Oculoplastic Surgeon, Board Certified in Ophthalmology
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Dr. Adam J. Scheiner operates his practice in Tampa, FL, specializing in a diverse range of modern facial cosmetic surgery techniques and non-surgical treatments, all aimed at enhancing your appearance while minimizing recovery time. His dedication is centered
Asked By: Bootastic
ANSWER
Dear Flint, Fillers cause many problems when used under the eyes and especially on the cheek to camouflage festoons and malar mounds/bags. I've had success using lasers to help improve these conditions. I'll include some links below. I hope this was helpful.
Asked By: facelift_in_40s
ANSWER
Dear San Fran,Photos would be helpful. But what you are describing can be helped with my RESET for Sun Damage Treatment. It uses lasers to stimulate new skin which doesn't have any past sun damage.I'll include some links below.I hope this was helpful.
Asked By: MHD341
ANSWER
Dear South Carolina,In your photos, it appears that you have lower lid fullness and festoons/malar mounds. They can make a person appear tired when then feel fine inside. Festoons often form as a result of past sun exposure and usually with age. The lower lid fullness can be address with surgery to remove or relocate the fat in this area, The festoons are more difficult to address but I've had success using lasers to improve them. I'll include a link below. I hope this was helpful.
Asked By: andylimpet
ANSWER
Dear Andy , It appears that you have evidence of fullness in the lower eyelid region. This happens often as we age. These changes can make a person appear tired, sick and older even when they feel fine inside. The best options would be surgery to remove or relocate the fat in this region. Fillers could help to camouflage the bags but surgery is the more definitive option. Best to seek out an Oculoplastic Specialist in your area. I hope this was helpful.
Asked By: nimsak89
ANSWER
Festoons and malar mounds have been a frustration for surgeons for many years. Thanks to the initial work of Dr. Sterling Baker (a person with whom I trained) and my own improvement and refinement on that work over the last decade, I now have a sophisticated, technically-challenging but effective treatment for festoons and malar mounds. Many people don’t fully understand or recognize the differences between these two conditions. The first difference is in their cause or etiology; festoons are a result of sun-damaged skin on the lower eyelid and on the cheek and are believed to be affected by underlying contrasting muscle forces over the years of a person’s life. In contrast, lower eyelid bags are due to age-related fat protruding through the skin in the lower eyelid region. New research has shown that fat can grow and atrophy during our lives in asymmetric ways. The growth of fat in the orbit around the eye along with atrophy of fat in the facial regions around the eye, as well as weakness in some of the orbital containing structures, contribute the fullness we see in the lower eyelid with age. For some individuals, this fat shows up at a very young age and this is believed to a result of genetic changes in the development of the eye area in those individuals. The second difference is the location on the face where they form. Lower eyelid festoons can be seen primarily on the cheek with some presence in the lower eyelid region. Lower eyelid bags are located directly below the lower eyelid lashes and are noticed to become more prominent when someone with these bags looks upwards. Conversely, festoons are minimally affected when a person looks upwards. The third difference is the feel of these conditions when they are touched. Festoons are squishy and can be made to move side to side. Lower eyelid bags are firmer, deeper in location beneath the skin and can’t be moved easily side to side when touched. It is important to understand the differences between these two conditions. The best rejuvenation and most natural results occur when both eyelid bags and festoons are corrected simultaneously. I'll include some links below. I hope this was helpful.
Asked By: grittypretty
ANSWER
Festoons and malar mounds have been a frustration for surgeons for many years. Thanks to the initial work of Dr. Sterling Baker (a person with whom I trained) and my own improvement and refinement on that work over the last decade, I now have a sophisticated, technically-challenging but effective treatment for festoons and malar mounds. Many people don’t fully understand or recognize the differences between these two conditions. The first difference is in their cause or etiology; festoons are a result of sun-damaged skin on the lower eyelid and on the cheek and are believed to be affected by underlying contrasting muscle forces over the years of a person’s life. In contrast, lower eyelid bags are due to age-related fat protruding through the skin in the lower eyelid region. New research has shown that fat can grow and atrophy during our lives in asymmetric ways. The growth of fat in the orbit around the eye along with atrophy of fat in the facial regions around the eye, as well as weakness in some of the orbital containing structures, contribute the fullness we see in the lower eyelid with age. For some individuals, this fat shows up at a very young age and this is believed to a result of genetic changes in the development of the eye area in those individuals. The second difference is the location on the face where they form. Lower eyelid festoons can be seen primarily on the cheek with some presence in the lower eyelid region. Lower eyelid bags are located directly below the lower eyelid lashes and are noticed to become more prominent when someone with these bags looks upwards. Conversely, festoons are minimally affected when a person looks upwards. The third difference is the feel of these conditions when they are touched. Festoons are squishy and can be made to move side to side. Lower eyelid bags are firmer, deeper in location beneath the skin and can’t be moved easily side to side when touched. It is important to understand the differences between these two conditions. The best rejuvenation and most natural results occur when both eyelid bags and festoons are corrected simultaneously. I'll include some links below. I hope this was helpful.
Asked By: Generous9097
ANSWER
Dear Vancouver,It appears you have sun damaged skin that wrinkles when you smile. Botox can help crows feet and lower lid wrinkles but when only one area is treated, it makes the other more noticeable. This is likely what happened with your recent treatment. For formal treatment of this area would be surgery to remove or relocate the fat in this area and I like using lasers to improve past sun damage in the skin beneath the lower lid.I'll include some links below. I hope this was helpful.
Asked By: tanny2020
ANSWER
Dear Tanny,Fine lines area usually related to past sun damage and will not be improved with fillers. Laser treatments can help skin wrinkles.Dark circles have many causes and each has their own solution.Its best to seek out an Oculoplastic Specialist in your area.I hope this was helpful.
Asked By: MomofBoys2007
ANSWER
Dear Kimchi2005,It appears from your photos that you have fullness under the eyes and multiple skin lesions in the skin as well. This can make a person appear tired even when they feel energetic and fine inside.The best option would be surgery to remove or relocate the fat in that area and I've had success using lasers to improve skin issues like the ones demonstrated in your photos.I'll include some links below.I hope this was helpful
Asked By: eastwood42
ANSWER
Dear Eastwood42,It appears from your photos that you have fullness in the inner part of the lower eyelid. This can make a person appear tired or older when then feel fine and young inside. This usually occurs with age but in some families it can present at an earlier age.Best options for this condition would be surgery to remove or relocate the fat in this region.Best to seek out an Oculoplastic Surgeon in your area.I hope this was helpful
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Dr. Adam Scheiner is highly regarded for his expertise in a wide range of aesthetic and reconstructive procedures, including , , , , , and . Patients frequently praise his professional, compassionate, and skilled approach, though some reviews express dissatisfaction with the outcomes of and procedures.
