Thermage for Eyelid Tightening and eye fillers nyc new york ny

Thermage for Eyelid Tightening

Eyelid skin can become loose and textured like crepe paper as you age. Tightening the skin tissues on the lid and around the eye can effect a subtle eyelift and give you a younger, more rested appearance.

Thermage for Eyes is an FDA approved procedure for tightening skin around the eye and the only FDA approved procedure to do so.

Placement with pain-free microcannula eye fillers nyc new york ny

Now we use a soft gel filler and no surgery. Restylane has proven to be an extremely successful option to eliminate or improve undereye hollowing. Dr. Pilest uses a flexible smooth tipped microcannula to place the filler.

Although one would assume the procedure is painful, it’s not. A small entry point is made with a needle and then the microcannula is introduced through that entry point. Because the tip of the cannula is round and smooth, there are no nicks to nerves or veins – a huge help in avoiding bruising.

Treatment for Under Eye Hollows NYC New York NY

Treatment for Under Eye Hollows

An instant long term solution for under eye hollows

Volume loss under the eye casts shadows that make you look older and tired. Replacing that lost volume used to be only an option through surgery.

How long does Restylane last? It depends largely on the skill of your injector NYC New York NY

There is no set timeline on how long a filler lasts. It all depends on how much is injected and the areas that are injected. If you put a very small (or too small) amount in, you won't get a good result and it will last a very short time.

What I see in most of these cases where people say it 'didn't last' is that they only had a small budget for fillers and wanted too many areas injected at the same time. If I have a patient with unrealistic expectations, I tell them to either do one area alone or, if necessary, save up to do more of a filler in the future so that the area is done in the right way.

Lastly, the skill of the injector is very important here. There are many new injectors who simply don't know what they are doing and how to do it. This means that they are injecting fillers in the wrong place and that can often result in very short length of activity.

It is so very important to go to a dermatologist or plastic surgeon who actually does their own injections. While they may have 'staff' who do injections reasonably well, the only way they are going to get skills that translate to good injections is to do it themselves and not pawn it off to someone

Best Treatment for Deep Wrinkles NYC New York NY

, there are nonsurgical treatments for deep wrinkles. One can do fillers and botulinum toxins, but in general the optimal permanent treatment options are “Filling, Lifting, and Resurfacing” in that order especially in the areas around the perioral area.

Best Treatment for Wrinkles Around the Eyes NYC New York NY

Fillers are not the best choice for eye wrinkles. Those periocular lines are treated easily with Botox, which relaxes the muscles around the eyes. After Botox injections, my patients usually see diminished dynamic wrinkles (created by smiling). For the lines under the eyes that still persist after Botox injections, I recommend using Erbium Laser Skin Resurfacing - this helps to remove the remaining wrinkles and gives a youthful glow. I hope you find this helpful.

Best Treatment for Wrinkles Around the Eyes NYC New York NY

Fillers are not the best choice for eye wrinkles. Those periocular lines are treated easily with Botox, which relaxes the muscles around the eyes. After Botox injections, my patients usually see diminished dynamic wrinkles (created by smiling). For the lines under the eyes that still persist after Botox injections, I recommend using Erbium Laser Skin Resurfacing - this helps to remove the remaining wrinkles and gives a youthful glow. I hope you find this helpful

Botox for eye wrinkles, Redensity II for under eye filler nyc new york ny

Botox for eye wrinkles, Redensity II for under eye Botox is the best treatment on the market today to target the crow's feet wrinkles that appear at the corners of the ears. Botox is not a dermal filler, but rather a neuromodulator that relaxes the muscles that cause the fine lines and wrinkles.

In terms of treating hollows under the eyes, Redensity II is my top brand of choice for under eye filler. This specialty dermal filler was created in Europe and has since won many awards and much accolades for it's excellent formulation that specifically targets correction of the delicate areas around the eyes.

Juvederm , Elevess and Cosmoderm are all very good for superficial or medium creases nyc new york ny

If you have superficial or medium depth creases then Juvederm, Elevess or Cosmoderm are good choices. If the lines are dynamic creases which means that they show up mainly only when you smile then Botox is a good choice. There are no allergies to any of these materials and can be injected at your initial consultation very easily. Juvederm and Elevess are similar to Restylane but last alittle longer. (approx 6-9 months) Cosmoderm lasts approx 3-4 months which lasts about the same as Botox. Bruising and alittle swelling or redness is normal and goes away in a day or two. Some patients need both a filler and botox together which can be done on the same day.

Restylane for injecting tear troughs and cheeks nyc new york ny

Restylane is a great filler for the areas in the mid face and under the eyes.  The fact that it looks great means that you were not over injected. That is the good news.  The bad news is that you are correct and Restylane will last from six to nine months deepening on the amount injected and the location.  However, a permanent or thicker filler would look badly placed and you would be unhappy with the results.  In order to have a natural looking result you may need to have the results repeated in six months.  For the best natural looking results please consult a board certified dermatologist with experience with cosmetic facial injections.

Best cosmetic dermal filler for tear troughs NYC New York NY

As most of the panel members agreed, Restylane is the product of choice in our practice for the tear trough area. We like the fact that it does not migrate as easily as Juvederm, that it may be resolved with hyaluronidase if needed, comes in 1/2 syringe for those that require less product in this area (which is not uncommon), and is much, much safer than a semi-permanenent or permanent filler.

We recommend that you don't trade safety for longevity as the tear trough area is very unforgiving and requires meticulous technique and the correct dermal filler.

Which filler is best for under eye trough? nyc new york ny

In 2014 we have different fillers which are used in this area. The skill of the injector is the most important thing for you to choose. Restylane works well and is probably the most popular filler used in the tear troughs followed by Juvederm and Belotero. All work well in the right hands.

Restylane for injecting tear troughs and cheeks nyc new york ny

Restylane is a great filler for the areas in the mid face and under the eyes.  The fact that it looks great means that you were not over injected. That is the good news.  The bad news is that you are correct and Restylane will last from six to nine months deepening on the amount injected and the location.  However, a permanent or thicker filler would look badly placed and you would be unhappy with the results.  In order to have a natural looking result you may need to have the results repeated in six months.  For the best natural looking results please consult a board certified dermatologist with experience with cosmetic facial injections.

Laser Surgery dark circles under the eyes new york ny

You are correct that there is a depression beneath your lower eyelid-I call this the arcus deformity.

While IPL treatments can lighten the skin color of the lower eyelid, they will not help the depression and shadow beneath your lower eyelid.

I do not inject fillers beneath the lower eyelid-they are dangerous and can injure the eye, and many patients who have had filler injections beneath the eyes have had nasty complications.

The definitive operation to remove deep dark circles under the eyes is the transconjunctival laser blepharoplasty with arcus release and fat grafting. (See photo)

I use a laser to make a tiny incision on the inside of your lower eyelid, release the arcus which is causing the depression and take a tiny piece of fat from around your belly button and place it into the hollow area under your eye.

This is very different from external fat grafting by needle injection-I do not use the needle technique because the results are often inaccurate, the fat can be lumpy, and the injection technique can injure the eye.

Restylane fillers for the circles is your best option nyc new york ny

The under eye fillers will by far make the biggest difference for you.  A chemical peel might also help but a personal assessment is needed to answer this.  IPL would be helpful for the spider veins.  Certain medical conditions can be associated with spider veins and an assessment by a dermatologist is reasonable.

Blindness from Restylane is highly unlikely nyc new york ny

Restylane injections are very safe when performed by someone who has alot of experience working around the eyes, such as an oculoplastic surgeon. It's true that if the material is injected into a blood vessel, this can cause retinal artery occlusion and blindness. I have seen one case described in the medical literature. I always withdraw the needle as I'm injecting so as not to push filler into a vessel. Again, make sure you go to someone experience with injections of Restylane around the eyes and you'll be just fine.

Restylane under the eyes must be done carefully nyc new york ny

You asked if there was a risk of damage to your vision. I must say yes, there are more risks associated with under eye filler injection than with the more straightforward nasolabial (melolabial) fold injections. 100% for sure only a board certified dermatologist or plastic surgeon experienced in surgical procedures around the eye should be performing this procedure. Many think they can do it, but many run into trouble, ranging from visible filler lumps that never go away, to occlusion of a blood vessel in the area. Be very cautious when selecting your physician

Restylane lasts approximately six months but depends on facial placement nyc new york ny

A frequent question is "how long will it last?"  There is no set answer.  In areas such as under the eyes where there is not alot of mobility it can last up to a year.  In areas around the lips and mouth or nasolabial area it may last six months or more.  It also depends on someone's metabolism and genetics.  It is really impossible to give a definite, rather a range of time.

I would recommend only non permanent fillers nyc new york ny

 would recommend only non permanent fillers. i only use juvederm in this area.
the skin is paper thin and you will likely bruise.

try icing 5 minutes before injection to shrink the blood vessels. some physicians will inject an anesthetic with epinephrine before injecting this area.

these injections are the trickiest injections on the face. make sure you feel confident with your injector for this area in particular. it is a very unforgiving area

Sunken appearing lids nyc new york ny

In general, fullness around the eyelids is youthful. Two minimally invasive ways to improve fullness around the eyes are fillers or fat injections. Fillers (non-permanent types) can be a safe way to "test the waters", so to speak, to see if the results are appropriate and appealing. If so, you can then consider having fat injected (which is more permanent). If you do not like the effect of the fillers, then with time they will resorb and you are not stuck with a less than desireable result.

In general, fillers have more reliability and precision compared to fat but not the longevity. Also, not all fillers behave the same around the eyelids so it important to ask your physician about an appropriate filler for this area.

One other comment on the photo is that the upper eyelid is a bit droopy relative to the pupil. If you are considering peri-orbital rejuvenation with a board certified plastic surgeon, you may ask that he or she look at the position of your eyelid as well. I hope that helps