My eyes get really puffy and wrinkled when I smile. How can I lessen this?

Ptosis refers to the position of the lid without regard to skin excess. Often when one lid is too low (your left upper lid) the other lid may need to be raised at the same time due to Herring’s law. Removing skin does not affect the true lid position-it only removes the weight that pushes the l...

Hi! You don't need to worry about this degree of asymmetry. This is normal for all humans to have (everyone has some degree of asymmetry). You can see how your eyebrow is also lower on that side too.

Hello, thank you for your question. It’s great to hear that you’re in good overall health, however nicotine use (off any form) can significantly increase your risk for post-op surgical complications. Nicotine leads to increase vasoconstriction and platelet adhesiveness which then can cause dec...

You are a great candidate for lower lid surgery with fat repositioning or fat grafting. This surgery utilizes an incision on the back of the lid and moves around your natural fat to fill the tear trough. Additional CO2 laser would help tighten the skin and improve fine line and wrinkles. Best to...

In my hands, the best way to fill the tear trough is with lower lid blepharoplasty (fat transposition) and potentially additional fat grafting to the midface. This surgery takes your natural fat and moves it to fill the tear trough. Additional fat may be needed in the midface which is done with...

Some people have a prominent or protrusion of eye due to genetics; others related to the thyroid and should be medically worked up first. Flatter cheeks can make eyes appear to be protruding. Filler is a good starting point but fat grafting may look more natural be longer laster. Fat is...