What does Dr. Steinsapir think of tear trough implants for under eye hollows?
Indications
Dark circles under the eyes can be responsible for a tired, haggard appearance, and they don’t simply go away with makeup or “beauty sleep.” This is because the underlying cause of dark under eye circles is not staying out too late, but a tissue deficiency just under the eye and above the cheek bone. Because the skin is quite thin and fragile in this region, when you lack enough volume under the eye, the interaction of the light here creates the dark circle which makes you look sickly, tired or simply older in appearance. An effective treatment must successfully address this key issue.
Background
Tear trough implants are a surgery where an implant is placed in the under eye hollow area just below the orbital rim on the facial skeleton. It provides more volume in this hollow area. The implant is placed thorough a skin incision, an intraoral approach, or from behind the lower eyelid. Generally the effect of this surgery is modest given the effort needed to place the implant. While modern facial cosmetic surgery is very safe, it is always best to opt for the least aggressive approach, including nonsurgical options when they are available or can even yield better results. The bottom line is that tear trough implants were a great technology 20 years ago, and they worked well for accomplishing treatment of the under eye circles in a time when this was an advanced procedure. However, thanks to hyaluronic acid fillers, we have much better treatment options today. By placing a small amount of Restylane in the under eye hollow, extremely natural results can be achieved during an office visit with a leading specializing physician of hyaluronic fillers. The service can last a year or more and has essentially made this surgery obsolete.
Modern Advances
Hyaluronic acid fillers — such as Restylane and Perlane — have revolutionized modern day cosmetic treatments, providing safe, adjustable, nonsurgical treatment options for those seeking to improve their facial aesthetic. These fillers can be administered in a comfortable office visit, and have long-lasting benefits yet are not permanent and can also be readily and comfortably adjusted with hyaluronidase if needed. This enzyme breaks down the filler should an adjustment be necessary such as from a post treatment highlight, ridge or bump. A service can be feathered with this enzyme making it possible to achieve truly natural treatment results.
Dr. Steinsapir advocates for minimally invasive, nonsurgical treatments that yield natural results and compliment your facial contour. Sometimes surgery is indicated, but other times just as much if not more facial improvement can be achieved with modern advances in services that include fillers, botulinum toxin like BOTOX, and chemical peels. Restylane is a filler that does very well to correct the under eye hollow. It works by adding volume to the affected area, contributing to the natural fullness associated with youth. With dark circles under the eyes, what we see anatomically is a descent of the malar fat pad; in other words, with age and time the tissue under your eyes and upper cheek that gives a bright affect eventually begins to drop. Dr. Steinsapir has invented DeepFill Restylane specifically to address this problem in a safe, effective method.
Taking Action
There is no reason to fret over under eye hollows and dark circles when reliable nonsurgical options are available. By seeking expert advice you can see improvement soon. The key, as with any treatment, is to see a doctor who makes your concern a major part of his or her practice, has completed specialized education, and has proven experience with exceptional results. Dr. Steinsapir is one of the leading providers of hyaluronic acid fillers, and he has extensively studied and published on the treatment of under eye circles as they relate to an overall balanced facial aesthetic. His observations and research led him to invent DeepFill Restylane, an under eye treatment for which many individuals travel to his practices in Beverly Hills and at UCLA. To learn more about the best treatment for your under eye hollows, contact us today and schedule your consultation with Dr. Steinsapir.
About Dr. Steinsapir
Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Beverly Hills where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in cosmetic surgery, which can be a vital part of your evidence-based treatment plan.
Services described may be “off-label” and lack FDA approval. This article is informational and does not constitute an advertisement for off-label treatment. No services should be provided without a good faith examination by a licensed physician or surgeon and an informed consent with a discussion of risks, benefits, alternatives, and the likelihood of treatment success. Only you and your treating physician or surgeon can determine if a treatment is right for you.
Can I go blind from my Restylane treatment?
While the probability of going blind from Restylane treatment is extremely low, the risk is not zero. Indeed, every medical procedure including the very safest ones comes with some level of risk. With any procedure, the key is in weighing the potential risk against the benefits of surgery. Dr. Steinsapir only advises treatments that he considers to be very safe, and he further recommends the most minimally invasive approach that addresses your needs. In this way risk is minimized but can never be made absolutely zero.
The total number of published cases of visual loss associated with injectable hyaluronic acid fillers like Restylane can be counted on a single hand and this is over approximately 10 year of clinical use. Weigh this against greater than 10 million treatments in this same time frame to understand the rarity of visual loss associated with a filler service. Because of this rarity, many injecting physicians do not feel it is realistic to even mention this potential risk. This position is understandable. If you are reading this article, you are probably searching for information on this very subject. Will you feel reassured understanding that these numbers are very low or more concerned that yes visual loss has actually happened after this type of treatment? Like many decisions we make, this often comes down to personal comfort level and choices. Most individuals will understand that the risk is so small that the likelihood of the event does not really weigh into practical considerations.
Restylane is a very useful filler around the eyes because it works well with the thin and delicate nature of the skin in this area, and provides nonpermanent, natural-looking results that can be altered with the enzyme hyaluronidase. To get the best treatment result, it’s crucial that your doctor possesses exceptional expertise in the anatomy of the eyelid and its surrounding areas. A skilled injector will be able to place Restylane with precision and control, while avoiding any areas of greater risk. It’s absolutely critical that your injector possesses intimate surgical knowledge of any anatomy being treated; for in respecting the anatomy of the treatment area, complications can be avoided or minimized. If you seek treatment from a lay-filler or nonspecialist, you’re at greater risk for complications. The wrong injector may inject filler intravascularly, which can substantially increase the risk of a potential complication. You are also much more likely to be satisfied with your results when you undergo treatment with a cosmetic surgeon who specializes in fillers, eyelid anatomy, and facial aesthetics.
Dr. Steinsapir has developed and published a very safe procedure called Deepfill Restylane, which places Restylane in the undereye hollows to correct volume deficiencies there. He is a physician consultant to Medicis, Inc., the distributor of Restylane, and is among the top 3% users of these hyaluronic acid fillers. He values clear communication, gives straightforward answers, and closely monitors follow-up care and to ensure that you heal well, are satisfied with your results, and that any arising complications can be addressed immediately. To learn more about the safety and benefits of Restylane placements customized for your particular goals and unique anatomy, call us today to schedule a consultation with Dr. Steinsapir.
About Dr. Steinsapir
Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Los Angeles where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in cosmetic surgery, which can be a vital part of your evidence-based treatment plan.
Services described may be “off-label” and lack FDA approval. This article is informational and does not constitute an advertisement for off-label treatment. No services should be provided without a good faith examination by a licensed physician or surgeon and an informed consent with a discussion of risks, benefits, alternatives, and the likelihood of treatment success. Only you and your treating physician or surgeon can determine if a treatment is right for you.
What does Dr. Steinsapir think of the “Madonna Lift?”
For the last few years, the “Madonna Lift” — yes, named for the famed pop star — has received attention for purportedly dramatic results akin to an eyelid lift without the surgery. The procedure itself involves fractional CO2 laser resurfacing, with a goal to tighten the periocular skin in the eyelids and adjacent facial regions. Marketing claims for this procedure promise that it will give the effect of an eyelid lift through use of light columns to treat and tighten the skin. Claims include a diminishing of wrinkles, tightening of the skin, reduction of under eye circles, and elevation of the eyebrows. In essence, we are talking about the full benefits of an eyelid lift but without any surgery at all.
Does the Madonna Lift live up to the hype? Reasonably, the Madonna Lift can make a modest difference in your eyes’ brightness, but individuals undergoing the procedure might feel that it didn’t seem worthwhile. To get real results cosmetic procedure must address the root causes of your concerns. The best and most natural results come from addressing actual issues — which may include excess tissue or tissue deficiencies or both; stretched, sagging, and sun-damaged skin; ptosis; a drooping brow; or other concerns. Short cuts may help but they can also be disappointing because the lack the power to make a real difference.
Dr. Steinsapir is a leading advocate of minimally invasive facial cosmetic procedures, including nonsurgical procedures like under eye Restylane, the chemical peel, and Microdroplet BOTOX when indicated. There are many nonsurgical procedures with minimal downtime that can make a huge difference in your appearance. However, the key to satisfactory results is catering to your unique facial structure and goals, while choosing the best procedure to match your needs (whether surgical or not)–rather than setting your heart on a procedure full of promises but that may not be right for you.
The Madonna Lift is not a substitute for surgery if that is what you actually need. This is just another example of a modest procedure with a catchy name. For real results, we strongly encourage you to seek a personal consultation with a physician who is an eyelid specialist and can advise you on a personalized treatment plan. This may or may not include eyelid surgery, but the key is that your treatment will be based on your needs rather than a promise of a one-size-fits-all cure with a catchy name.
Dr. Steinsapir is an international leader in both eyelid surgery and minimally invasive, nonsurgical facial cosmetic procedures. Much of the appeal of the Madonna Lift is the absence of surgery, and it’s of course understandable that you may be hesitant to consider surgery. Dr. Steinsapir’s philosophy is that all treatments should be both individualized and minimally invasive. What does this mean? If surgery is not indicated, he will not recommend it. And when surgery is indicated to address the cause of your concerns, he opts for a treatment that is conservative and preserves as much of your natural tissue and eyelid contour as possible, enhancing your features, speeding up recovery time, and avoiding the “surgical look” famed by gossip magazines. Many people see phenomenal results from an upper eyelid blepharoplasty and related eyelid surgeries, and many also see incredible improvements from nonsurgical procedures like undereye Restylane and an individualized chemical peel. The bottom line is, you may or may not need surgery to get the results you desire — but for an outcome that meets your needs, you should never limit yourself to one procedure just because it was marketed to you. For the best results, consult with a leading oculoplastic surgeon to determine which treatment plan is right for you.
We invite you to consult with Dr. Steinsapir today, a pioneer in minimally invasive cosmetic facial procedures with particular attention to the eyelid and its balance with the rest of the face. Dr. Steinsapir has proven results for both surgical and nonsurgical cosmetic facial procedures; and his friendly, approachable, and honest demeanor will help you feel comfortable asking questions, receiving answers, and planning for the procedure(s) right for you.
About Dr. Steinsapir
Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Los Angeles where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in cosmetic surgery, which can be a vital part of your evidence-based treatment plan.
Services described may be “off-label” and lack FDA approval. This article is informational and does not constitute an advertisement for off-label treatment. No services should be provided without a good faith examination by a licensed physician or surgeon and an informed consent with a discussion of risks, benefits, alternatives, and the likelihood of treatment success. Only you and your treating physician or surgeon can determine if a treatment is right for you.
Will photo facial treatments affect my Restylane service?
Minimally invasive procedures have become a very popular way of improving one’s appearance. Several different treatments can be performed at one time minimizing downtime. Photo facial and facial filling with Restylane and Perlane is a very common combination of services. The fillers address volume deficiencies like under eye dark circles, lip lines, loss of facial fullness and Photo facial can improve sun damage, facial redenss to even the complexion. The filler is placed sufficiently deep in or below the skin that it is unaffected by the Photo facial. So there is no reason to be concerned if you are having both services at the same time or if you previously were treated with fillers. Your suitability for either or both of these procedures is best determined at a private consultation with a qualified oculoplastic surgeon or cosmetic surgeon. The good news is that these procedures are compatible, safe, and comfortable.
Understanding the basis for how Restylane and Fotofacial both work will clarify why it is safe to receive both treatments. Photo facial is an intense pulse light treatment (IPL) that improves red spots, small blood vessels, and sun damage. These treatments are the basis for photo facials, and they are generally delivered over the course of four to six sessions at three weeks intervals. This is sufficient time to see improvements in your skin’s appearance, creating a more even tone and skin firming. Fotofacial works by directly treating your skin where the sun damage, pigmentary, and capillaries responsible for redness reside.
Restylane treatment, on the other hand, is carefully placed under the skin to correct deficiencies in facial volume, such as the under eye circle. For example, under eye Restylane is safely placed beneath the skin to address the volume needs, thus improving what we perceive as dark circles under the eyes. Because Restylane works from under the skin while Fotofacial directly targets the skin itself, Restylane treatments are unaffected by IPL treatment, and vice versa.
It is important to always disclose your complete past and current medical history with your physician as you develop your treatment plan. This will ensure that your care is as safe and personalized as possible. Dr. Steinsapir specializes in both Fotofacial and Restylane treatments and is the inventor of of Deepfill Restylane method, the breakthrough approach to correcting under eye hollows. Dr. Steinsapir is friendly and approachable, and will gladly answer your questions and help you feel confident in your treatment choices. Call us today to schedule an individualized consultation and see results.
About Dr. Steinsapir
Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Los Angeles where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us
Will under eye Restylane eliminate my dark circle?
Controlled placement of Restylane filler under the eye can greatly improve the appearance of dark circles, making this a popular and safe cosmetic treatment for those wishing to rejuvenate their facial appearance for a more youthful, alert, and bright affect. While these benefits are well researched with documented outcomes, medically speaking under eye Restylane does not “eliminate” the dark circle. A basic understanding of the cause of dark circles under the eyes, and how they can be helped with Restylane, will clarify what this treatment can and cannot accomplish.
Ultimately the cause of the dark circle is an optical perception, meaning the reason we see a dark circle on some individuals’ faces is due to the pattern of light interacting with the skin and tissue in that region. Dark circles are the visual result of a thin lower eyelid skin, which lies directly over the orbicularis oculi muscle, a dark red muscle. In addition to thin skin, with area commonly has a relative volume deficit compared to the adjacent cheek. It is the volume deficit that that can be improved through treatment with under eye Restylane. Restylane does not eliminate the absorption of light caused by the dark muscle just under the lower eyelid skin. However, the volume improves the way the way the light reflected from the skin surface appears, and the volume deficit which contributes to the dark circle. By improving factors that contribute to the the dark circle, Restylane can make significant improvements in the under eye area helping this area look fresher and more youthful. In a nutshell, under eye Restylane improves the under eye volume deficit and for many this makes a profound difference. Because the treatment can be accomplished with a comfortable office service and typically lasts a year or more depending on the amount of volume replacement, many individuals find this a great alternative to lower eyelid surgery.
To learn more about leading options for addressing your dark circles or other aesthetic facial concerns, schedule an individual consultation with Dr. Steinsapir to develop a personalized plan.
About Dr. Steinsapir
Dr. Steinsapir is a board certified eye surgeon and fellowship-trained in oculoplastic surgery and cosmetic surgery in Los Angeles where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology. Dr. Steinsapir has a private practice and also serves as an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute, at the David Geffen School of Medicine at UCLA. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in cosmetic surgery, which can be a vital part of your evidence-based treatment plan.
Services described may be “off-label” and lack FDA approval. This article is informational and does not constitute an advertisement for off-label treatment. No services should be provided without a good faith examination by a licensed physician or surgeon and an informed consent with a discussion of risks, benefits, alternatives, and the likelihood of treatment success. Only you and your treating physician or surgeon can determine if a treatment is right for you.
