DiscoverBeauty :: Eyes Upper Lower Brows | DiscoverBeauty

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Concern: Eyes

Procedures:

Fillers (Juvederm, Restylane, Radiesse, Sculptra) , Blepharoplasty , Neuromodulators (Botox, Dysport) , Fat Grafting , Skin Care , Asian Blepharoplasty , Laser Skin Rejuvenation

Ages:

30's , 40's , 50's , 60's+

HA Fillers (Juvederm, Restylane)

Author: Min Ahn

Fillers (Juvederm, Restylane, Radiesse, Sculptra)

Since the introduction of bovine collagen for treating wrinkles, significant advances have been made with soft tissue fillers. Currently the most popular fillers in the United States for skin creases and volume deficient areas are the hyaluronic acid fillers (HA). The two most popular of such fillers are Juvéderm® Ultra and Restylane®. Both fillers have the advantages of being well tolerated by the body, long lasting and natural appearing.


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Blepharoplasty- Upper

Author: Patrick Byrne, MD FACS

Blepharoplasty
Blepharoplasty is a surgical procedure to rejuvenate droopy eyelids through the removal of excess skin, muscle, and fat. As we age, the tissues of the eyelid weaken and loosen, resulting in sagging soft tissue that can crowd the eyes. This contributes to an aged appearance, and in some cases can also partially obstruct ones vision. An upper eyelid blepharoplasty can make a person look younger, more rested, and in some cases improve their vision.

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Asian Eyelid Surgery

Author: David W. Kim, MD FACS

Asian Blepharoplasty
Although blepharoplasty is commonly performed on patients of a wide diversity of ethnicities and nationalities, upper eyelid blepharoplasty for the Asian patient is somewhat unique, often requiring a special approach. This is because the upper eyelids of many Asians are anatomically different from most non-Asian people. Specifically, the skin may not form a crease in the upper eyelid of some Asians. In other Asian patients, the crease may be present but may be only partially formed or may be located lower than in their non-Asian counterparts. Approximately 50% of Asians have some form of an upper eyelid crease.

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Radiesse

Author: Min Ahn

Fillers (Juvederm, Restylane, Radiesse, Sculptra)
Radiesse is long lasting soft tissue filler that is a popular choice for facial volumizing treatments. It is FDA approved for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds (laugh lines). Radiesse is composed of Calcium hydroxylapatite microspheres suspended in a gel carrier and high purity water. When Radiesse is injected into tissue it provides an immediate 1:1 level of correction. Over the course of 3-6 months, the gel carrier is degraded and the remaining Radiesse particles act as a scaffold for new collagen formation. This process is thought to account for extended, “semi-permanent” correction.

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Botox- Cosmetic

Author: Min Ahn

Neuromodulators (Botox, Dysport)
In 1987, Dr. Jean Carruthers, a Vancouver oculoplastic surgeon, discovered that she could inject botulinum toxin A into muscles around the eye and temporarily smooth out wrinkles. Four years later, she and her husband Dr. Alastair Carruthers, a dermatologist, published their findings. This report launched what would become the most commonly performed aesthetic treatment.

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Fractional Laser- Ablative

Author: Jay Burns, MD FACS

Laser Skin Rejuvenation
Fractional resurfacing was introduced in 2004 and has become widely popular in the last few years.  The technology stands as a radically different approach from classic standard laser resurfacing which removes the entire upper layer of skin one layer at a time. 

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Fat Grafting

Author: Jason Spector, MD FACS

Fat Grafting
Autologous Fat Transfer (AFT) involves the removal of fatty tissue from one area of the body and using it as a “filler” material in another location. Fat transfer was initially utilized to correct or treat areas of small volume loss that characterize the face as we age--deep nasolabial folds (“laugh-lines”), cheeks, or eyelids. This procedure can very efficiently fill these defects and smooth out associated creases.  More recently AFT has been increasingly performed in larger volumes, in to improve the appearance of buttocks, to augment breasts and for breast reconstruction.  Fat is typically harvested from the abdomen or inner thigh (the “donor site”), but may also be taken from the front or outer thigh, the lower back, or the hips.  Unlike conventional fillers that disappear over time, fat grafting has the potential to be a permanent filler material.

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Skin Care (Cosmeceuticals)

Author: Joely Kaufman, MD FAAD

Skin Care
Aging is an inevitable process that occurs in every cell in every organ in every living thing. Our skin also participates in this process. Recently more focus has been given to methods of aging prevention. Many of these involve procedures that are performed in the doctor’s office, but there are also ways to prevent aging that you can do at home. In the future we will see more products directed to at home users, including peels, topicals and even at home laser systems.

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Dysport

Author: Patrick Byrne, MD FACS

Neuromodulators (Botox, Dysport)
Dysport is an injectable drug used to lesson wrinkles on the face. It is made of botulinum toxin type A.  Dysport can reduce the appearance of lines and wrinkles by constricting the movement of muscles that it is injected into. It is the same active agent as Botox, a very popular wrinkle reducer. Dysport was approved for use in the United States in 2009.

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Fractional Laser- Non Ablative

Author: Joely Kaufman, MD FAAD

Laser Skin Rejuvenation
Since the advent of fractional resurfacing in 2004, the popularity of laser resurfacing has increased dramatically. Classical laser resurfacing, used in the past, involved removing the top layers of the skin (the epidermis and parts of the dermis) in the same treatment. These lasers included the Carbon dioxide (CO2) and erbium yag (Er:Yag) devices. The entire surface area of the skin was treated with each session of classical resurfacing, requiring weeks to heal and sometimes even longer. Many patients had residual redness of the skin that could persist for months. Late complications of these classical procedures also included discoloration of the treated skin, including lightening or darkening from the normal skin color. The results of these classical laser resurfacing procedures could be incredibly positive, with tightening of the skin and a major improvement in wrinkles, but the procedure was often fraught with complications. Because of these side effects, many physicians opted not to perform these procedures in their office and the search for a safer way to treat wrinkles began.

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Laser Skin Therapy- Traditional

Author: Jay Burns, MD FACS

Laser Skin Rejuvenation
Laser resurfacing took the cosmetic world by storm in the mid 90’s with the invention of carbon dioxide (CO2) laser resurfacing.  This treatment involved removing the entire superficial skin layer all at once and is commonly referred to as an ablative (taking away or removing) skin treatment. It significantly improved wrinkles and tightened skin.  In 2000 the Erbium laser was introduced as an alternative ablative laser treatment. Both standard CO2 and Erbium laser resurfacing remain the most effective treatment for significant wrinkles caused by sun damage.

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Sculptra

Author: David W. Kim, MD FACS

Fillers (Juvederm, Restylane, Radiesse, Sculptra)
Commercially available fillers have seen recent increased popularity.  These office based treatments improve the appearance of unwanted wrinkles, folds, and areas of hollowing or deflation in the face.  The most commonly used fillers come in a paste or gel form and are introduced to the desired location under the skin surface through needle injection.   Collagen, hyaluronic acid, or hydroxyapatite are types of fillers available on the market.  These substances, which also naturally exist in the body, create a beneficial effect by direct addition of volume into specific areas.  A disadvantage of these products is the fact that they are reabsorbed by the body within 6-18 months after placement.  Although there are some non-absorbable, permanent products used, these have not gained the popularity of the absorbable fillers, likely due to concerns about the potential for long term or permanent complications.

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Blepharoplasty- Lower

Author: David W. Kim, MD FACS

Blepharoplasty
Lower blepharoplasty is an operation of the soft tissue in and around the lower eyelids.  The operation aims to create a smooth contour to the skin immediately below the eyes.  Common reasons that motivate patients to undergo lower blepharoplasty include under-eye wrinkles, puffiness, dark circles, or some combination of the above.  These unsightly characteristics create an aged or tired appearance in many individuals.

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