Cath’s Transformation
This was Cath’s second visit after having a facelift; this time she returned for an arm lift. As you can see, her arms have excess skin as well as some localized fat. The concern extends not only under her upper arms but also along the sides of her torso. After evaluation, Doctor Dominic decided to perform an extended arm lift, addressing both the underside of the arms and the adjacent side areas for a more comprehensive contouring.
As seen in the photos, Dr.Dominic will perform totally 3 procedures: Extended Arm Lift, Lower Eye Lid, and upper facelift (Forehead) to elevate the upper face to harmonize with the lower face.
Additional Procedure besides Arm Lift
Doctor Dominic also noticed Cath has a problem with her lower eyelid muscle (entropion), causing the eye to not close properly and to tear. He decided to repair the lower eyelid to fix this symptom.
Definition
Entropion is a condition in which the eyelid (usually the lower lid) turns inward so that the eyelashes and skin rub against the surface of the eye (cornea and conjunctiva).
Causes
Age-related (involutional): weakening or laxity of eyelid tissues and muscles — the most common cause in older adults.
Cicatricial: scarring of the inner or outer eyelid from trauma, burns, surgery, or inflammatory disease that pulls the lid inward.
Spastic: involuntary muscle contraction from irritation or inflammation (e.g., conjunctivitis).
Congenital: present at birth due to abnormal eyelid development (rare).
Paralytic: facial nerve palsy can alter eyelid position and contribute indirectly.
Symptoms
Irritation, redness, tearing (epiphora)
Foreign body sensation or constant discomfort
Increased sensitivity to light and wind
Corneal abrasions, recurrent corneal ulcers, or infection if untreated
Blurred vision from tear film disruption or corneal damage
Diagnosis
Clinical examination by an ophthalmologist:
Observation of inward-turning lid and lash contact with the eye
Assessment of eyelid laxity, scarring, and ocular surface condition
Fluorescein staining to detect corneal epithelial defects
Evaluation for underlying causes (e.g., skin scarring, facial nerve function)
Treatment
Conservative (temporary or mild cases):
Lubricating eye drops and ointments to protect the cornea
Taping the eyelid outward at night
Botulinum toxin injection (temporary relief for spastic entropion)
Moisture shields or bandage contact lenses for corneal protection
Surgical (definitive treatment for most cases):
Lateral tarsal strip procedure to tighten the lower eyelid and correct laxity (common for involutional entropion)
Everting sutures (quick, temporary or adjunctive measure)
Scar revision or grafting for cicatricial entropion
Full-thickness wedge resection or other eyelid-plasty techniques tailored to cause and anatomy
Before the procedure, Doctor Dominic performed a final consultation, reviewed the plan with her, and made the precise surgical markings. The surgery began with an extended arm lift, followed by a forehead lift and corrective surgery for her eyes to address the ectropion. Total Operation was 12 Hours for all procedures.
The management team has visited Cath after the operation is finished, bring her the teddy bear.
Cath was having a follow up on wound care by dr.Dominic.
These photos were taken after the operation. Doctor Dominic visited her frequently during her early recovery, and the hospital’s management team also called to check on her progress and comfort. Cath stayed in the hospital for five nights.
During her stay she received attentive care, including hair washing, red light therapy, and regular wound checks and dressing changes.
The Result
Cath loves her result. Her arms are now tight and firm. Her eyes and upper face look tighter and more refreshed. She no longer has dry eye discomfort. Her upper eyelids are lifted, and the lower lids are supported by the cheek lift from the temporal and forehead lifts.
Cath showed us her retreat hotel’s room. She said “I wanna live here forever”
The hotel is very peaceful and ideal for retreat. The room is big and has all facilities. Very beautiful indeed.
“The service I received from the hospital was amazing. Dr. Dominic is very caring, and he is a genius,” she said. On the sixth day she was transferred to a nearby hotel, where she enjoyed her stay immensely. “I could stay here forever. The hotel feels like a resort, surrounded by trees; the place is peaceful and quiet — very ideal for recovery.”
Funny moment: Dr. Dominic and Caths show the new arm transformation.
