In this month's issue...
The Power of the Eyes
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Beware of "COVID Creases"
discover procedures addressing the aging beneath your mask
No other facial feature can misrepresent your “inner cheer” more than your eyes. The eyes can tell the story of a person without saying a word and can be one of the most attractive qualities about a person.
Unfortunately, sometimes the story being told by your eyes may not be true.
Have you ever been asked, “is something wrong,” or told you look “tired” when neither of those are true? This can be due to the changes that occur in the structure of the bone and tissue surrounding the eyes.
As we age, changes in bony structures and the fat beneath our skin result in several concerns, including:
- Tired Looking Eyes
- Eye Bags
- Dark Circles/Wrinkled, Crepey Under Eyes
Luckily there are procedures and treatments that address these concerns.
Tired Looking Eyes
Tired eyes stem from two elements: heavy brows and eyelids. Depending on the degree of improvement needed, surgical and non-surgical options may achieve a dramatic improvement.
Procedures to address these issues:
- Upper Blepharoplasty: Opens the eyes and reduces the heaviness of the lids by removing excess skin.
- Forehead Lift: Reduces brow heaviness by modifying the forehead position to elevate the brow.
A non-invasive, alternative method to surgery:
- Thermage Eyes: Thermage is a non-invasive skin tighteningtreatment that uses radio frequency energy to penetrate deep into the skin’s tissue, heat the treatment area and stimulate the formation of new collagen. A Thermage eyetreatment provides significant tightening and lifting of loose, wrinkled skin resulting in an awakened look. Immediate results
are seen after one treatment within 24-48 hours, but the treated area continues to tighten over 6 months.
Eye Bags
Eye bags are a common area of concern for many patients. As we age, we lose fat and bone density in our face. In return, fat changes position, muscles weaken, skin begins to sag and wrinkle and eye bags form.
The first step to address eye bags is determining what’s causing the bags: excess skin, fat pad herniation or loss of volume entirely. Fat pad herniation occurs when the bone of the lower portion of the orbital rim, the eye socket, loses volume, which can change the position of the fat pad beneath the eye. In some cases, the skin beneath the eye is the underlying cause of “bags” and wrinkles beneath the eye. Other times, the loss of fat and bone density cause volume loss, resulting in hollow under eyes or tear troughs.
Procedures to address these issues:
-
Lower Blepharoplasty: A lower bleph restores the contours of the undereye and correctsexcess puffiness caused by the herniated fat pad
by repositioning the fat to smooth out the lower lid. - Lower Lid Pinch: The lower lid pinch addresses the excess skin below the eye. It involves using a medication to free the skin from theunderlying fat and muscle, allowing us to “pinch” the skin that will be removed and remove a very small ellipse of skin, resulting in a smooth lower eyelid contour.
- Fat Transfer: Fat transfer involves taking fat cells from one area of your body (typically the thighs), preparing them so that they will continue to be viable after reinjection, and then placing the cells in an area of the face with depleted volume. Fat transfer to treat the tear troughs or hollow under eyes involves injecting right on the orbital bone to restore volume and smooth out the under eye.
A non-invasive, alternative method to surgery:
- Injectable Fillers: Similar to fat transfer, we inject tear trough filler on the bone to restore volume and replace the structural elements that were once there. It’s important to keep in mind that filler isn’t always the best option to get the results you’re seeking.
- Possible problems:
- Tyndall Effect: a grayish, blue sheen beneath the eye due to hyaluronic acid fillers being injected to close to the skin’s surface.
- Lumpiness: Because the skin beneath the eye is so thin, there’s more of a possibility that fillers can cause lumpiness and unevenness beneath the skin.
- Possible problems:
These problems don’t always occur, but that’s why consultations are always important to assess whether a patient is the right candidate for undereye filler.
Dark Circles/Crepiness
Dark circles may appear because you’re tired, but also appear with age. As we age, puffy lower lids and hollowed under eyes cast unsightly dark shadows and create crepiness.
Procedure to address these issues:
- Fat Transfer: As we mentioned before, this procedure involves injecting fat from another part of your body into the hollow areas under the eyes to restore the youthful contour and bring life back to the eyes.
A non-surgical, alternative method to surgery:
- PRF Injections: Platelet-rich fibrin (PRF) is completely natural, comes from a patient’s own blood and contains properties to encourage the body to naturally repair and rejuvenate itself. The platelets trigger cellular turnover, tissue regrowth and collagen and elastin production. The patient’s blood is drawn and spun at lower speeds, leaving some of the white blood cells and stem cells within the platelet layer. The serums are then drawn into syringes for use. The injection stimulates blood flow to the undereye area to resolve dark circles, improve the quality of the skin below the eyes and reduce crepiness.
To learn more of these and other techniques please visit our website or schedule a consultation with our Board Certified Surgeons or Nurses.
Can you believe we are approaching 2 years since the start of COVID? A lot has happened in that time that has resulted in changes to how we live and how we interact with others. Since being thrust into a lifestyle requiring masks much of the time, how we see ourselves, how we see each other, and how we communicate has changed dramatically. Our eyes have become the focal point for conveying expression.
Do you find yourself squinting to show someone that you are smiling? The overexpression of our feelings produces more lines and wrinkles on our face. As we continue to wear masks, we are seeing more patients affected by “COVID Creases.” As we express ourselves more emphatically to help others understand the emotions hidden beneath our masks, we develop lines not only around our eyes but also around our mouth and forehead.
More recently with masks less used in some areas of life, it can be surprising to see the lower face of our friends, family, and co-workers after 2 years of being behind a mask. Increasingly patients are more aware of the changes that have occurred in their lower face during the pandemic and are seeking procedures to come out of COVID looking younger than pre-pandemic days
In the last year, we have seen more patients seeking procedures and treatments to reverse the effect of "COVID Creases." The key interests are options to smooth lines and restore a pre-COVID appearance. We use a combination of lasers, energy-based devices, and fillers to achieve improvements in the skin and smooth areas of deeper lines and wrinkles.
Procedures Addressing COVID Creases:
- Fillers: Injecting filler to the lips, nasolabial folds, and even the jawline can add temporary rejuvenation to your lower face by smoothing out wrinkles, lifting drooping areas, and restoring a youthful appearance.
- Fat Transfer: Fat transfer is a minor procedure, which uses your own fat to replace lost facial volume, thereby restoring natural, youthful contours.
- Botox: Botox injections around the eyes and in the forehead softenthe wrinkles created with over expression.
- Microlift: With a mask covering your face for about two years, you may have missed all the changes to your lower- and mid-face. A microlift, or mini facelift, is a procedure that focuses on the lower region of the face, including the cheeks, chin, jawline and neck.
This procedure addresses:
- Sagging or loose skin
- Volume loss
- Jowls around the cheeks and jawline
- The appearance of the dreaded “turkey neck
- Necklift: The neck is an area that can all too easily show signs of aging. Whether from the natural aging process or from significant weight loss, loose and sagging skin can develop, creating the dreaded “turkey neck” look that we all hate to see in the mirror. This procedure is used to improve and correct aesthetic problems that occur in the skin and underlying tissue of the neck.
This procedure addresses:
- Sagging or relaxed skin that creates the appearance of jowls
- Excess fat beneath the chin
- Loose skin on the neck due to weight loss
- “Bands” on the neck that create displeasing contours
Are you ready for the mask mandate to be lifted? Book a consultation at Facial Aesthetic Concepts and address the concerns hiding beneath your mask.
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