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Total Eyelid Rejuvenation

Posted: 1:35 p.m. Wednesday, Jan. 21, 2015

By Anita Mandal, M.D.
Question: A surgeon recommended that I have eyelid lift surgery while another cosmetic doctor said botox and fillers would do the job. It’s very confusing. How do I know which route to take?

Answer: Eyelid rejuvenation has several important aspects, depending on the causes. It is important to seek a cosmetic specialist with extensive experience in both surgical as well as non-surgical procedures. The proper choice of doctor can assure a more objective perspective where recommended procedures are tailored to the individual patient’s needs rather than being based on a practice’s preferences.

Aging of the eyelids can be due to: 1) sagging or excess loose skin, 2) bulging fat pads, 3) crows feet wrinkles, 4) low set eyebrows, 5) fine crepey skin and/or 6) hollowing with dark under eye circles. Each of these concerns are addressed with specific cosmetic procedures as no single procedure can typically correct all of them.

Excess fat and skin of the upper or lower eyelids are treated surgically. Botox or Dysport® is most effective for wrinkles such as crows feet. Hollowing under the eyes is typically improved with fillers such as Restylane® or Bellafill®. Fine lines or crepey skin is treatable with lasers. Finally, droopy eyebrows can be either surgically treated with a brow lift or, in milder cases, lifted with Botox or Dysport.

A comprehensive, well-rounded approach to upper and lower eyelid rejuvenation that incorporates both surgical and non-surgical approaches is key to addressing the range of eyelid rejuvenation concerns occuring with age. A thorough consultation with a Board Certified Facial Plastic Surgeon is the first step.

Special thanks to all of the attendees at our Jan. 14 event. Due to popular demand, stay posted for details on our next event!


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