Restylane or lower eye surgery? (Photo)
Doctor Answers 11
Restylane or lower eye surgery
Thank you for your clinical post and photograph. The tired appearance of the lower lid with a slight bag, tear trough and hollow with fine lines can be improved both surgically and non-surgically. As a plastic surgeon with over 20 years in blepharoplasty experience, certainly the best result would be achieved with blepharoplasty surgery, which can be performed under local anesthesia involve reduction of the fat pad and smoothening of the skin. This, of course, involves some recovery and a small amount of risk but gives you the best long-term result. Temporary results lasting 8-12 months can be achieved with soft tissue fillers such as Restylane under the eye, near the tear trough with fractional lasers, Botox and non-ablative radio frequency heating nice improvements can be achieved although they are less permanent and less impressive than with surgery.
Either way I think you should get a consultation with an experienced blepharoplasty surgeon who also does non-surgical treatments.
I’m sure you’ll get an excellent result and best of luck.
To find out more or schedule a consultation, please visit the link below.
R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
There are several issues so rejuvenating your eyelids will take a combination of surgical and non-surgical treatment
I can certainly help you with this question – I’m a Board-certified cosmetic surgeon and a Fellowship-trained oculofacial plastic and reconstructive surgeon, practicing in Manhattan and Long Island for over 20 years. I was first trained in eye surgery, before further specializing in plastic and cosmetic surgery around the eyes. Eyelid rejuvenation is also a very big part of my practice.
Looking at your photos, it seems like there may be some puffiness in the left eye, as well as hollows and wrinkles. When it comes to eyelid rejuvenation, these are usually the most common issues that we address, as these are what bother people the most. Keep in mind thatin the absence of a full proper evaluation with a physical examination, I am simply giving you information as to what I personally do in my practice.
Treatment for under eye puffiness is usually quite straightforward – if the puffiness has always been there, then it is likely caused by a condition called lower eyelid fat prolapse. This means that fat that is normally around the eyes has pushed forward and results in a hernia, or what we call herniated fat. To remove this, we perform a lower eyelid transconjunctival blepharoplasty from the inside of the eyelid. From there, the displaced fat pockets are directly addressed.
For under eye hollows, we do a combination ofhyaluronic acid filler, such as Restylane, and platelet-rich plasma, which is a concentration derived from your own blood and containswound healing and growth factors that generate collagen and blood supply. We’ve gotten some very nice results from this combination treatment.
As for wrinkles and lines, it is important to remember that there are two types of lines: static and dynamic. Static lines appear even when you’re not smiling, while dynamic lines appear when you do smile. Dynamic lines are usually treated withdrugs like Botox™, Dysport, or Xeomin. These work by relaxing the muscles that cause the lines, and do require some maintenance. Static lines, on the other hand, can be addressed by means of a fractional CO2 laser. This treatment takes off the top layer of the skin and contracts the skin, thus creating a tightening effect.
I recommend that you meet with experienced and qualified cosmetic surgeons, particularly specialists who do a lot of eye and face rejuvenation procedures, and come up with a plan that you feel will work for you.
I hope that was helpful and I wish you the best of luck!
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