Under Eye Restylane « Cosmetic, Facial & Eye Plastic Surgery Blog

July 7, 2011

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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June 23, 2011

I am having a complication from a Restylane treatment and my wedding is in six weeks. What should I do?

Filed under: Beverly Hills Restylane,hyaluronic acid fillers,Juvederm,Perlane,Restylane,restylane in los angeles,Restylane Injections,restylane los angeles — Tags: Perlane, Restylane, restylane in los angeles, restylane los angeles, Under Eye Restylane, under eye treatments — admin @ 7:42 am

Wanting to look your best for your wedding day is something everyone is entitled to. In the event that you experience unwanted effects from your Restylane® treatment, hyaluronidase makes it easy to adjust hyaluronic acid fillers like Restylane, Juvederm®, and Perlane®. In most cases its best to return to your original doctor who should be eager to make sure you are happy with your treatment and outcomes. However, there are circumstances where there is simply no substitute for seeing a leading expert to help you get the results you need.

Seeking a second opinion

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.

Correcting the problem

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 an 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.

Restylane has long-term benefits and it is also easily adjusted even long after a treatment. These characteristics are essential in the eyelid and surrounding areas. The skin here is very thin and the tissues are very sensitive, so even small issues show up. Don’t live with a treatment that isn’t everything you want it to be. See an experienced cosmetic surgeon who can help take a treatment from like to love.

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.

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June 11, 2011

Can Surgery Remove Persistent Dark Circles?

Filed under: hyaluronic acid fillers,Perlane,Restylane,restylane in los angeles,Restylane Injections,restylane los angeles,Under Eye Restylane — Tags: Perlane, Restylane, restylane in los angeles, Under Eye Restylane, under eye treatments — admin @ 8:11 pm

Dark circles under your eyes can make you look old and can even degrade your self-image. Diet, exercise, and plenty of rest are cited as solutions for dark circles. Skin creams and dark circle concealers can provide some help. Often people are under the mistaken impression that surgery will fix the dark circle. While there are a small percentage of individuals who will benefit from surgery for their particular type of dark circle, in the majority of cases surgery will be of little benefit and can make the situation worse.

Why don’t cosmetic creams and bleaches work?

Although creams and bleaches don’t work to brighten the area under your eye, a dark circle concealer may do the trick. Dark circle concealers work by mixing mineral particles in the cream. These minerals reflect the light to create the illusion that the area under your eye is fuller. Concealers are less expensive than under eye filler, but concealers stay on the skin just a few hours. In contrast, and under eye filler service can provide help for up to a year and in some case longer without the need to constantly apply makeup.

The darkness of under eye circles is optical. The skin is dark because there is no fat between the thin lower eyelid skin and the darkly colored muscle just under the skin. Filling the hollow with hyaluronic acid fillers reduces the area in the lower eyelid that can shadow, improving the dark circle. Under eye filing with Restylane using the Deepfill^TM method developed by Dr. Steinsapir directly helps the hollowness in the lower eyelid, a major factor contributing to the dark circle.

Restylane can help

Dr. Steinsapir finds that under eye Restylane® is the best option for dark eye circles. Restylane® is a hylauronic acid filler made of up cross-linked sugar gel used to fill wrinkles and provide volume in the face. “Unfortunately, that lower eyelid circle develops early on the face,” notes Dr. Steinsapir who commonly treats young entertainers who needs to maintain their youthful edge in Hollywood. The treatment requires a skillful hand but once placed and adjusted, the treatment is completely natural and can’t be detected by others. No wonder this has become the most popular eye dark circles treatment.

When you do decide to have under eye filler, take time to look for a doctor who knows what they are doing. Dr. Steinsapir reports that when he teaches other doctors to perform the method, he often finds that they lack the detailed anatomic knowledge needed to successfully perform the treatment. It is also critical that the injecting physician assess how you do after the treatment because a certain percentage of treatments require an adjustment. Dr. Steinsapir explains that everyone holds a slightly different amount of water in the tissues and small areas of fullness can spoil an otherwise great result. For this reason, he encourages his patients to follow up about a week after treatment to assess how the service has settled. “Adjustments can easily be made with the Restylane® treatment at any time after the service, which is why the treatment is so powerful,” he notes. He advises avoiding medicines and herbal products that can thin the blood for about a week before treatment. If you are taking something prescribed by a doctor, check with your doctor first before stopping a medication. Also it is advisable not to work-out until 24 hours after a treatment. These precautions minimize the risk of bruising.

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 Beverly 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 specialization in Restylane treatments, please contact us today.

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March 28, 2011

I had Restylane service 6 months ago and still have lumps. Can anything be done about this?

Filed under: Beverly Hills Restylane,facial fillers,hyaluronic acid fillers,oculoplastic surgery,Perlane,Restylane,restylane in los angeles,Restylane Injections,restylane los angeles — Tags: facial fillers, hyaluronic, hyaluronic acid fillers, hyaluronidase, Restylane, restylane beverly hills, restylane in los angeles, Under Eye Restylane, under eye treatments — admin @ 12:13 pm

Restylane is a long-lasting but not permanent facial filler that is especially suitable for improving facial contours due to its natural-looking results, even in sensitive areas like dark circles under the eyes, and offers the ability to modify your results in the few cases when treatment isn’t completely satisfactory. 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.

When we hear from individuals who had dissatisfactory Restylane service long in the past, what is most disconcerting is that the individual was not aware that they could seek a simple adjustment from the start, or that they were not comfortable returning to their original cosmetic surgeon for this procedure. This may indicate a problem in communication between the provider and the individual receiving services—and while this could simply be a lack of personality compatibility, it’s crucial that you are comfortable openly talking with your doctor about your treatment and any concerns that may arise.

Seeking the Best Restylane Services

While Restylane is considered a safe and routine procedure enjoyed by many who experience its benefits, this does not at all indicate that providing Restylane is an unskilled task. You should always seek treatment from a leading and qualified provider such as Dr. Steinsapir, who is a cosmetic surgeon and oculoplastic surgeon with a major specialization of his practice being Restylane, including under-eye Restylane. Your doctor must understand the subtleties of safely placing Restylane for natural results as well as how to adjust it should you have the need, and he or she must understand how Restylane and your facial anatomy interact to a level that could be called an art form. Your doctor must also understand how to seamlessly adjust your Restylane treatment through comfortable hyaluronidase treatment.

Modifying Your Restylane Results

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. In most cases its best to return to your original doctor who should be eager to make sure you are happy with your treatment and outcomes. However, if you are concerned about the skill level of your original provider who may not have specialized in facial fillers, or if you are experiencing a breakdown in communication and lack confidence seeking further direction and treatment from this individual, then you may wish to consider seeking a second opinion.

Dr. Steinsapir often sees individuals dissatisfied with treatment received elsewhere, and in many cases he can help you to restore the relationship with your original doctor. If this is not possible, then you can seek adjustment and further treatments from someone else like Dr. Steinsapir. It’s very important that you are comfortable with these decisions and are empowered with knowledge and a good communication rapport with your doctor to ensure best results. If you have been waiting as long as six months to find out if your experience with Restylane is normal and if you can have your results adjusted, we are sorry to hear that you have been needlessly stressed. Fortunately, Restylane can be adjusted and you may learn that when your treatment is customized and delivered with great skill and precision, impressive results are possible.

About Dr. Steinsapir

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

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March 4, 2011

Micro Needling and the Need for Science-Based Treatments

Filed under: Beverly Hills BOTOX,Beverly Hills Restylane,Botox,Botox Los Angeles,Cosmetic Facial Fillers,Cosmetic Surgery,facial cosmetic surgery,facial fillers,Restylane,restylane in los angeles,Under Eye Restylane — Tags: Botox, Cosmetic Surgery, facelift, facial fillers, Restylane, Under Eye Restylane — admin @ 4:53 pm

Micro needling, also called skin needling, is a recent trend in cosmetic treatment marketing that sounds miraculous in promotional media but unfortunately is not backed by science or medicine. Does it work? We can’t say for sure without extensive research on micro needling, and it’s important to understand that not everybody responds to a treatment in the same way. But we can say from simple human experience that most products that sound too good to be true often are, especially when they aren’t supported by science, research findings, or promising new approaches that are grounded in established knowledge.

So what is micro needling? In this treatment you use numbing cream and a roller to puncture hundreds of tiny holes in your skin. Some claim that this can cure everything from wrinkles to scars to hair loss to unwanted fat. These claims remain unproven. Given the different causes of problems as diverse as too much cellulite and too little hair, it seems strange that one procedure says it can address all this and more. With medicine doctors typically approach the cause of a problem to effectively address it, which is why Dr. Steinsapir only provides evidence-based treatments. “Cure-alls” may be cleverly marketed, but most often we find that they don’t make sense, aren’t supported by evidence, may rely on dishonest marketing techniques like camera tricks, and are often expensive without delivering on their promises.

Seeking Proven Treatments for Reliable Results

For reliable results and the most return on your financial and emotional investment, we advise you to find an experienced cosmetic surgeon who can help educate you on scientifically grounded treatment options and customize the best individual treatment plan for your unique situation. Dr. Steinsapir is highly experienced in providing and perfecting established cosmetic treatments like BOTOX and surgeries like the facelift, while also taking leadership in improving cosmetic treatment options, as demonstrated by his work with carved ePTFE orbital rim implants in the midface lift, chemical peel advances, Restylane for dark circles, and Microdroplet BOTOX. You cannot know which treatment option is best for you until you consult with a doctor specializing in facial cosmetic procedures. Whichever treatment route you and your cosmetic surgeon ultimately feel is best for you, it should be custom-designed and based on evidence backed by research.

About Dr. Steinsapir

Dr. Steinsapir is board certified in Ophthalmology and has completed numerous fellowships, including three years of Orbit and Eyelid fellowships at the prestigious Jules Stein Eye Institute at the David Geffen School of Medicine at UCLA and a separate two year cosmetic surgery fellowship under the auspices of the American Board of Cosmetic Surgery. He is widely respected for his work and has published over thirty scientific papers and eight book chapters. He is a true innovator, having developed Microdroplet™ BOTOX®, a unique patented method for injecting BOTOX®, Deepfill™ under-eye Restylane® treatment to address the dark circle and under-eye hollow for up to a year without the need for retreatment. Dr. Steinsapir is one of the foremost eyelid surgeons in the world. He is on staff at the UCLA Hospital and Medical Center where he is an Associate Clinical Professor of Ophthalmology at the Jules Stein Eye Institute. He is also on staff at Harbor/UCLA Medical Center where he serves as an attending surgeon. He is in practice in West Los Angeles and is in high demand by discerning individuals from Los Angeles, Beverly Hills, and Southern California. Many of his patients also come to see him from around the country and the world. Very few doctors offer the level of skill and expertise he brings to cosmetic surgery and aesthetic restorative surgery to address prior unsatisfactory eyelid surgery. Please contact us today to learn more about evidence-based treatment options with Dr. Steinsapir for proven results.

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February 27, 2011

Can I exercise my facial muscle for an improved tone?

Exercise and diet are essential for a healthy lifestyle, but it’s important to recognize their limitations. Not every condition can be cured by exercise, vitamin supplements or fad diets, especially when the problem is not a result of poor nutrition or inactivity. We absolutely encourage you to exercise moderately and eat well, but we admit to being skeptical of the arising claim that exercising facial muscles can restore youth and beauty to one’s face. This is an unproven method, and when one considers that they are likely still using their facial muscles just as much as they were ten years ago, it becomes apparent that their aging looks are unlikely due to facial inactivity.

It’s appealing to believe that we can resolve all of our concerns through exercise, and while research shows that exercise does benefit our health in many ways, it also shows that further medical treatment is required for many conditions. Just as someone with presbyopia cannot exercise to regain the ability to focus for reading vision, it’s not likely that you’ll be able to reverse the effects of age, time, gravity, and stress by wiggling your face or by having electrical currents stimulate your facial muscle to contract.

There are many types of facial cosmetic surgery and other treatment that can help you obtain the result you need if your doctor determines that you are a suitable candidate. These range from minimally invasive treatments with little-to-no downtime like BOTOX and undereye Restylane to surgeries like the facelift and plastic eyelid surgery including eyelid reconstruction, which give dramatic yet natural results to individuals with far-reaching concerns. While it is impossible to know which treatment, if any, is most suitable for you before a private consultation with the best facial cosmetic surgeon for you, you can be confident that there are a wide range of treatments that an expert can custom-tailor to meet your needs.

As a specialist in facial cosmetic treatments, Dr. Steinsapir has treated many individuals who first explored a variety of “natural solutions” for their aesthetic facial concerns. Frustrated when they saw no results, they eventually consulted with Dr. Steinsapir and opted for proven treatment methods that provide dramatic yet natural results. This human tendency to pursue unproven treatments is not a fault; it is normal to want to independently resolve a problem using the least invasive and most economical method possible.

Dr. Steinsapir is focused on your personal goals and comfort level. Dr. Steinsapir always asks you questions about your specific goals, individual situation, and preferences so that he can plan a solution that is aligned what you want, so you can feel comfortable knowing that you are ultimately in control of your treatment plan. Dr. Steinsapir very much believes in using the least invasive method for accomplishing a particular goal; for example, he does not recommend a forehead lift when a BOTOX treatment for wrinkles will will meet your goals – and he is a leader in his field of minimally invasive solutions.

If you are seeking a proven treatment with an experienced facial plastic surgeon with extensive training in oculofacial plastic surgery, we invite you to a personal consultation with Dr. Steinsapir today. Dr. Steinsapir is honest, friendly, and can talk to you about customized treatments that give you the results you seek by addressing your specific needs and unique facial features. Please call us today to schedule a time when you can speak with Dr. Steinsapir.

About Dr. Steinsapir

Dr. Steinsapir is a board certified cosmetic surgeon and oculoplastic surgeon 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 patients at UCLA, where he is an assistant
clinical professor. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert provider of facial cosmetic surgery and eyelid reconstruction, which can be a vital part of your evidence-based treatment plan.

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November 19, 2010

What happens to my facial fat grafts when I gain weight?

Filed under: best cosmetic surgeons,beverly hills facelift,Beverly Hills Restylane,facial fillers,fat grafting,Juvederm,Restylane,restylane in los angeles,Uncategorized — Tags: facial fillers, los angeles cosmetic surgeon, restylane beverly hills, restylane in los angeles, safe facial fillers, Under Eye Restylane, under eye treatments — admin @ 2:21 pm

Overview

Facial filler treatments and fat grafting can be excellent ways to soften the facial features by correcting imbalances and deficiencies in facial fat distribution. Your decision to pursue fat grafting treatment is one you should carefully consider with your doctor, as there are multiple options for achieving your desired look, and the solution that’s best for you will depend on variables like your medical history, present condition, and treatment goals. Like other treatment options available today, fat grafting is particularly suited for some individual’s needs, while for others there may be other more suitable options.

Fat Grafts and Changes in Weight

If your weight changes just a little, you probably won’t notice much difference in your treatment results. If you have significant changes in weight, though, you could see some differences in the form of increased facial volume. This is important to consider before opting for fat grafts. While you probably aren’t planning on gaining weight, you and your doctor should take into account the likelihood of weight fluctuations given your medical history and current lifestyle.

So what can you expect with changes in weight? This depends on the individual, but with small changes in weight there is generally little change in the fat graft volume. However, with an increased weight and body fat, the grafts also increase in volume like the fat compartment from which they were removed. For example, when the body fat increases 10% or more, the grafted fat also significantly increases in volume.

While the effects of most facial cosmetic surgery eventually diminish over time, it’s important to recognize that fat grafting does yield long-term results. This is a great benefit for those who seek long-term change, but there are also times when the nature of this treatment can result in an unsatisfactory result even years after the original fat grafting procedure.

Achieving the Best Long-Term Results

In an ideal world we will all of course adopt a healthy, active lifestyle that includes good nutrition and keeps your weight at a stable place where your body works best. But the reality is that most Americans gain about one pound of weight per year. While most qualified cosmetic surgeons can comfortably adjust and even reverse treatments with Restylane and other hyaluronic acid fillers, correcting the facial contour after fat grafting is not so simple or straightforward.

These tendencies lead many cosmetic surgeons to favor the new facial fillers—like undereye Restylane, Perlane, and Juvederm—for most patients. These fillers do not last as long as fat grafts, but they are very popular and effective because they are safe, provide benefit without the necessity of surgery, can be adjusted with the enzyme hyaluronidase, and have science-based, proven results.

Does this mean that fat grafting is wrong for you? Not necessarily—fat grafting is an excellent option for certain situations on a person-to-person basis, just as facial fillers and other procedures like the facelift work well for many individuals. You will need to consult with an experienced cosmetic surgeon before making a final decision that is right for you.

Experience Counts; Consult with the Best

Dr. Steinsapir is a leader in cosmetic facial fillers and other cosmetic facial treatments and surgeries. In fact, he has served as a physician consultant to Medicis, Inc. (Perlane’s and Restylane’s distributor). He has developed Deepfill Restylane, the world-renowned method of treating dark circles under the eyes. His practice emphasizes minimally invasive treatment methods that are customized for the individual’s unique situational needs, with the aim of fast healing time and natural results. For more information on how Dr. Steinsapir can help you determine your best treatment options, contact us today.

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September 8, 2010

How do fillers improve my dark circles?

Filed under: Beverly Hills Restylane,eyelid filler,Restylane,restylane in los angeles,Under Eye Restylane — Tags: Restylane, restylane beverly hills, restylane in los angeles, restylane los angeles, Under Eye Restylane, under eye treatments — admin @ 12:46 am

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

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.

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August 12, 2010

Will BOTOX help my dark circles?

Filed under: best cosmetic surgeons,Beverly Hills BOTOX,Beverly Hills Restylane,Botox Los Angeles,facial fillers,Restylane,Under Eye Restylane — Tags: Botox Los Angeles, facial fillers, Restylane, restylane in los angeles, restylane los angeles, Under Eye Restylane, under eye treatments — admin @ 10:53 am

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

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.

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August 2, 2010

What are the best lasers to improve my dark circles?

Filed under: eyelid filler,facelift alternative,facial fillers,midface lift,Restylane,restylane in los angeles,restylane los angeles,Under Eye Restylane — Tags: los angeles cosmetic surgeon, Restylane, restylane beverly hills, restylane in los angeles, restylane los angeles, Under Eye Restylane, under eye treatments — admin @ 8:12 pm

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

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.

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