September 8, 2010

How do fillers improve my dark circles?

Dark circles under they eye are a common problem that can affect people of all ages.  Effective treatment must address the root cause of the problem, which is why putting on makeup or a face cream does not resolve the issue.  If you are dissatisfied with your appearance because of under eye hollows that give you a tired, haggard, or sunken appearance, consider how an under eye filler like Restylane can improve your image.

Under Eye Restylane Before and After Photo

Under Eye Restylane Before and After Photo

What is the root problem of my dark circles?

While a number of factors contribute to the dark circles under the eyes, lack of soft tissue volume is one of the most important factors.  What we observe here is a deficiency of subcutaneous fat including the fat just underneath our skin.  Just as too much fat is not attractive or good for our health, neither is too little fat.  As we age, many people find that they have problems with fat distribution over the body, having too much in some areas and too little in others, such as the area around the eyes.

With under eye circles, the concern is deflation of the malar fat pad, which composes much of the cheek soft tissue.  This can happen because of gravity, stress, age, or even our genetic tendency.  Skin optics also contributes to the darkness we associate with the dark circle.  The lower eyelid skin is very thin and immediately lined by a flat muscle just under the skin called the orbicularis oculi muscle.  This muscle helps close the eye and also contributes to the smile lines.  The muscle is dark red.  Light that passes through the skin strikes this dark muscle where the light is absorbed.  With little light bouncing back into the skin, this skin appears dark.  In comparison the skin of the cheek just adjacent to the thin eyelid skin has a layer of yellow fat immediately under the skin.  Light passing into the skin a this point strikes the yellow fat and instead of being adsorbed, it reflects off of the fat helping the overlying skin look lighter.  Dark concealers generally contain reflective material such as mica to increase skin reflectivity or are opaque to block the absorption of light at the skin surface.  Unfortunately these products do not eliminate the shadowing that occurs here because of the lack of volume.

Dark circle treatment that works is available through the midface lift, a surgery that corrects the shift in fat distribution, and also through under eye Restylane, a facial filler that restores the tissue deficiency under the eye.

How do fillers resolve the key issue?

Fillers can resolve the deficiency by taking the place of the fat volume that is supposed to be there.   This corrects the hollowed area by addressing the lack of volume and improving the way that light interacts with the tissue in this area.  We have found that Restylane filler is the most suitable filler here because it is safe and does not tend to clump or migrate.  Since there is so little fat here and the skin is thin, there isn’t tissue for the filler to “hide” behind, which is why it’s so important to choose the right filler.   It is also why it is so important to choose the right cosmetic surgeon to perform your service.

Restylane for under eye bags can be modified with the injection of hyaluronidase, an enzyme that breaks down hyaluronic acids including Restylane.  This means that if you have a lump or a bump that needs to be adjusted after initial treatment there is a mechanism to permit this adjustment.

How can I find out if filler will help me?

You need a consultation with physician considered one of the top practitioners in correcting dark circles and other cosmetic facial and eye concerns.  Dr. Steinsapir is one of the best cosmetic surgeons in Los Angeles, and he specializes in minimally invasive techniques to enhance your features through natural results.  His practice is one of the few in the world that makes eye hollow treatment a major focus of practice.  To learn more about Dr. Steinsapir’s prestigious educational and experienced background, as well as how safe treatment with under eye Restylane can help you achieve your desired look, contact us today for a no-risk consultation.

August 17, 2010

Men and lip fillers

Men’s lips are often neglected.   This is too bad, because a natural fullness in the lips is very handsome.  If you are a man seeking cosmetic improvement for your face, take care not to overlook the value of lips.  Many men who have lost lip volume over time or who have naturally thin lips fail to consider lip fillers as a treatment option.  Yet when we analyze what is going on in the face and what treatments are going to have the most impact, restoring the lip volume is of critical importance.  If you have thin lips or lip lines, consider how lip fillers may benefit you.

Attaining Masculine Lips

Strangely, when we think of full or beautiful lips, we usually think only of women.  It is of course true that full and natural lips give striking compliments to a woman’s face, but women are not the only ones who look best with well-formed lips.  If you look at fashion magazines, you’ll see that the men have lips that are every bit as strong as the women’s.  This is because of the simple truth that men’s lips are important.  The big difference of course is that men do not wear lipstick to call further attention to the lips.  But just as young women have full lips that gradually deflate over time, the same is true for men.  Restoring the volume deficiency with lip augmentation can work wonders in refining your features and making you look younger.

Men and Lip Fillers

Because so many men who want facial improvement don’t even consider the possibility that men usually look best with naturally full lips, they sometimes displace a problem of lip deficiency to other features that may or may not benefit from cosmetic treatment.  For example, if you notice that something about the lower half of your face is “off,” you might assume that you need a facelift or a better-defined jaw.  Perhaps you could use these treatments; we’ll leave that up to your cosmetic surgeon and you to determine.  The point here is that it’s important not to overlook any possibilities.

Restylane is almost always the most suitable facial filler for lips.  The lips are very sensitive and the skin here tends to show any irregularities, but Restylane rarely forms bumps.  This is why Restylane is great for treating sensitive areas like the lips as well as under eye hollows.  Since Restylane is a hyaluronic filler, any dissatisfying results can easily be changed by your doctor.  The flexibility of Restylane makes your lip augmentation a very low-risk procedure that is both safe and adjustable.

Expert Treatment for Optimum Results

Placing a lip filler is both a medical procedure and an art form.  Your doctor should have extensive experience in Restylane lip treatment as well as artistic vision and an intricate understanding of facial anatomy.  If you are interested in learning more about how lip filling can help you, or just want to find out if you’re a good candidate for a lip filler, we invite you to consult with Dr. Steinsapir.

Dr. Steinsapir is a cosmetic surgeon in Beverly Hills and Los Angeles who specializes in minimally invasive cosmetic procedures that give you fast recovery time and natural results.  He is a leading expert in Restylane, and has served as a physician consultant to Medicis, Inc., Restylane’s distributor.  In fact, his practice is one of few in the world that makes Restylane for dark circles and lips a major area of specialization.  Please contact us today to find out how Dr. Steinsapir’s experience and care can help you achieve your desired look.

August 12, 2010

Will BOTOX help my dark circles?

BOTOX is a great product for the right circumstances.  In order to understand if BOTOX will help the dark circles under your eyes, you need to first know how BOTOX works and what causes dark circles.

BOTOX and Restylane Before and After

BOTOX and Restylane Before and After

Why does BOTOX work?

BOTOX is a naturally-occurring muscle relaxant and a highly purified protein called Botulinum toxin A.  It was originally used by ophthalmologists to treat muscle spasms near the eyes, and from there doctors noticed that those who received treatment had the added benefit of a soft, relaxed, more youthful appearance.  The key reason for this improvement is that BOTOX encourages overactive muscles to relax.  Often worry wrinkles, crow’s feet, forehead lines, and pinched eyebrows are the result of repetitive facial expressions, stress, and these too-active muscles.  By selectively weakening the muscles responsible for these unappealing features with controlled precision, a skilled cosmetic surgeon can restore facial balance and prevent lines from being further “etched” into the skin.

So, now you know what BOTOX does: it relaxes muscles that are too active, and is thus a great remedy for the problems caused by tight muscles.  The next question we must then examine is, What causes the under eye hollow?  After all, effective treatment must address the root cause of the problem.

How did I get dark circles under my eyes?

Dark circles under the eyes are almost always caused by a tissue deficiency.  The dark under eye hollows that many people observe as they age is a problem of imbalanced fat distribution.  Specifically, as the malar fat pad descends, our eyes become hollow and cheek bones may look gaunt, even as our lower face becomes saggy and creased.  The natural fullness under the eyes and in the cheek has suffered from time, gravity, and stress – with the tissue ultimately ending up in the wrong place.

The dark circles that result are actually an optical effect.  The natural tissue under the eye creates a fullness associated with youth, and when light hits our face, the underlying tissue or subcutaneous fat appropriately absorbs the light, and we have a soft, alert, natural appearance.  However, when we have dark circles under our eyes there is not enough fat to interact with the light that hits it.  Instead, the light is absorbed by the dark muscles and blood vessels under the eye, which is what causes the dark area that makes us appear tired and worn out.  You may be full of energy, but as long as you do not have enough tissue just beneath your eyes, they will look hollow. Covering them with makeup, sleeping in late, or taking multivitamins will not correct this look, because in the end you still have not addressed the tissue concern.

Effective Treatment Addresses Underlying Problems

Treating under eye hollows must address the cause.  While BOTOX is a safe and excellent option for many facial concerns and may compliment a dark circle treatment by restoring an overall balance to your face, BOTOX alone is not the answer to resolving your issue with dark circles.  What we have found to be the most effective in this area under eye Restylane, an effective non-surgical approach, and, when surgery is appropriate, a vertical midface lift with a hand-carved orbital rim implant .

The vertical midface lift is a powerful surgery that restores natural balance to your face and resolves the under eye hollow by lifting the soft cheek tissue back into the area under the eye and lower eyelid, where it belongs.  After this procedure, most people find that they not only look more alert instead of worn out, they also look much younger!  The surgery corrects the harsh edges and imbalance of facial tissue that has been brought on by gravity and time.  The reason the results appear so natural is because this cosmetic facial surgery restores your natural facial structure.  For this reason, this approach is often used to address issues from prior unsatisfactory lower eyelid surgery.  Dr. Steinsapir will assess you to determine the best options for your goals.

Deepfill Restylane is Dr. Steinsapir’s method for correcting dark circles.  Dr. Steinsapir developed this minimally invasive, nonsurgical method with those in mind who may not feel they are ready for surgery due to personal reasons.  It is also a great option for those who have less severe hollows.  Restylane is the most effective facial filler in the sensitive area around the eye, making up for the marked tissue deficiency

Finding the Best Advice

The best person to help you understand whether Restylane, a midface lift, BOTOX, or another procedure is right for you is an experienced facial cosmetic surgeon who specializes in these treatments.  We invite you to consult with Dr. Steinsapir, one of the best cosmetic surgeons in Los Angeles who specializes in both oculofacial plastic surgery and minimally invasive cosmetic surgery.  Dr. Steinsapir strives for a natural appearance that takes into account the entire facial balance, obtaining results that work for your individual features.  He has innovated Microdroplet BOTOX and Deepfill Restylane, and he can help you find a treatment plan that is best for you.  Please contact us today to schedule your private consultation.

August 2, 2010

What are the best lasers to improve my dark circles?

People love to talk about lasers and technology, and while lasers are very valuable in many medical procedures, they have a limited place in cosmetic procedures.  Lasers have been touted as a great way to improve skin texture, scars, and even problems like dark circles under the eyes which are actually caused by the skin optics of the lower eyelid.  In actuality, lasers once seemed like a promising technology that failed to deliver on so many promises when it comes to cosmetic treatment.

Under Eye Restylane Before and After Photo

Under Eye Restylane Before and After Photo

There are many potentially disfiguring side effects with laser skin treatments.  For example, CO2 laser resurfacing can cause textural abnormalities and injure the skin’s melanocytes, which causes unsightly hypopigmentation.  Still other methods like fractional laser treatments have such a mild effect that you may or may not even notice a difference.  Furthermore, since laser equipment is so expensive, you end up bearing the high cost as the consumer even when a less expensive treatment may be more effective.  We do not mean to completely devalue lasers; it is of course reasonable and fair that the treatment recipient bears the cost of the medical equipment and procedure, and there are in fact some delicate and truly impressive surgeries that are best done with a laser.  However, when it comes to cosmetic procedures and facial skin treatments, lasers are often not the best choice.

What is the best treatment to improve my dark circles?

Let’s rephrase the original question and consider how to find a more appropriate treatment solution.  Some better questions to ask are, what is causing my dark circles, and what is the best cosmetic treatment to improve them?  This way you allow your physician to diagnose you and help you develop the best treatment plan for your needs, rather than assuming that you already know what will work.  Just as it is a common misconception that lasers are the best method for treating facial skin problems, it is also a misconception that the dark circles or under eye hollows are a problem with skin pigmentation.

In most cases, the dark circles under the eyes that we observe are actually caused by a tissue deficiency.  There is too little subcutaneous (meaning “under the skin”) fat in the under-eye region, which is frequently caused by a descent of the malar fat pad, or soft cheek tissue, over time.  This deficiency creates an optical problem because light hitting the skin is absorbed by the dark red muscle beneath it, rather than a youthful layer of fat.  The tear trough skin here may be too thin also, compounding the problem, but this is not a skin problem you’ll want to “correct” with lasers.  The skin here is very delicate and fragile, and artificially changing its texture through lasers and scarring will not make for a good look.  The key is to address the underlying problem by correcting the subcutaneous deficiency.

The most effective treatments for improving under eye circles depend on the individual, but usually the safe, reliable, and recommended solutions that work best are either a midface lift or undereye Restylane.  The midface lift addresses severe structural concerns and returns sagging tissue to its natural, youthful position, successfully treating the under eye bags and restoring balance to the face.  Restylane under the eyes is a facial filler that corrects the tissue deficiency, and it’s a great option for those with a less pronounced problem or who may not be ready for surgery for personal reasons.  The Restylane filler allows the skin associated with the dark circle to drape differently and this greatly improves how light interacts with the lower eyelid lessening the appearance of the dark circle.

How can Dr. Steinsapir help?

Dark under eye circles are one of the most common concerns that Dr. Steinsapir treats.  His practice is one of just a few in the world that makes the treatment of under eye hollows a major focus of specialization.  Dr. Steinsapir pioneered the midface lift with a hand-carved orbital rim implant, and he also invented the patent-pending treatment method Deepfill Restylane, both of which are impressive and respected solutions for correcting under eye deficiencies.  As a leading expert in cosmetic procedures to address the undereye hollow.  He is a noted lecturer and writer on this subject.  He believes in developing an individualized treatment plan for each individual based on minimally invasive methods with safe and proven results.  Please contact us today to find out how Dr. Steinsapir can correct underlying problems and help you restore your vibrant, youthful appearance.

July 19, 2010

I am thinking of getting lip filler but I am afraid of getting my lips overdone.

Lip augmentation is a great option for those with thinning lips, aging lips, lip lines, or volume deficiencies.  Lip fillers have the ability to change your appearance from aging and ordinary to youthful and sensual.  It’s surprising what a difference full lips can make on the face, which is why so many people overlook the important role their lips play when they consider how to improve their appearance.  Don’t forget that we use our lips to smile, speak, kiss, eat, and express ourselves.  The full lips associated with youth and beauty can make a great difference in how others perceive us and how we feel about ourselves.  Both men and women can benefit from lip fillers, provided that both the individual and the doctor determine that this is a suitable treatment option.

Lip Filler Before and After Photo

Lip Filler Before and After Photo

One major reason great candidates for lip fillers hesitate to seek treatment is because they worry about getting their lips overfilled.  Thanks to media hypes, sitcoms, and a few publicized incidents of poor judgment, this is a common concern.  The truth is that with just a bit of foresight and planning, you needn’t worry about overdoing your lip filler treatment.  There are many fillers available, and the ones best for the lips are very forgiving, enabling your doctor to easily adjust the treatment should you be unhappy with your results.

How Can I Avoid Overdoing My Lips?

Seeking nonsurgical cosmetic treatment for the lips should be an extremely rewarding, low-risk experience as long as you do some research first and choose your doctor with care.  First, let’s look at some filler options.

With so many fillers available on the market today – Restylane, Radiesse, Perlane, Juvederm, Artefill, Sculptra, Matridex, and even silicone oil, to name a few – that have all been used as lip fillers, it can be easy to feel overwhelmed by the options.  However, not all of these fillers should be used as lip fillers under normal circumstances.  Hyaluronic acid fillers like Restylane, Juvederm, and Perlane are much more suitable for lip augmentation than permanent and semi-permanent fillers.  This is because they are much more forgiving, do not tend to lump, and can be simply and easily adjusted with the enzyme hyaluronidase.  Should you be dissatisfied with your treatment for any reason, experience an irregularity, or simply change your mind about what kinds of goals you have for your appearance, this enzyme can be injected to modify your treatment.

We have found that Restylane is usually the best fillers for lip volume deficiencies.  This is because the lips are very sensitive and can irregularities that may arise from treatment.  Fortunately, Restylane doesn’t tend to form bumps, and an experienced physician specialist can skillfully place Restylane for natural looks and long-term benefits.

I think I’ve already had too much lip augmentation.

Resolving this issue of course depends on the nature of the problem and the type of filler you received.  If you were treated with something like silicone oil, there is both good and bad news: this is a permanent filler.  If you like your results, that’s great, and you can expect them to last basically forwever.  If you don’t, well, it is virtually impossible to improve the lip.  Receiving treatment with a long-term filler is somewhat of a gamble because the long-term fillers have been shown to be less reliable than a filler like Restylane, and if you are discontent with your outcome then it’s harder to reverse.

If you feel you’ve had too much of a hyaluronic filler, adjustment will be very easy.  You can usually return to your original doctor to resolve the problem, unless the relationship has deteriorated or you are not confident in your original doctor’s skill level in regards to lip treatment.  In such cases, you should seek a second opinion.

If you were treated with a long-term filler like Sculptra or Matridex, treatment will be more challenging.  You may be able to a receive a saline injection to try to break up the filler.  In some cases excision is indicated as an appropriate treatment.  This will depend on the severity, location, and nature of your irregularity or other concern.

It’s possible that you are early from your treatment and simply experiencing some normal swelling.  Give yourself time to heal.  Wait a couple of weeks to let the swelling settle before evaluating whether or not your lip treatment was excessive.  If you have a bruise, you are likely experiencing swelling and need to let things settle down a bit before deciding to seek an adjustment.

How do I prevent a problem with my lip filler?

With some basic understanding of lip fillers and a carefully chosen cosmetic surgeon in Los Angeles to perform your nonsurgical cosmetic treatment lip filler, you really don’t need to worry about regretting your treatment decision.  Weigh your options with potential doctors and be sure to ask many questions about what filler he or she recommends, and how easy it is to modify treatment in the off-chance that you’re dissatisfied with it.  For example, you can feel great about a Restylane lip filler treatment because it has a strong history of working well as an ideal lip filler.  The benefits of Restylane can last for over a year, yet you needn’t worry that you’ll be stuck with results you don’t like because Restylane is both modifiable and not permanent.

Even more important than exactly what filler goes into your lips is the doctor you choose.  Find a cosmetic doctor with whom you are comfortable.  Your doctor should specialize in facial cosmetic surgery and nonsurgical facial treatment and be extremely knowledgeable about facial fillers.  You should feel at ease around your doctor and confident in his or her abilities.  How can you be confident?  Look into your doctor’s credentials, areas of specialization, experience record, and unretouched before and after photos.  What your doctor says should make sense to you.  Further, your doctor should personally perform all of your treatments without passing this job to an assistant or “physician extender.”

Dr. Steinsapir is a cosmetic surgeon in Beverly Hills who specializes in minimally invasive treatments and is an expert in facial fillers.  In fact, he has served as a physician consultant to Medicis, Inc., who distributes Restylane and Perlane.  He is widely considered a leader in facial fillers because of his innovative methods like Deepfill Restylane, extensive experience, and practical artistic skill.  He is widely respected and a Clinical Associate Professor at UCLA in oculofacial surgery.  Please call us today for a consultation to find out how Dr. Steinsapir’s lip filling techniques can refresh your appearance.

July 16, 2010

Will skin bleachers help my dark circles?

Dark circles under the eyes is a problem that is both common and commonly misunderstood.  Dark undereye circle treatment can help, as long as you get the right treatment.  There are a variety of remedies as well as so-called remedies, so finding a qualified cosmetic doctor to accurately diagnose your problem will be crucial in determining the best treatment route.  In many cases, the best solution is an under eye filler like Restylane or surgery like the midface lift to correct the underlying problems.

Undereye Restylane Before and After Photo

Undereye Restylane Before and After Photo

Diagnosis Is Key to Effective Treatment

Many people wonder if a skin bleacher will improve dark circles.  After all, when they look in the mirror they see too much darkness under the eyes, and the logical solution may seem to be simply lightening the skin in this area.  However, in most cases the problem is not too much skin pigment.  This is why if you put on an opaque foundation makeup, you can disguise the problem to some extent, but your under eye area still looks haggard.

The issue of the dark circle is actually optical.  There is too little subcutaneous fat under the eyes, and the tear trough skin in this area is too thin, compounding the problem.  Light penetrates the skin and is then absorbed by the dark red muscle below the thin skin, which normally would be offset by a healthy layer of fat.  Yes, too little fat can be a bad thing, contrary to what popular diet blurbs may tell you – some fat in the face (but not too much) is desirable in order to give the soft appearance associated with youth and beauty.  You can bleach the skin all you want here, but this will not correct the problem, and instead may give you a strange pigmentation effect.

Treatment to Address the Underlying Problem

What we often see in individuals who present with under eye cosmetic problems is a descent of some of the soft cheek tissue known as the malar fat pad, which hollows out the under eye, contributes to the midface groove, and causes excessive fullness in the nasolabial fold.  Correcting these problems should be considered on an individual basis, but most often the best solution is either a midface lift or under eye Restylane.  These treatments address the fundamental problem of the way light interacts with the tissue here.

Restylane restores a natural fullness to the under eye area while allowing the flexibility needed to give precise treatment that is easily adjusted by your doctor should the results be less than ideal.  The midface lift is an excellent option for those with more severe symptoms, while Restylane can still help those who need surgery for dark circles but may be apprehensive for personal reasons.

Skin Bleachers – When to Use Them, and When Not To

Skin bleachers do have their place in cosmetic treatment.  For example, they can be utilized in combination with a chemical peel.  One such use is treatment with an alpha hydroxyl acid to produce smoother skin that, when combined with skin bleachers, has a synergistic effect of lightening the skin.  If you have a problem with hyperpigmentation, then an expert chemical peeler can skillfully use skin bleachers to enhance your appearance.

Skin bleachers are not appropriate when the fundamental problem is not with the color of the skin.  Effective dark circle treatment usually doesn’t involve skin bleachers, because pigmentation is rarely the problem here; rather, the impact of the descending malar fat pad and  the resulting fat deficit impacts your facial optics, and this is what you need to address.

Seek Expert Treatment

Administering under eye fillers is an art form, as is the midface lift.  When you are seeking a cosmetic under eye filler or surgery, you need a facial cosmetic surgeon with the medical training, clinical expertise, experienced specialization, technical skill, and artistic understanding it takes to yield the best results.  We invite you to consult with Dr. Steinsapir, who is one of the few doctors in the world who makes the treatment of dark circles under the eyes a major emphasis of his practice.  Dr. Steinsapir is multi-fellowship-trained in facial cosmetic procedures, and he emphasizes minimally invasive solutions that are proven to work.  Please contact us today to learn more about the best options for your individual concerns.

June 25, 2010

Can surgery improve my dark circles?

There are a variety of means to address dark circles under the eyes, and surgery is often the best recommendation.  Dr. Steinsapir is one of just a few physicians who make treatment of under eye hollows a major focus their practice.  The best course of action always depends on a personal consultation and individualized treatment plan.  Let us discuss a few possibilities here.

Dark Circle Surgery Before and After

Dark Circle Surgery Before and After

Filler or Surgery?

In many cases, especially when the presence of dark circles under the eyes is pronounced, surgery may be advisable as the most beneficial option.  However, Dr. Steinsapir understands that there are many people who need surgery but are too apprehensive to seek it – perhaps they had a negative prior experience and are emotionally traumatized, or they may not be prepared for surgery for other personal or financial reasons.  In these cases, Dr. Steinsapir recognizes the importance of respecting emotional limits, and in order to help those who postpone treatment because they desire to avoid surgery, he developed the Deepfill Restylane method of correcting under-eye deficiencies.

Both fillers for under eyes and surgeries, such as the midface lift and arcus marginalis release, have been demonstrated to be safe and highly effective in treating under eye problems.  Find a surgeon who specializes in the treatment of dark circles under eyes to see what he or she recommends.  Your doctor should help you decide the best approach that is right for you.  When you make your decision, remember that surgery is longer-lasting and may yield more powerful results, while under eye Restylane is a flexible, long-lasting but not permanent, and necessitates little-to-no recovery time, making it a great option for those whose personal or work situation may limit their ability to undergo surgery, as well as those who have a less pronounced need for dramatic treatment.

Whether you and your midface surgeon ultimately decide to opt for surgery, a filler, or no treatment, the key to a successful outcome will be planning an individual treatment and then performing it with skill and precision so that enough treatment is given without overdoing it, and so that the look is natural and suits your face.

How Surgery Helps

Surgery addresses lower eyelid contours that contribute to the dark circle.  The effect is a less haggard appearance.  While no surgery lasts forever, the effects of surgery last longer than the non-surgical treatments.

Find a facial cosmetic surgeon who specializes in midface and particularly under eye treatments who also has the training, experience, and great results to make him or her highly qualified.  This is important because your surgeon will need to customize your surgery.  When working in the midface areas, an assembly-line-style treatment approach is not a good idea.  The key to a great outcome is careful planning and performance of the surgery to make it suit you on an individual basis.

One problem with the midface area that is frequently overlooked is the descent of the malar fat pad.  This worsens the hollow under the eye, the midcheek groove, and even the nasolabial fold.  You may interpret what you see as a simple hollowing around the eyes, but often this is truly an entire midface concern.  A midface lift can address all of these areas to smooth out your features and restore the fullness associated with youth.  Dr. Steinsapir helped pioneer the hand-carved ePTFE orbital rim implants in the midface lift, which greatly improves the area around the eyes.

There are different kinds of midface lifts, and the vertical midface lift can be a great way to lift the soft tissue in the cheek back into the lower eyelid where it belongs.

Another option may be the arcus marginalis release, which is suitable for people who have too much lower eyelid fat while also experiencing an under eye deficiency that creates a hollow.  To address this, your surgeon may make a small incision behind the lower eyelid so that the scar is hidden, and then he or she surgically rotates the lower eyelid fat to place it over the orbital rim, filling the hollow naturally and relieving your eyelid of excess tissue.  This is a comfortable surgery that should usually be performed under local anesthesia, followed by ten to twelve days of recovery time.

Finding the Best Cosmetic Surgeon

Dr. Steinsapir has had multiple fellowship trainings in both cosmetic surgery and eyelid plastic surgery, making him especially knowledgeable about how general facial treatments interact with specialized eye area treatments.  As a specialized eyelid plastic surgeon, he is qualified to customize your treatment in this sensitive under eye area in ways that a generalist may not be able to.  Dr. Steinsapir is attuned to your need to carefully decide whether a surgery or a filler is better for you, and he can help you make an informed decision.  Contact us today to find out how a private consultation can help you plan a course of action that improves your physical appearance and meets your needs.

May 24, 2010

Skin needling – is it the answer?

Skin needling is often a do-it-yourself treatment wherein you use hundreds of tiny needles to puncture your skin, usually with a roller after a low-strength numbing cream is applied.  This is supposed to increase collagen production in your skin to remove wrinkles, erase scars, eliminate cellulite, and reverese hair loss.  Proponents say that this makes it easier for your skin to absorb lotions like face creams and stimulate healing, allowing your skin to repair itself.  This sounds like a revolutionary treatment, but unfortunately all of these claims are unproven.

Separating Fact from Fiction
Skin needling is marketed very persuasively, and we’re not going to dispute their claims.  There may be some benefits to this treatment, but the concern is that these claims are not supported by scientific data.  When this is the case, it can be very difficult to evaluate treatment claims without extensive training and experience in the practice of medicine.  One should be especially wary of products for sale that claim to cure a wide variety of unrelated conditions or offer results that seem miraculous.  Can skin needling really eliminate your winkles, remove your scars, and reverse your hair loss?  We can’t say no with certainty because there’s always the off-chance that someone somewhere might experience this, but we can confirm that there is no hard evidence to back this up.  A treatment advertised as a great deal isn’t ever a good use of your money if it can’t deliver the results you need.  That’s why it’s crucial to find a trusted cosmetic surgeon who can help you sort through all the smoke and mirrors.  For example, a trustworthy doctor will recognize camera tricks in before and after photos to evaluate the actual results.

Alternative, Proven Treatments

We do not mean to say that new treatments lack validity or promise; in fact, Dr. Steinsapir has been a leading cosmetic surgeon and researcher in finding new, better ways to treat people.  Technology is rapidly changing and improving, but that does not mean we have no good reason to value one new treatment over another; if a solution has a sound scientific foundation and subsequent studies to back it up, it may be considered an emerging field with strong credibility.  Dr. Steinsapir has seen fads come and go, and he has also seen new treatments being researched, developed, and then ultimately become a respected medical practice here to stay.  He has been on the forefront of developing and perfecting treatment methods like the midface lift, Restylane as a facial filler, and the chemical peel – all of which can be great facial cosmetic treatments depending on your needs.  And, as a peer reviewer of major cosmetic surgery and ophthalmology journals, he understands how to interpret raw data from a study in ways that media reporters cannot.

What you need will depend on your goals, your situation, and the severity of your concerns.  Cosmetic surgery and other cosmetic treatments for the face that are established as proven treatments are usually the best options to address problem areas in the face.  A trusted physician will be able to evaluate your condition and develop an individual treatment plan for you – because let’s face it, we all look different!

Choosing a Doctor Who Cares

If you are seeking the best facial plastic surgeon in Los Angeles, we invite you to consider how Dr. Steinsapir can address your needs.  He personally performs all treatments at his practice of cosmetic surgery in Beverly Hills rather than turning you over to an assistant, intern, or nurse, and he furthermore only relies on treatments with sound scientific basis and a proven treatment record – both in medical journals and reflected in the satisfaction of individuals he’s treated.  Call us today to schedule your no-risk consultation to find out how a proven treatment with a leading oculofacial plastic surgeon can save you from the stress and cost of failed fad procedures.  It will make all the difference in your treatment experience.

May 12, 2010

Should I Get a Midface Lift or Under Eye Filler?

If you are seeking to improve your facial appearance by restoring it to a natural, youthful, and alert look, do not overlook the important difference that midface improvement can make.  When the malar fat pad descends on our faces, it shows up in our midface – the triangular area on each side of the nose.  This can translate to a loss of volume, hollow eyes, and a tired, haggard look.  When there are multiple procedures that can address similar issues, it can be hard to know which one to choose.  These are the times when it is especially important to choose an experienced specialist to aid you in your treatment decisions.  A cosmetic surgeon who has extensive midface experience will be able to give you the best results regardless of what treatment method you go with, which is why it’s always much better to seek guidance from an expert rather than choose a procedure based on what you find online and then use a doctor whose specialty lies elsewhere.

Midface Lift Before and After Photo

Midface Lift Before and After Photo

Dr. Steinsapir almost always recommends choosing the least invasive option that addresses your needs, which of course is different for everyone.  Often patients seeking a midface lift consultation only need Deepfill Restylane treatment, which is a detailed precise technique that requires great skill yet is minimally invasive, offers little to no downtime, and provides great results in the under-eye and midface areas.  At other times when the loss of soft tissue or deficiency in bone projection is profound, Dr. Steinsapir recommends midface surgery, which creates dramatic and long-lasting results.

Benefits for Your Whole Face

Many people don’t realize the extent to which their drooping midface and loss of skin elasticity affects their eyes, which are the focal point of the face.   The midface descent and sagging skin detract from our eyes significantly, causing hollow undereyes and lower eyelid concerns.  Restylane can address the hollow undereyes, but in cases where midface descent is severe, a midface lift is indicated to restore balance.  You may be surprised by the facial improvement possible with a midface lift.

Midface Lift or Restylane?

If you and your doctor opt for Restylane filler treatments, you will need to go in for more treatment periodically, perhaps once a year.  This is a great solution for those who need treatment but do not have severe issues.  You may benefit from a midface lift down the line but only need Restylane right now.  This all depends on the individual.

The midface lift is useful for more dramatic concerns by successfully addressing the way the descent of the midface dynamically impacts the rest of the face.  A midface lift can correct deficiencies like the undereye hollow and even address wrinkles, taking years off your face and helping you to feel better.

Ultimately, you cannot determine your solution until you seek professional advice and receive an examination to determine your needs.

A Midface Lift Pioneer

Dr. Steinsapir is an expert in the midface lift in Los Angeles.  This procedure has been relatively new over the last twenty years, and Dr. Steinsapir has been at the forefront of its study, development, practice, and perfection.  There are a number of midface lift techniques including the arcus marginalis release, tailored lower eyelid surgery combined with reinforcement of the orbitomalar ligament, and the vertical midface lift.  Dr. Steinsapir’s approach is to tailor your treatment depending on your unique condition, facial anatomy, and goals.  He has innovated new approaches and is widely renowned for his reconstructive midface surgery to fix prior failed surgeries. His solutions include minimally invasive techniques, short midface lift recovery time, and his acclaimed approach of using hand-carved ePTFE orbital rim implants.

Dr. Steinsapir will personally perform all your treatment and never relies on assistants or technicians to perform your treatment.  He will work with you closely and keep communication open, so you will not run into any surprises.  At a personal consultation he can answer your questions and give you advice based on your individual circumstances.  Contact us today to find out how a midface lift or Restylane in Los Angeles can help you achieve the results you desire.

April 18, 2010

Are fillers good for acne scarring?

Acne scars and other depressed scars and deficiences can often greatly benefit from hyaluronic fillers like Restylane and Perlane.  Filling depressed scars is an effective treatment that is nonsurgical, minimally invasive, and gives benefits that can easily last six months to a year, and in some cases, longer.

filler for scar before and after photo

filler for scar before and after photo

How can fillers improve scars?

You may have an indentation from acne scars, a surgery, a cut from a sports injury, or for a number of other reasons.  This deficiency can stand out in your appearance and detract from your facial aesthetics.  For some, scars can even be painful reminders of past problems.  Fillers like Perlane and Restylane are often the best option for diminishing the visibility of scars on the face by eliminating skin irregularities and restoring the skin to its natural texture and shape.  By filling in the deficiencies that are responsible for these indented scars, you may find that your scars are no longer noticeable.  Facial fillers are safe and minimally invasive treatments that require little to no recovery time.  This, combined with their effectiveness, make them the leading choice for acne scar treatment without the prolonged recover associated with surgery.

Why are fillers better than laser resurfacing to treat scars?

Laser treatment at first seemed like a promising technology, but it has never reliably delivered great results, and it is associated with many complications, including permanent disfigurement.  Laser resurfacing for acne often yields no results, or – worse – it can make things worse.  An erbium laser generally provides only minimal improvement, while something like CO2 laser resurfacing is so aggressive that it can damage your natural pigmentation.  Fractional CO2 skin treatment are often big disappointment and very expensive.  It is almost always much safer and more effective to choose acne scar fillers than laser treatment.

How to Find a Facial Fillers Expert

Treating facial scars is both a medical procedure and an art that should be performed by a doctor who specializes in treatment with facial fillers.  Your doctor, whether a dermatologist or cosmetic surgeon, should also possess the great artistic skill needed to precisely place the filler for the best aesthetic results possible.

It can be tough to know where to begin when trying to assess your potential treatment provider’s ability, experience, expertise, artistic ability, specialization, and so on, but with some careful research you can find someone well-qualified to give you great results.  When seeking someone to help you remove acne scars, always find out whether the doctor will personally perform the procedure or instead use an assistant to administer your treatment.  Only choose a doctor who will personally treat you; after all, you don’t know anything about the assistant’s ability, and your results will be much better when the most qualified doctor performs them, rather than a non-physician in training.  An assistant may cost less, but your results will likely not be as good.

Carefully study your potential doctor’s scar removal before and after photos, noting any changes in camera angles or lighting conditions.  If you don’t like what you see in the example photos, you probably won’t like what you see in the mirror later either.

Make sure that your doctor has a lot of experience in filling scars on the face.  Choose a doctor who specializes in facial fillers.  Every doctor has special areas of talent and experience.  Just as you wouldn’t go to the same doctor for brain surgery and heart surgery, even if both are leading surgeons, you need to choose a doctor who makes fillers and facial cosmetic treatments a focus of their practice.

Finally, evaluate how well you get along with your potential doctor at your initial consultation.  You should feel comfortable around your doctor and confident in his or her ability to help you.  Sometimes for reasons beyond explanation a doctor and patient don’t “click” together, in which case it’s okay to move on.

Consult with an Expert in Facial Fillers

Kenneth D. Steinsapir, M.D.
provides treatment with facial fillers in Beverly Hills and Los Angeles as a major focus of his practice.  Medicis, Inc. – the distributer of leading fillers Restylane and Perlane – has recognized Dr. Steinsapir for his expertise in fillers.  Dr. Steinsapir understands how to correct the focal loss of fat often seen underneath acne scars and other types of scars because of his extensive education, fellowships, and practical treatment experience.  He will personally administer your treatment with the precise skill required to create natural results.  Please call us today for a filler consultation to find out how Dr. Steinsapir can give you immediate scar treatment results.

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