Home / Top 500 / Dr. Bryan Sires
Top 500
#13
Score
78.1/100

Dr. Bryan Sires, MD

Bryan Sires, MD, PhD, FACS is an oculofacial plastic surgeon at Naficy Plastic Surgery and Rejuvenation Center in Bellevue, Washington, a three-surgeon practice. The site states that ptosis repair at the practice is performed by Dr. Sires, whose ophthalmology training and oculoplastic fellowship are specific to the levator muscle and lid-margin anatomy.

Practice
1110 112th Ave. NE, Suite 150, Bellevue, WA 98004
Phone
(425) 450-0880
Website
seattleface.com
Medicare eyelid ops
449, 2022-2024
Eyelid papers
12 in PubMed
A man in his fifties smiling outdoors

Training and board certification

Source for this section: dr-bryan-sires-md-facs

Stage Detail
College BA/BS, zoology and psychology, University of Wisconsin, Madison, 1981
Graduate school PhD, molecular biology and biochemistry, Northwestern University, 1986
Medical school MD, Northwestern University Medical School, 1990
Internship Transitional internship, Virginia Mason Hospital, Seattle, 1991
Residency Ophthalmology, Saint Louis University, 1994
Fellowship Ophthalmic Plastic and Reconstructive Surgery, University of Wisconsin-Madison
  • Board certified (Diplomate), American Board of Ophthalmology.
  • Fellow, American College of Surgeons; Diplomate, American Society of Ophthalmic Plastic and Reconstructive Surgery; Diplomate, American Academy of Ophthalmology; member, American Academy of Cosmetic Surgery.
  • Faculty, University of Washington, for 30 years; Director of the Oculoplastic Surgery Fellowship there; Clinical Professor, Department of Ophthalmology, University of Washington. Former program director of an ASOPRS fellowship.
  • Approximately 50 peer-reviewed papers indexed in PubMed, in journals including Ophthalmic Plastic and Reconstructive Surgery, Ophthalmology and Survey of Ophthalmology.
  • Named to The Best Doctors in America; recognized as a "Best Doctor" in Seattle Magazine; named "Top Doctor in the Community" (2013); featured on the Today Show.

The practice's ptosis-repair page includes a surgeon-comparison table stating Dr. Sires is certified by the American Board of Ophthalmology via an ophthalmology residency followed by an Ophthalmic Plastic and Reconstructive Surgery fellowship at the University of Wisconsin-Madison, distinct from Dr. Naficy (ABFPRS, via otolaryngology) and Dr. Hurvitz (ABPS, via otolaryngology and plastic surgery).

Eyelid surgery work

  • Ptosis repair. Usually involves tightening the levator muscle to elevate the eyelid; in severe cases with an extremely weak levator, a frontalis sling procedure may be used; other repairs address the inside of the lid for smaller amounts of ptosis (ptosis-repair). Dr. Sires has co-authored peer-reviewed research specifically on levator aponeurosis biomechanics and suture technique for ptosis repair, cited on the same page (Orbit 2021; JAMA Facial Plastic Surgery 2017; Ophthalmic Plastic and Reconstructive Surgery 2017; Archives of Facial Plastic Surgery 2012).
  • A gallery case describes "internal ptosis repair, internal conjunctival mullerectomy" (Muller muscle resection) combined with Erbium-CO2 laser resurfacing of the eyelid skin (ptosis-repair-patient-1).
  • Upper and lower blepharoplasty, brow lift. These are also offered at the practice; the site states they are performed by Dr. Naficy (who performs 120-140 upper and 75-90 lower eyelid procedures per year) and Dr. Hurvitz, "alongside" Dr. Sires, with consultations matched to whichever surgeon fits the case (ptosis-repair).

Gallery: the ptosis repair before-and-after page (200, checked 2026-09-30) shows four numbered patient cases with real before/after photographs (image files under /gallerypro/24).

Other procedures

The practice offers a broad cosmetic and reconstructive menu: rhinoplasty, face lift, neck lift, chin implant, otoplasty, fat grafting, cheek/midface lift, buccal fat removal, lip lift, and non-surgical injectables, lasers and skin treatments.

Insurance and cost

Ptosis surgery is typically covered by insurance when it obstructs vision; the practice states it accepts most major insurance plans, including Medicare, and is a preferred provider for most major insurers in the Seattle/Bellevue area (ptosis-repair). Eye bag surgery performed for cosmetic reasons is stated as not covered by insurance, with severe visual-obstruction cases referred to Dr. Sires (eye-bag-surgery).

Published cash prices (attributed on the page to Dr. Naficy's procedures at the same practice): upper blepharoplasty approximately $7,000; lower blepharoplasty approximately $6,000; the combined eye-bag surgery (lower blepharoplasty, fat grafting, laser resurfacing) approximately $17,000; brow lift $10,000-$18,000. No cash price is published for ptosis repair, consistent with it being billed through insurance.

Recovery: upper blepharoplasty, most patients return to work in 4-5 days; lower blepharoplasty, 5-7 days (8-10 with laser resurfacing added), with swelling/bruising peaking days 1-2 and light exercise resuming at 2-4 weeks; ptosis repair, most patients return to work or social activities in less than one week, with some swelling and discoloration for a few days.

Practice

Field Value
Practice Naficy Plastic Surgery and Rejuvenation Center
Address 1110 112th Ave. NE, Suite 150, Bellevue, WA 98004
Phone (425) 450-0880
Website https://www.seattleface.com/
Other surgeons listed Sam Naficy, MD, FACS; Keith Hurvitz, MD, FACS

Not verified: the queue's city (Kirkland, WA) and his NPI record's address (625 4th Ave Ste 301) do not match this single printed practice address in Bellevue.

Practice location, prices and recovery

From seattleface.com, read 2026-09-30. Prices and recovery times are quoted as the practice publishes them.

Each marker carries the surgeon's rank on this list and sits at the centre of the practice's ZIP code. Markers that would cover each other spread into a ring and move back as you zoom in. Map data © OpenStreetMap contributors.

The top 79 eyelid surgeons in Washington; Dr. Bryan Sires is #1

Published prices

ProcedureAs publishedSource
Upper blepharoplastyAt Naficy Plastic Surgery, upper blepharoplasty is approximately $7,000 (performed by Dr. Naficy at this practice).seattleface.com/service/face-and-neck-surgery/upper-eyelid-lift
Lower blepharoplastyLower blepharoplasty on its own is approximately $6,000.seattleface.com/service/face-and-neck-surgery/lower-eyelid-lift
Eye bag surgery (lower blepharoplasty + fat grafting + laser resurfacing)The full three-part combination is approximately $17,000.seattleface.com/service/face-and-neck-surgery/eye-bag-surgery
Brow liftBrow lift surgery ranges from $10,000 to $18,000.seattleface.com/service/face-and-neck-surgery/brow-and-forehead-lift

Recovery, in the practice's words

TopicStatementDays
Swelling"Days 1-2: swelling and bruising, peaking early." Source2
Back to work"Most patients return to work in 4 to 5 days." Source5
Back to work"Most patients return to work in 5 to 7 days (8 to 10 days with added laser resurfacing)." Source7
Back to work"Most patients can return to work or social activities in less than one week." Source7
Exercise"Weeks 2-4: bruising resolved; light exercise resumes with clearance." Source28

Medicare eyelid operations, 2022 to 2024

From CMS, Medicare Physician and Other Practitioners by Provider and Service, NPI 1164443719. Medicare pays only when the lids block vision, so these are the medical cases. Cosmetic eyelid surgery is paid by the patient and is not in this record. CMS leaves out any code billed fewer than 11 times in a year.

OperationOperations, 2022-2024
Upper blepharoplasty91
Ptosis repair113
Lid position repair103
Eyelid reconstruction142
Total449

Why #13: the score, line by line

Points come from sources read the same way for every surgeon. The method is on the methodology page.

SignalPointsOfSource
Medicare eyelid volume28.535449 Medicare eyelid operations, 2022 to 2024 (CMS)
Eyelid research16.62019 eyelid papers in PubMed, 2 since 2021
Training815Ophthalmologist
Eyelid work shown2525eyelid page; eyelid before-and-after gallery
Teaching050 eyelid meetings taught from 2023 on
Score78.1100Rank 13 of 500

Eyelid surgery papers

Papers in the PubMed eyelid record that list Dr. Bryan Sires as an author, newest first. Search PubMed.

2020
Reply to "comparison of non-absorbable silk and absorbable polyglactin sutures for external ptosis repair"
Rubinstein TJ, Radke PM, Repp DJ, Wier G, Sires BS · Orbit · PMID 31464545
2018
Blepharoplasty Effect on a Described Algorithmic Approach to External Ptosis Repair: Is It Time for Unbundling?
Rubinstein TJ, Repp DJ, Sires BS · Ophthalmic Plast Reconstr Surg · PMID 28520629
2017
2017
2017
2017
Biomechanics of the Levator Aponeurosis
Repp DJ, Rubinstein TJ, Herreid PA, Sires BS · Ophthalmic Plast Reconstr Surg · PMID 27517973
2014
Retrospective review of eyelash number in patients who have undergone full-thickness eyelid resection
Freitag SK, Lee H, Lee NG, Johnstone MA, Sires BS · Ophthalmic Plast Reconstr Surg · PMID 24398479
2012
Standardized suture placement for mini-invasive ptosis surgery
Ahuero AE, Winn BJ, Sires BS · Arch Facial Plast Surg · PMID 22892580
2008
Human orbital sympathetic nerve pathways
Thakker MM, Huang J, Possin DE, Ahmadi AJ, Mudumbai R, Orcutt JC, et al. · Ophthalmic Plast Reconstr Surg · PMID 18806655