Before and after Lower Eyelid Surgery, Fat injections and Botox treatments The eyelids, eyebrows and laugh lines are the areaswhich first show signs of aging. Rejuvenation of these areas is increasingly sought after by the younger patient. Resurfacing with creams, peels, microdermabrasion and lazer can push back the years as well as maintaining a smooth, youthful glow.
Eyelid Surgery/Lifts
Lower eyelid bags worsened by allergies and sinusitis can be "melted" away utilizing small incisions inside the eyelids. Fat taken from the stomach or waist injected into the grooves between the eyelid bags, nose and cheeks results in long lasting if not permanent improvement and smoothening. Excessive skin can be excised, eyebrows and outer eyelids can be elevated with small inconspicuous incisions.
The position and shape of the eyebrows is very important. The feminine eyebrow sits above the orbital rim and arches. The point of highest arch is usually right above the outer rim. A higher arching brow is associated with a more youthfull, attractive appearance. Drooping of the brow will cause skin to droop onto the upper lid. These proceedures take less than two hours, can be performed even with light sedation and local anesthesia. Minimal pain allows you to return to indoor activities quickly. Bruising and swelling typically lasting 12 days requires use of reflective or tinted lenses to return to the public eye sooner.
Before and after Fat injections to Lower Eyelid and Filling of Laugh Lines
Chemical Peels and Topical Creams
Fine lines and wrinkling of the eyelid skin respond to retinoic acid (Vitamin A) creams. These can be applied three times weekly. Vitamins C and E have been shown to have significant antioxidant activity when applied with the proper carrrier. Within a few months you will see gradual diminution of these lines and a healthier glow to your skin.
Dark circles of the lower eyelids may respond to the addition of hydroquinone based bleaching creams. More intense lightening is accomplished by applilcation of TCA, phenol peels and lazer/intense pulsed light treatments. Patients experience long lasting results with mild discomfort from these brief office proceedures. Please see our products/ filler spage for our latest recommendations and ordering information. Let us help you with your rejuvenation/lightening program.
THE THREAD LIFT
This proceedure incorporates fine polypropylene barbed sutures inserted through long needles from the scalp. Marketed as a less invasive technique for face and brow lifting our experience has shown that results usually last less than one year.
This is a usefull technique when used to suspend the face and brow tissues once dissected in a face or browlift.
Fat Injections
Fat injections to the nasolabial folds from the nose to the corner of mouth and to the lower chin, lips, eyelid/cheek grooves and overlying the cheek bones are growing in popularity. Natural looking, long lasting results (may be permanent) make this my prefered technique. Plumping of the cheeks, outer eyelids and lower facial regions for many can rejuvenate the face as much as a facelift with less risk, scarring and downtime. Fat is harvested with a 2.5mm cannula using local anesthesia from most unwanted fatty areas. Injection with small blunt canula make this a safe and effective procedure with results lasting years. Fat may be refrigerated for repeat sessions within three days to further enhance results. Multiple donor sites are possible: who would not want us to take a little more from around the waist! Recuperation is minimal with most patients looking better within three days. You can have fat injected after Christmas and look smooth and fresh for New Year's Eve.
Correction of Eyelid Depressions with Fat Injections Prior to Second Session of Fat Grafting
Restylane, Perlane and Juvaderm are appropriate for medium depth lines around the mouth, eyelids,cheeks and to fill the lips. Radiesse similar to hydroxyapetite, the major constituant of bony tissues can correct the smile lines from the mouth to the nose and the chin and between the brows for up to one year when combined with botox in these areas. These products are relatively allergy free. Immediate results are noted with mild swelling which subsides overnight. Occaisional bruising can be camouflaged with leg and body cover cream. You will look better that same evening. Please check with our staff one week in advance to ensure we have your choice available.
Permanent Fillers
This most appealing group of proceedures can give a permanent correction to the deeper folds surrounding the nose, mouth,.lips and between the brows. We are excited to have Artefill again. This soft permanent gel of polymethylmethacrylate spheres is consistantly yielding natural longterm results. Several different implant options available include grafting of skin from an existing scar, facelift , eyelid or tummy tuck, otherwise discarded skin. Autologous tissue grafting continues to render the most long lasting, natural apearing results.
Synthetic materials including silicone, latex, gortex and alloderm have been used successfully to yield permanent correction of these areas albeit with higher complication rates and occaisional palpability. Careful consideration of long term changes in facial anatomy must be made in planning the location and amount of correction.
Lazers and Dermabrasion
Lazers which concentrate light energy are used to selectively burn the outer layers of skin. Dermabrasion achieves a similar resurfacing by sanding off the superficial layers of skin. Lazer resurfacing causes contraction of skin collagen further smoothening and lightening the skin. Long lasting improvent is obtained for eyelid, forehead and facial wrinkles and lines. Dermabrasion is best suited for upper lip lines, acne and traumatic scars. Oozing lasts for a day or two, redness for one to two weeks. Avoiding sun exposure is important after any of these peels, resurfacing or retinoic acid cream use.
Microdermabrasion
Microdermabrasion using fine crystals, gently "sandblasts" the outer layer of skin. This results in smoother skin, improvement in pores and blackheads as well as coloration. A short office proceedure is associated with minimal discomfort and redness. Microdermabrasion is best repeated every 6-8 weeks.
Before and after Liposculture below the chin/neck
Liposculpture of the "double chin" area in the upper neck and lower facial jowls is highly successful in defining the jawline and neckline. This relatively painless office procedure is accomplished with local anesthesia and mild sedation. Fat is suctioned away through 3mm incisions below the chin. Results are noticeable in one week. Significant improvemnts are seen by six weeks.
This proceedure will often give better results than a face/neck lift especially in the younger patient or the wide face/neck.
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