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Refresh Your Eyes: Fillers or Blepharoplasty?

The New Year is a time to press reset and give yourself a fresh start. If you are looking to refresh your appearance, you may be considering starting with the most prominent feature of your face: Your eyes. If aging or genetics have left your eyes looking tired, puffy, or saggy, we can help you awaken a more youthful appearance for 2019.

Thanks to advancements in cosmetic medicine, patients now have plenty of options when choosing how they want to go about their aesthetic enhancements. While surgery used to be the only way one could improve their facial appearance, newer non-surgical alternatives are now available and are highly popular among women and men.

This holds true when it comes to lower eyelid rejuvenation. Patients can now choose between a permanent traditional lower blepharoplasty or a temporary dermal filler treatment. Below, we explain how each of these treatments can alleviate a gaunt eye appearance:

Lower Blepharoplasty

Dr. Matt Hershcovitch has performed countless lower blepharoplasty procedures to help patients look younger and more alert. Depending on each patient’s specific needs, he uses either the transconjunctival or transcutaneous method. Both of these procedures achieve the same goal in the same manner but vary in incision location and overall scarring.

Transconjunctival

This method of lower blepharoplasty surgery requires Dr. Hershcovitch to create an incision along the lash line to remove extra skin, redistribute fat, and tighten loose muscle. While this method is considered to leave more scarring than the transcutaneous method, its scars are barely visible.

Transcutaneous

The transcutaneous method of lower blepharoplasty also removes extra skin, redistributes fat, and tightens loose muscle. However, the incisions are created inside the eyelid. This incision placement completely hides any scars left by the procedure.

After each of these methods are performed, patients can expect swelling, soreness, light sensitivity, blurry vision and feelings of tightness. These effects usually last about a week, and we recommend patients sleep with their head elevated and avoid too much screen and reading time. You can return to work after the first week of recovery is over, but strenuous activity should be postponed for a minimum of two weeks.

Dermal Fillers

Blepharoplasty surgery is a great treatment and permanent solution for undereye circles and a gaunt appearance. However, not all patients are open to or comfortable with surgery. With the introduction of dermal fillers as a solution to aged eyes, surgery is no longer the only option.

Dermal fillers such as Restylane and Radiesse can be injected into the tear trough to create volume where fat has been lost and promote collagen regeneration. When volume is added to the undereye area, patients experience a smoother transition from their eyes to cheeks and nose. This helps enhance the illusion of a younger, well-rested appearance.

When HA fillers are injected into the tear troughs, the doctor and patient have the advantage of reversing some or all of the effects with an enzyme solution until a satisfactory result is achieved.  While this usually isn’t needed, many patients like to have the option.

Unlike blepharoplasty, patients do not need to schedule recovery time and can be back to their regular routine promptly after their treatments. Also, unlike blepharoplasty surgery, results are not permanent, and patients must schedule follow up appointments every year to maintain their results.

The best way to make an informed decision about your eyelid procedure is to schedule a consultation with the board-certified plastic surgeon, Dr. Matt Hershcovitch, by calling (818) 888-7878. During your visit, you will discuss your medical history and desired outcomes to decide which treatment is best for you. Call today to start refreshing your appearance for 2019!

 

 

 

 

 

Awaken Your Appearance with an Eyelid Lift

Eyelid surgery (blepharoplasty) can dramatically improve your appearance and brighten up your face. This procedure removes excess skin, tightens muscles, and repositions the tissue surrounding the eyes. The result is smoother skin with a defined and youthful eyelid contour.

With a relatively quick recovery and a short procedure time, eyelid surgery is a great option for those seeking facial rejuvenation but who aren’t ready for more invasive procedures. Discover how this popular surgery can awaken your appearance and address common age-related changes.

How Blepharoplasty Rejuvenates the Face

Removes Excess Skin

Over time, the delicate tissues surrounding the eyes lose elasticity. As collagen and elastin decline, the skin starts to droop and sag. This is one of the main reasons why people seek blepharoplasty. Drooping eyelid skin can affect the overall aesthetic of your face and may cause an angry, tired, or upset appearance. In some cases, sagging eyelid skin can also obscure vision.

During blepharoplasty, Dr. Hershcovitch restores the natural contour of the upper eyelids by trimming excess skin. For those who have drooping lower eyelids, a lower blepharoplasty can also be performed to fully rejuvenate the eyes. Even though a small amount of skin is removed, these subtle adjustments can dramatically improve your appearance while allowing you to still look like yourself.

Reduces Eyebags and Puffiness

While sagging eyelid skin is usually the top complaint for patients considering blepharoplasty, under-eye puffiness is another concern. As you age, the pad of subcutaneous fat in your face shifts downward. This downward shifting causes fat to settle beneath the eyes, creating “eyebags.” Puffy under-eye bags can also worsen dark circles and make you look tired, even when you feel great.

Dr. Hershcovitch treats this common issue by carefully repositioning the fat pad so that a smooth, even texture is produced. He will also remove any excess fat to make sure puffiness is reduced. The key to achieving natural-looking results with this technique is to leave enough fat so the under-eye area still looks youthful. When too much fat is removed, it can actually create hollowness under the eyes. With a balanced approach, Dr. Hershcovitch restores a bright, youthful look without compromising your natural features.

Corrects Hooded Lids

Blepharoplasty isn’t always sought for facial aging alone. Some men and women with naturally hooded eyelids would prefer to have more lid space. Others feel that their hooded lids give their eyes a heavy or tired appearance. In either case, eyelid surgery can correct these cosmetic concerns.

Blepharoplasty for hooded eyelids is designed to remove small amounts of skin so that more lid space is revealed to brighten up the eyes. This procedure is also an excellent choice for those who lack an eyelid crease and want to have a more defined eyelid contour.

Softens Lines and Wrinkles

While topical products can help soften the appearance of fine lines, there’s only so much they can do. Many patients choose blepharoplasty to reduce bothersome wrinkles, especially the deep skin folds that tend to develop beneath the eyes.

During lower blepharoplasty, Dr. Hershcovitch will make an incision either just below the lower lash line or on the inside of the lower eyelid. This ensures that no resultant scars will be visible. Through these small incisions he will tighten muscles that have started to droop, and gently re-drape the tissue for a refreshed look.

Other Options to Consider

If you don’t feel ready for blepharoplasty, there are non-surgical options available that produce great results for minor cosmetic concerns. One option that many patients turn to is Botox. Botox injections force certain facial muscles to relax, which softens the appearance of movement-related wrinkles such as crow’s feet and creases between the eyebrows. Botox can also provide subtle lift to the eyebrows.

If your main concerns are undereye circles and hollowing under the eyes, dermal fillers are a perfect choice. These injectables reduce dark circles by replenishing volume under the eyes. They can also fill in lines and wrinkles and produce a smooth, supple skin texture.

If you’re ready to take the next step but you’re not sure which procedure is right for you, contact Dr. Matt Hershcovitch to schedule a personal consultation today. Dr. Hershcovitch is a double board-certified facial plastic surgeon who is committed to delivering personalized, natural-looking results for those seeking cosmetic enhancements.