Tired of those hollows, bags, and dark shadows under your eyes? If you are, the good news is there are several very effective and simple office-based procedures available to address this problem area with little to no downtime. Your eyes are the first thing others see when they look at your face. An immediate impression is formed about your age, energy, and fatigue level. Often you feel well rested and full of energy, but to others you look tired. Many patients comment that they look tired when in fact they are not. This can create a significant negative impression, both socially and professionally. And when it comes to rejuvenation of the eyes this concern is the most common reason people seek help. Understanding the Changes. As we age, we lose volume in certain parts of our face while we gain volume in other parts. Generally speaking, the region around our eyes and cheeks begins to lose fat, while the jowls and neck begins to gain fat. This progression has little to do with your body weight. The fat volume in the upper cheek and around the eyes are genetically predisposed to volume loss. When we lose the fat layer along the lower eyelid region and upper cheek, the eyes begin to look hollow. The outline of the bony rim begins to show. This gives the impression that we're fatigued and older. In our practice, this is an important and highly emphasized sign of aging that we treat on a regular basis. Rejuvenation of the eyes is one of the most high impact methods of facial rejuvenation. Traditional Eyelid Surgery and Associated Problems. Traditional approaches focus on blepharoplasty or eyelid surgery in which skin, muscle and fat are removed in order to sculpt the eyes. The reality is many times the eyes would actually look older and often just different as a result. This misses the whole goal of eyelid surgery, which is to make the eyes look refreshed and revitalized. Patients who feel like their eyes have become hollowed and gaunt looking as a result of fat removal lower eyelid surgery performed years ago is a common problem. Facial surgeons correct these problems in a much more conservative and naturally rejuvenating way. How is this done? By adding volume, not removing it. Rejuvenation of the Eyes- the State-of-the-Art - Adding volume is the most effective way of rejuvenating the eyes. The real advantage is that it is non-surgical and highly effective. The treatment used of the hollows under the eyes is Restylane or Juvaderm for mild changes in a younger patient (30-40s) This technique is used to fill the tear troughs (cresent-shaped hollows in the corners of the eyes near the nose). In patients with more advanced volume loss that extends into the upper cheek region, and beyond the tear troughs, fat transfer is an excellent permanent solution. Fat transfer works by restoring the shape and contour of the midface and cheeks. This gives the upper face a much younger appearance without making the person look different. Another advantage of fat transfer is that the results are permanent. If the patient wants to address the cheeks with an injectable, Radiesse or Sculptra are used in place of fat. Of course, every case is unique and an individualized consultation is required to assess what the best strategy is for you.
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