Consultants in Ophthalmic and Facial Plastic Surgery - Southfield

The upper eyelid crease is formed by eyelid structures (septum and levator aponeurosis) and their attachments to the skin. This is an anatomically derived line. Filler to the upper eyelids must be done very carefully as it can easily lead to unwanted effects due to the eyelid having very thin skin. Additionally, there are multiple muscles that lie within close proximity in the eyelid that can be damaged by filler injection. Filler to the superior sulcus can add volume to the upper eyelid appearance. However, this would not necessarily lower the eyelid crease. In my experience, the eyelid crease is best changed (raised or lowered) with surgery.

Receiving a personalized treatment pattern is key for success and patient happiness. Having a discussion with your provider about your goals for treatment is very important. The glabellar region (procerus and corrugator muscles) depresses the medial brow and creates the "11 lines." By injecting this area, the "11 lines" diminish and the central brow becomes smooth. By injecting across the forehead, you treat the frontalis muscle, which is the only muscle which elevates the brows and forehead. With various patterns combined with other injection sites (mainly the glabellar area and crow's feet and sparing the lateral frontalis muscle), you can get a mild lateral brow lift due to unopposed action of the lateral frontalis muscle. If the main concern is forehead wrinkles, an injection pattern dispersed across the frontalis muscle is very reasonable and does not require additional injection sites. It is important to realize that injections into the forehead can lead to drooping of the brow since this weakens the only muscle that elevates the brow.

If you are awake during a procedure, you will experience sensation. The injection of the local anesthesia is accompanied by a mild or moderate stinging and burning. This can be lessened by choice of anesthesia mixture and injection technique. After that, the area should be completely numb, but sometimes more anesthesia injection is needed. For a true drooping eyelid "eyelift" (ptosis repair) there is a pinching or pressure sensation as the eyelid lifting muscle is tightened. For upper eyelid skin removal, this is usually not an issue. These sensations are all very well tolerated by the vast majority of patients and should not be cause for significant concern.

Hi Thad1995

It looks like you have lower eyelid retraction, or low position of the lower eyelids. This condition can be seen in thyroid disorders so you should have that checked if the reason for your retraction is not known. This condition can be corrected with lower eyelid surgery. Spacer grafts, or implants surgically placed inside the lids are a common an minimally invasive way to significantly help this problem. Mid-face advancement techniques can be performed in some cases.

If you are taking about 30C dilution of arnica to be taken by mouth, it cannot hurt or help you. This is diluted to 1 part Arnica to 1x10 to 60 power parts water (yes, 1 with 60 zeros). So no actual arnica can be found in an "Arnica" pill. It is just a sugar pill and placebo effect. Check out the research on Homeopathy and how it is supposed to work. Most scientists find it absurd. Enough people seem to believe in it though, that it is a multi billion dollar industry!