Morristown Doctors

Dark Undereye Circles and Corners of Eyes, Middle-Eastern. What Are My Options? (photo)

Hi, I'm a 28 year old woman, Iranian. I've had this condition since I was a child. The skin definitely feels thinner under my eyes, and if I look very hard I can see tiny veins. Additionally, the corners of my eyes on the side of my nose are VERY dark, and again, I can see a vein if I look close. I've researched tear trough, hyperpig., fillers, arcus deformity,chemical peels,laser resurfacing, etc. thanks!

I have had success with eyelids like yours with an extended lower blepharoplasty with cheek/midface lift. Take a look at the photos on my page. I have other photos I can show you in consultation.

Jeffrey Schiller, MD

New York Oculoplastic Surgeon

How Long Will Partial Eyelid Droop from Botox Last? (photo)

I was given Botox injections on 1/26/12. 5 days later on 1/31/12 I noticed that my left eyelid was drooping. My brows are even, only the one eyelid is drooping down close to the top of the pupil. I was prescribed Apraclonidine .5. It took a few days to start working, but now right after I use the drops my eyes almost look even, though still not 100% normal. Can anyone tell me when I may notice a permanent improvement? It's been 12 days since my injections. I'm desperate!

The good news about Botox is that it goes away in 3-4 months if you don't like it.  I have found that a problem like yours (droopy lid) usually goes away much quicker than the 3 months, usually 4-6 weeks.  You may have an underlying droopy lid that you have been compensating for or you may just have the Botox in a spot slightly off causing this problem.  The drops you are using will get you through this.  Be patient, this too shall pass.

Janet M. Neigel, MD

West Orange Oculoplastic Surgeon

Considering Getting Tummy Tuck at Post-Grad Cosmetic Surgery Fellowship Program in NYC, Is this the Right Route?

I am a 50yr old female considering a Tummy Tuck after 2 c-sections in my 20's my skin below my belly button is sagging. I am in fairly good health,(not on current meds except vitamins) In order not to be in debt at my age, I am considering doing my surgery at a post gradudate cosmetic surgery fellowship pgrm in NYC because it's affordable. However,I am not really sure if this is the route to go. Any advice is greatly appreciated. Thank you

I am assuming that the fellowship program is a legitimate program that follows a approved plastic surgery residency program. I that's the case then you know that at the fellows are have completed their plastic surgery residency and are board eligible in plastic surgery. You also know that the fellows are trained plastic surgeons but not experienced. I think it all depends on the talent of the individual fellows. There are surgeon s who no matter how much training they get they will never be great. This is a matter of talent. Not every person who goes and completes an art school becomes a great artist. I assume that this arrangement is a lot less expensive or may be you are not even paying the surgical fees, in which case it might be a compromise. Be careful and ask questions, so that you can at least get a good feeling that the fellow is good.

Farhad Rafizadeh, MD

Morristown Plastic Surgeon