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.

Monocheek syndrome: What to do if you have been overfilled with fillers.

Advantages of Fillers
One major appeal of hyaluronic fillers like Perlane, Restylane, and Juvederm–arguably some of today’s best facial fillers for many individuals–is the relative ease with which treatment can be given, modified, and even reversed. Opting to have facial filler strategically placed in areas of volume deficiency can greatly enhance your facial contour and restore the full features that are associated with youth. The type of filler or fillers you need and their placement will depend upon your unique facial structure and concerns, as well as medical history. In many cases, treatment of dark circles under the eyes can be achieved with Restylane and greatly complimented by Perlane placed in the upper cheek.

Treatment by facial fillers is a nonsurgical, comfortable procedure that can be performed as a comfortable, simple office visit to a qualified and experienced cosmetic surgeon who specializes in fillers and facial balance. The benefits of these hyaluronic fillers are long-lasting. Patients often find that under eye treatments can last a year and in some cases up to two years. This means that these nonsurgical results rival the longevity of surgical results and often exceeds the results of surgery.

Flexibility and Corrections with Fillers in the Cheek
However, if for any reason you are dissatisfied with your treatment, need a simple adjustment, or desire further consultation, your doctor can alter or essentially erase your filler results by using the enzyme hyaluronidase. In the case of an individual who has been overfilled with fillers, such as too much Perlane in the cheek. Overfill can take a couple of common forms. One type of over treatment is described by Dr. Steinsapir as the “monocheek” syndrome. This describes the situation when the top of the cheek is overfilled causing the lower eyelid crease to be filled up. It appears as though the cheek extends right up to the eyelashes. Another overfill syndrome is when the doctor overfills the cheek to low. This look is called the “New New Face” by Jonathan Van Meter. It makes the face look like a caricature of one’s face.

These overfill syndromes do not look natural. These treatments can be shaped to make the effect look much more natural. Correction by hyaluronidase is accomplished via small injections, which are comfortably and performed in the office. Typically, Dr. Steinsapir can help you completely resolve your concerns in just one or two office visits. The ease and safety of the correction means that there is just no reason why an individual should have to put up with dissatisfactory results. Dr. Steinsapir finds that some individuals put off being corrected because they are hoping the results will resolve on their own. However, because these treatments last a very long time, he advises having the service adjusted as early as possible to get the longest benefit from the treatment.

Expertise
The key with any satisfactory cosmetic treatment is choosing the right doctor. In most cases, your original cosmetic surgeon will be eager to correct your filler treatment with the hyaluronidase enzyme. Unfortunately, there are also underqualified medi-spas and nonspecialists performing these services, and this lack of expertise can be the reason you received too much filler, or filler that was not optimally placed in the precise anatomic areas where you need it. In such a case, it’s advisable to seek a second opinion from a board-certified cosmetic surgeon who makes facial fillers a major focus of his or her practice, and who has proven success and leadership in the field. As one of the top 3% users of Restylane and Perlane within the U.S., and as a Physician Consultant for Medicis, Inc. who distributes these fillers, Dr. Steinsapir provides unparalleled filler services and experience. If you are dissatisfied with treatment or desire a second opinion, you do not need to wait any longer. Please call us today to learn how you can improve your experience and achieve immediate benefits.

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.

Perlane Power

With a number of facial fillers on the market today and a number of fillers that have been used historically, we have seen great progress as these medical technologies and their applications develop over time. Restylane and Perlane stand out among the most trusted, safe, and useful fillers today. Perlane is one of the hyaluronic acid fillers distributed by Medicis, Inc., along with Restylane. We have found Restylane to be optimal for placement in under-eye hollows due to the thinness of the skin in this region, and we have also found that Perlane is a stand out product for volume replacement in the cheeks, chin, and in areas that require deeper filler placement for the shaping of the features. Often these are highly complimentary fillers, with Perlane restoring the deep fullness to the cheeks and provide a foundation for the volume that is associated with youth.

Perlane is a thicker hyaluronic acid filler, which makes it ideal for the types of contouring described above. It is a product with proven utility and safety, and its application is also easy and convenient. Treatment with Perlane can be as simple as an office visit with a qualified expert physician. Indeed, many individuals seeking advice from Dr. Steinsapir opt for treatment in the office at the time of the initial consultation. This treatment offers the benefit of longevity yet the convenience and flexibility. While you can enjoy your Perlane results for a year or more, eventually they will wear off. This allows for treatment at convenient intervals and without the concerns often associated with surgery. We find that most individuals receiving Perlane filler from Dr. Steinsapir are happy with their results and choose to maintain the aesthetic benefits achieved with periodic office visits.

In the past facial fillers like grafted fat, sculptra, and silicone oil have had their supporters and detractors. Today Perlane is typically a better alternative to these permanent and semi-permanent options. With Sculptra, altering your treatment is far more challenging. A saline injection may have some utility in breaking up the filler, but often it’s insufficient, and you may even require excision to alter your results. Silicone filler can also be understood as a permanent filler, and over time you are more likely to have dissatisfactory outcomes that are more complicated to change. And while grafted fat is sometimes indicated, Perlane is usually a more comfortable, minimally invasive, nonsurgical option. Surprisingly Perlane has a longevity that is very competitive to grafted fat, which often seems to require repetitive treatments to maintain the effect.

Lumps and bumps created by the permanent fillers can require major surgery to address. Conversely, results from the filler Perlane are easy to shape and change when needed. A treatment might hold a little too much volume and this can easily be modified in the office with an injection of the enzyme hyaluronidase. With a simple, comfortable office visit you can have your results shaped when necessary to achieve the best possible result. Perlane results rival and in many cases, exceed what can be accomplished with surgery.

When choosing a treatment provider, be sure to choose someone with differentiated expertise. As one of the top 3% users of Restylane and Perlane, Dr. Steinsapir makes facial fillers a major focus of his private practice in Beverly Hills. For a treatment plan customized to help you achieve your most natural aesthetic results possible, we invite you to consult with Dr. Steinsapir today. Please contact us for more information on how you can achieve remarkable improvements in your facial appearance without surgery.

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

What should I expect with my filler service?

Cosmetic fillers like Restylane®, Perlane®, Juvederm®, and other hyaluronic acid fillers are an excellent alternative to surgical procedures.  These products are composed of a cross-linked sugar gel that can correct wrinkles, volumize the nasolabial fold and lips, fill acne scars, and improve under-eye dark circles.  Dr. Steinsapir is the inventor of a unique and effective method that specifically addresses under-eye discoloration.  This technique is called the Deepfill™ method.  Facial fillers last about a year and treatments are easily adjusted using hyaluronidase, if necessary.  For many years, Bovine Collagen was the gold standard of fillers, but has now been displaced by Restylane® which is now the filler to which all others are compared.

Like Restylane, Perlane® is intended for volumizing, but it differs from Restylane in that Perlane is intended to provide facial volume in the deep dermis and superficial subcutaneous fat.  Perlane and Restylane are not equivalent products.  It is essential that your doctor places Perlane deeper than Restylane.  When used properly, Perlane is an excellent alternative to volumizing products like Scluptra® and Radiesse® and even fat transfer.  Treatment with Perlane also lasts well over a year.

Where are injections commonly performed?

Hyaluronic acid fillers are office-based services. You may see estheticians and unqualified individuals like medical assistants offering injections illegally in spas and salons under the justification that they have a “medical director.”   No States permit this arrangement.  Unless a doctor is present and performs the service, this type of situation is the illegal practice of medicine.  As with BOTOX®, don’t let an unqualified individual perform your Restylane or Perlane service.

Just like BOTOX, only a licensed medical doctor or a nurse under the direct supervision of a licensed medical doctor can inject hyaluronic acid fillers.  The exact details of the required qualifications vary by State so it’s important to research the individual you wish to perform the injection to ensure he or she is qualified.  However, just because your doctor or nurse is minimally qualified to perform the injection does not necessarily indicate he or she is the ideal choice for the procedure.  As with many other medical procedures, the best results require a certain level of qualification, skill and experience; these concerns are perhaps even more important when considering modifications to your physical appearance.

What’s the typical recovery course and what are the physical restrictions?

Many of Dr. Steinsapir’s patients resume their normal activities just after leaving the office with the exception of no workouts for 24 hours.  Wait a day before going to the gym.  If you don’t bruise, there will be about thirty to forty hours during which you experience minimal swelling.  Many patients, both men and women, can hide this swelling right away with a camouflage makeup that matches their skin color if necessary.  If your lower eyelid skin quality is poor and you often collect a small bag of puffiness under the eye, the doctor may counsel you regarding the need to consider a procedure like a chemical peel or surgery prior to getting regular filler treatments so you don’t experience prolonged recovery after each filler service.  This can be discussed when you have your initial consultation.

What are common complications and how are they addressed?

Most people, about 70 percent, do not experience bruising after a Restylane treatment; the other 30 percent experience some degree of bruising; most of it mild.  But a very few (one or two in a hundred) will develop a black eye.  The black eye can take about two to three weeks to completely resolve, and this is a cosmetic concern without health dangers.  The worst part of this is that many will assume that you were the victim of domestic violence.  Glasses and makeup help to hide the bruise while it is resolving.  Considering that Restylane will last over a year, the recovery process is very mild and comfortable even for these few.

For the few Restylane recipients who experience bruising, the short-lived bruise is worth the long-term results.  It’s a good idea to obtain treatment at least three weeks before big events like vacations.  For the biggest occasions such as your own wedding, Dr. Steinsapir advises have treatment 2 months ahead of the event to be completely certain that your pictures will turn out great.

To minimize your risk of bruising, your doctor will ask you to stop taking certain medications that thin the blood, such as aspirin.  If you are taking anything prescribed by a doctor, Dr. Steinsapir strongly advise that you consult with your prescribing physician before discontinuing the medication.  If your doctor suggests that you continue the medication, this does not mean that you aren’t a good Restylane candidate.  If you are willing to be at a slightly elevated risk for bruising, Restylane can still be effective.  Your regular doctor and your cosmetic specialist can help you decide the best route to take.

The incidence of allergic reaction varies with the products used and should be discussed with the treating physician but the incidence of allergies to these products is very low.

For unwanted highlights or bumps that occasionally occur after an otherwise excellent filler treatment, the enzyme hyaluronidase makes Restylane injections easily adjustable to a more desired aesthetic, and your doctor can even erase the treatment completely if you determine together that this is your best option.  In the event that you experience lumps or unwanted effects from your Restylane treatment, hyaluronidase makes it easy to adjust hyaluronic acid fillers like Restylane, Juvederm and Perlane.  This flexibility created by the ability to adjust a service is one of the most important factors making HA fillers such a popular service.

About Dr. Steinsapir

Dr. Steinsapir is a much sought after oculofacial surgeon.  He is an innovator in minimally invasive cosmetic and reconstructive procedures and has invented new methods for treating with BOTOX, fillers and cutting edge reconstructive eyelid and midface surgery.  He specializes in high precision eyelid surgery and is a leader in correcting prior facial and eyelid surgery, including multiple revised cosmetic eyelid reconstructions.  He attended medical school at the UCLA and completed ophthalmology residency at The University of Chicago.  He is multiple fellowship trained including three years of fellowship training in oculofacial plastic surgery at UCLA, and a two-year cosmetic surgery fellowship in Rancho Mirage.  He is widely published and lectures to other surgeons nationally and internationally.  He is an associate clinical professor of Ophthalmic Plastic and Reconstructive Surgery at the Jules Stein Eye Institute at UCLA.  His private practice is located in West Los Angeles, immediately serving the Los Angeles and Bevery Hills communities.  Additionally, individuals from all over the country and the world regularly come to Los Angeles for this expert care.

To learn more about Dr. Steinsapir’s specialized Restylane treatments, please contact us today.

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 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.

I had facial fillers and BOTOX and now I look older

If this happened to you, there is no doubt that you are dissatisfied with your treatment and that it makes you feel old – the exact opposite of the reason you chose to undergo the procedure!  There are many reasons your treatment may not have turned out the way you expected it to, but it is not the fault of the BOTOX or the filler, whether it’s Juvederm®, Perlane®, Restylane®, or any other hyluronic acid filler.  Complications from non-surgical treatments like fillers and BOTOX are almost always the result of your surgeon’s talent.  Choosing a skilled surgeon to perform your injections is important, but once the damage is done, choosing a skilled surgeon to fix the problem is imperative.

The Truth About Treatments

As the effects of your BOTOX treatment begin to wear off after several months―Restylane wears off more slowly―your face will slowly regain the looks it had immediately before your treatment.  Restylane and BOTOX treatments will not make you look worse than your original pre-treatment appearance as they wear off, nor are they supposed to make you look worse when treatment is new.  Provided you did not let someone put silicone oil

in your face and treatment is provided by an experienced injector fillers and botulinum toxin A have few side effects.  But if you aren’t happy with your results, you do have options and it is not necessary to wait more than a year for the filler to wear off.

Options for Fixing BOTOX Treatments

Treatments like BOTOX and Restylane are popular because they are noninvasive treatments that together can smooth wrinkles, relax tense muscles, and fill in hollow areas.  BOTOX and Restylane will not permanently alter your looks.  BOTOX is a naturally-occurring purified protein that relaxes muscles, and Restylane is made from a biodegradable sugar-gel that occurs naturally in the body.  Both of these are eventually broken down and expelled from your body completely.

Generally with the botulinum toxin A products (BOTOX, Dysport, Xeomin), the issue is an unbalanced treatment.   These services typically freeze the forehead.  The treatment results can be improved by having the appropriate counter treatment along the eyebrow using Dr. Steinsapir’s Microdroplet method.  However, if your BOTOX treatment has caused eyelid ptosis, Dr. Steinsapir recommends finding an oculoplastic surgeon to help you with this particular issue.  Oculoplastic surgeons are trained to assess and follow upper eyelid ptosis.  They are familiar and have experience treating upper eyelid ptosis.  A prescription for Iopidine (aproclonidine ophthalmic solution) can be helpful in this circumstance.  This medication is a glaucoma medicine that can elevate the eyelid a couple of millimeters. The drops can also be used to assess the severity of the ptosis and predict the likely time frame for the resolution of ptosis.  Dr. Steinsapir recommends trying the drop twice a day for a week.  If the drop is working to open the eye, then it is likely that the ptosis will resolve in 4-6 weeks.

Options for Fixing Filler Treatments

Dr. Steinsapir often sees individuals frustrated with treatments they received elsewhere.  Surprisingly, many people are not aware that the hyaluronic acid fillers can be adjusted using the enzyme hyaluronidase.  This enzyme is delivered with a small injection during a very comfortable office visit.  Dr. Steinsapir has helped people who put up with unsatisfactory treatments for much longer than they need to. These issues are easily dealt with using the enzyme in one or two visits.  It is the ability to make these adjustments that makes it feasible to provide many of the advanced filler services.  Do you have a hyaluronic acid filler issue that is not responding to hyaluronidase?  Some patients have been told they were injected with hyaluronic acid filler but in fact were treated with silicone oil.  Correction of some of these issues can be challenging and need to be approached on a case by case basis.

Restylane is a long-lasting, but not permanent sugar-gel facial filler that is preferred for improving facial contours due to its natural results, even in sensitive areas like dark circles under the eyes and the lip edge.  Restylane and Perlane offer the ability to modify results when necessary.  This includes treatments that were performed in the past and need fine-tuning.  The ability to adjust a treatment with the enzyme can take a good treatment and make it great.  In some cases, as the body slowly breaks down the material over time, slight irregularities may develop despite the initial quality of the treatment.  Sometimes, the answer is adding filler rather than subtracting volume.  For this reason, it is best to start with a detailed assessment with an expert like Dr. Steinsapir.

About Dr. Steinsapir

Dr. Steinsapir is a much sought after oculofacial surgeon.  He is an innovator in minimally invasive cosmetic and reconstructive procedures and has invented new methods for treating with BOTOX, Fillers and cutting edge reconstructive eyelid and midface surgery.  He specializes in high precision eyelid surgery and is a leader in correcting prior facial and eyelid surgery, including multiple revised cosmetic eyelid reconstructions.  He attended medical school at the UCLA and completed ophthalmology residency at The University of Chicago.  He is multiple fellowship trained including three years of fellowship training in oculofacial plastic surgery at UCLA, and a two-year cosmetic surgery fellowship in Rancho Mirage.  He is widely published and lectures to other surgeons nationally and internationally.  He is an associate clinical professor of Ophthalmic Plastic and Reconstructive Surgery at the Jules Stein Eye Institute at UCLA.  His private practice is located in West Los Angeles, immediately serving the Los Angeles and Bevery Hills communities.  Additionally, individuals from all over the country and the world regularly come to Los Angeles for his expert care.

To learn more about Dr. Steinsapir’s specialized Restylane treatments, please contact us today.

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 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’s the Best Eye Wrinkle Treatment?

Eye wrinkles are treatable, but not unavoidable.  There is no cure for aging and therefore, no cure for wrinkles, especially around the eyes―our most expressive feature.    However, you can take preventative measures to delay and even reduce the appearance of wrinkles.  There’s no magic cure, but using sunscreen on a daily basis and wearing sunglasses are an excellent way to limit the effect of sun damage and squinting, which are thought to play important roles in the development of periocular wrinkles. It is generally thought that smoking also damages the delicate elastin in the skin speeding the development and severity of facial wrinkles.   Once these wrinkles do appear you will need more than a skin moisturizer to help improve these lines.

Fillers and Muscle-relaxers

Treatments like BOTOX®, Dysport®, and Restylane® are popular because they are noninvasive treatments that can smooth wrinkles, relax tense muscles, and fill in hollow areas.  These injections are not permanent and will wear off.  Touch-up or maintenance treatment is repeated as necessary.  This is typically twice a year for the botox service and commonly a year for the filler service.

BOTOX and Dysport are naturally-occurring protein that prevents treatment muscles of facial expression from contracting, and Restylane is made from a naturally occurring sugar-gel that is found in the body.  Both of these products are eventually organically broken down and expelled from your body completely primarily in the form of water and CO2.  You’ll notice as this happens that your wrinkles will slowly return.  They may stand out to you after many months of looking much better.  When should you be retreated?  Dr. Steinsapir does not believe that your next treatment needs to occur more frequently than once a year.

Can BOTOX and Restylane prevent problems?

We know that BOTOX and Dysport does not aggravate wrinkles or make them worse in the long run.  We also know that the face is subject to gravity and general usage as we age, and that wrinkles can be caused by tense muscles.  When these overactive muscles relax, as they do in response to BOTOX and Dysport, the skin is no longer constantly creased.  While there are no clinical studies suggesting that ongoing treatment with these agents prevent wrinkles from forming, it does make sense that less skin creasing should help preserve skin integrity and reduce the formation of lines and wrinkles.

About Dr. Steinsapir

Dr. Steinsapir trained alongside the inventor of BOTOX and has performed thousands of BOTOX treatments in Los Angeles since 1988 and recently patented his Microdroplet BOTOX technique. He is a board certified eye surgeon and fellowship trained in oculoplastic surgery and cosmetic surgery in Southern California 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.  Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert in BOTOX, 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 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.

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