladstone (Berman-Gladstone Skin Institute) possesses impressive credentials in dermatology and cosmetic surgery, especially in Mohs micrographic surgery, but he lacks aesthetic sensibility. In other words, he is very capable of performing procedures per medical guidelines and standards, but the results are less than pleasing. More specifically, I consulted with Dr. Gladstone concerning a droopy eyelid and eyebrow that was noticeably lower than the other. I now know the term for this condition to be "ptosis," which is the same problem as actor, Forrest Whitaker's eye, although my problem isn't as severe. I also had large fat pockets in the upper eyelids that laid heavily on top of my eyelashes. Dr. Gladstone recommended a brow lift and eyelid tuck (blepharoplasty) to be done together in a single operation and healing time was quoted as 1 to 2 weeks. My procedure was scheduled the week before Christmas with the expectation that I would be able to return to work the day after the New Year's holiday. The surgery didn't go as planned. Only the brow lift was performed during the initial procedure because there was too much swelling around the eyes following the brow lift to continue with the blepharoplasty. Maybe other factors contributed to this disposition, like the procedure was performed on the same day--a very busy day--as the clinic's 1-day holiday special, which allowed walk-in patients to receive minor treatments at a deep discount, like Botox. I'm sure the distraction of other patients in the office during my surgery didn't help. When I regained consciousness, I was told the plan was to proceed with the eyelid tuck in 7 days, but that didn't happen because my face puffed up and my eyes swelled shut that evening. Two days later a lot of black and red bruising appeared around the eyes although no surgery had been performed on the eyes. A few days after that, the entire left side of my face turned green. Gladstone personally called me the evening of my procedure and a couple days after to check on my condition, and I in turn took a lot of selfies and sent them to him. I met with Gladstone around day 3 for a follow-up and he said there was a vein near the point of incision on my forehead right below the hairline and he must have accidentally nicked it although he didn't think that he had. Nicking that vein would account for the excessive bleeding in the face. Two weeks and several office visits after the brow lift Gladstone performed the eyelid tuck. The procedure went well but the recovery was complicated by the stiches on the eyelids kept slipping out. I had to return to Gladstone's office at least twice so he could replace the stiches and he accused me of picking at them and deliberately causing them to come out, which I hadn't. I think it was the oily topical treatment he had instructed me to use. Eventually, the eyelids healed and the stitches were removed but small bumps (keloids) were left on one eyelid, and rumpled skin that didn't get pulled together tight and secured with a stitch was left on the other eyelid. I had warned Gladstone that my African-American skin was prone to keloids and he said he was taking precautions against that happening. Nevertheless, I developed keloids and both eyelids still had heavy fat pockets and showed only a minuscule of improvement. The eyebrow lift had failed to raise my eyebrows and one brow was still noticeable lower than the other. Although the bruising around the eyes faded within a few weeks, my face remained green for 6 months. Gladstone told me that no one would notice these flaws, especially if I wore eyeglasses. Eyeglasses or not, I was absolutely unable to return to work the first 90 days due to the bruising and ongoing medical treatments. However, I give Gladstone credit for attempting to rectify the situation by injecting the bumps on my eyelids with cortisone and administering two PhotoFacial-Intense Pulsed Light (IPL) treatments on two separate occasions in an attempt to raise the droopy brow although it didn’t work. My last clinic visit and treatment occurred 10 months after the initial surgery. It's been more than a year now since the surgeries, which left a bitter taste in my mouth. In conclusion, I received zero benefit from these procedures but yet I now have more imperfections to be self-conscious about. I now have two long scars near the hairline that I have to carefully disguise with hair. No more pulling my hair back in a ponytail. I now wear bangs or a sweep of hair across the forehead. As for my eyelids and eyebrows, they are as heavy and droopy as ever. The fat above my eyelids is so heavy that it makes my eyes look small and tired. And I have to use makeup to disguise the new lumps and bumps on the eyelids, which is something I didn't have before. I'm very disappointed in my outcome and, therefore, I wouldn't recommend Dr. Gladstone for any procedure because he just doesn't have the necessary attention to detail.