The Naz Experience

Under eye filler – placed on the orbital bone/deep fat pads. 👀

Filler has gotten a bad reputation… but the real issue isn’t the product (well not entirely at least 😏), it’s where and how it’s being used.

Hyaluronic acid filler is a powerful tool when used with intention – in low volumes and within the correct anatomical compartments to restore natural volume loss that occurs with aging.

When placed deep along the orbital rim and within deep fat pads, filler integrates, supports, and behaves predictably.
Migration risk is significantly reduced.

But in my experience, especially in the tear trough, filler is often placed too superficially – within the muscle.👇🏼

Second slide: histopathology from one of my favorite articles by Dr. Mraz Robinson et al on filler migration – something I often reference with patients and in my talks. It demonstrates filler within muscle, with adjacent tissue changes and abnormal extracellular matrix deposition.

This is where problems begin.

Filler in the wrong plane can:
– Disrupt normal tissue architecture
– Trigger inflammation
– Expand over time
– Create progressive fullness that wasn’t intended

This is the cycle I see often:
Old filler expands → more filler is added to “correct” it → the area becomes increasingly overfilled.

This is the cycle I break in many of my patients.

The challenge is that deep orbital injection requires precision and anatomical mastery. Accessing this plane is difficult and it demands a true understanding of orbital anatomy (who better than an oculoplastic surgeon 😉), but it’s the correct one.

Filler isn’t bad.
It’s been misplaced.

My approach:
– Deep, structural placement
– Respect for orbital anatomy
– Conservative volumes
– Long-term thinking

My knows…
we don’t chase shadows. We restore structure.

👁️ Upper eyelid blepharoplasty 👁️

In my younger patients, the goal is not to change identity - it’s to refine it.

This means conservative skin removal paired with precise fat sculpting to restore a clean, natural upper eyelid-brow relationship.

Aggressive fat removal is one of the biggest mistakes in eyelid surgery. The upper orbit continues to lose bony support with age, and over-resection accelerates hollowing and skeletonization over time.

Instead, I preserve and reposition fat along the orbital rim, creating a soft structural buffer that supports the eye as the face evolves.

Surgery isn’t just about what you see today. It’s about understanding how the eyelid and orbit will age - and operating accordingly.

This is how we create results that look natural now and remain beautiful long-term.

My knows… we always think ahead. ✨

🌟 Quad blepharoplasty 🌟
(PS: Thank you to our out-of-town patient for sending her own “after” photo)

Upper eyelid blepharoplasty – conservative skin removal with strategic fat sculpting to create a natural, long-lasting upper eyelid contour

Lower eyelid blepharoplasty with fat transposition – smoothing the lid–cheek junction, supporting the midface, and restoring volume without creating hollowness

CO2 resurfacing – improving skin texture, softening fine lines, and stimulating collagen for dermal repair

The goal is not simply to remove – it’s to refine.
A balanced, structural approach to the eyelids that translates into overall facial rejuvenation while preserving the integrity of the aging process.

My knows… we always think long-term.

🌟 Washingtonian Top Doctor Hall of Fame 🌟
To get inducted into the Top Doctor Hall of Fame, a physician must have been selected by their peers at least 5 times out of the past 10 years. I would like to thank my colleagues for granting me this incredible honor and for placing me in this elite group of physicians/surgeons. It is your trust in me that has allowed me to blossom into the surgeon I am today. I will always strive to do right by you and most importantly, to the patients you refer to me and trust in my care. That is an honor I do not take lightly. Thank you from the bottom of my heart.

Never did I imagine any of this. We came to the US from Iran when I was 2 with nothing. We had lost so much and had left everything behind. All because of the war. I’m from a town in Iran called Ahvaz, one of the most heavily affected by the war. My uncle was struck by a missile when he was 20 and died in his mother’s (my grandmother’s) arms. My brother learned how to walk during a missile strike when my family was running for shelter. We lost so many loved ones, our home, everything my family had worked so hard to build. What my family experienced isn’t something any human should endure.

Everything I have and everything I am is because of my family’s utter devotion to me and my dreams. War is a pure dark destructive force and yet my family still chose love. They chose love when the world had shown them so much hate, so much destruction. That is what they instilled in me. The active choice to love. To turn darkness into light and to spread that light with unwavering discipline and commitment. That is what I strive to do with my work and for you, my

I would like to dedicate this to all the children in Iran, Israel, Lebanon, and all over the world, who like me, live with the darkness of war. May I serve as an example of how love and hard work can transform that darkness into light. That darkness isn’t me, that darkness isn’t us. We must actively choose love and commit ourselves to spreading that light, however dark it gets around us. Thank you all for opening your hearts to me and for blessing me with your love and light. Thank you ! 🙏🏽🤍

👁️ Upper eyelid blepharoplasty 👁️
In this young, beautiful patient, the goal was refinement - to create a natural yet powerful result.
A conservative amount of excess skin was removed, while fat was carefully sculpted rather than aggressively excised.
What matters most in younger patients is protection of their aging process.
As the orbital rim resorbs over time, volume loss and hollowing develop along the upper eyelid. Over-resection of fat early on can accelerate this.
For this reason, I approach fat in a forward-thinking way.
Rather than removing it, I strategically sculpt and preserve volume along the orbital rim to support the eye long term.
My knows - I’m always protecting them in their anti-aging journey.

👁️ Upper eyelid blepharoplasty 👁️

In this beautiful young patient, the goal was a conservative skin excision with careful attention to volume.

What’s critical in younger patients is not just what you remove - but how you approach fat. I utilize a strategic fat-sculpting technique that preserves and refines volume along the orbital rim.

Surgery isn’t just about what’s in front of you.
It’s about understanding aging - and what’s to come.

As we age, the bony orbit undergoes resorption, contributing to periorbital hollowness over time.
By preserving and sculpting fat along the orbital rim, I aim to protect against this process and create a more durable, natural result.

This is surgery designed not only for today - but for how the eyes will age.

NaturalResults RefinedNotOverdone NazSquad

🌟 Lower eyelid blepharoplasty with TCA chemical peel 🌟

Repositioning – not removing – orbital fat is the key.
This allows us to restore the natural contour of the lid–cheek junction and soften the hollows that develop with age.

A TCA chemical peel was performed at the same time to improve skin quality, smoothing fine lines and refining texture.

Structural restoration + skin rejuvenation – working together for a natural, seamless result.

❤️‍🔥🐆♾️

You’re looking at an inductee into the Top Doctors Hall of Fame.

I’m still letting that sink in. 🙏🏽😭🙏🏽

More details coming soon - but I want you to know this: none of this happens alone. Every patient who trusted me, every team member who believed in the vision, every challenge that sharpened my craft - it all led here. Thank you.❤️‍🔥

I will never stop pushing myself to give you all my very best.

A very big thank you to and for making me feel beautiful for such a meaningful milestone. 💞

Lower eyelid blepharoplasty with fat transposition, conservative skin pinch, and CO2 resurfacing.

Fat was repositioned – not removed – to smooth the lid–cheek junction.
Excess skin was conservatively excised.
Fractionated CO2 resurfacing refined texture and fine lines.

Goal: a smooth, natural transition between the lower eyelid and cheek without hollowing or altering eye shape. 👁️