“When we look at someone, we look them in the eyes – and it’s in the eyes where we see the first sign of aging,” says Wayne P. Foster, MD,FACS, facial plastic surgeon in Toms River and Wall, NJ. Puffiness, bulging and drooping skin around the eyes can make the eyes look tired and hooded. Dr. Foster notes that genetics and factors such as sun exposure and cigarette smoking may all accelerate the aging process, so the eye aging process may start even younger than we think. “Most people can use a little help to improve their eyes in their 30s,”he says.
Thankfully, surgical and nonsurgical cosmetic improvement procedures for the eyes are readily available to provide a more youthful and pleasing appearance. The first step is to seek an evaluation from a qualified specialist who will offer the treatment options that are right for you.
“Treatment has evolved to include in office procedures that are more accessible and affordable, and easier to go through,” says Dr.Foster. “We use Botox to relax the lines of movement in crow’s feet, and fillers to fill in gaps and valleys in lower eyelids, including the tear trough that develops with age.” After the Botox procedure there is no downtime, he explains, and after a filler there may be puffiness for 2 or 3 days.
Eyelid surgery, or blepharoplasty, is indicated to correct excessive skin and fat pushing forward on the upper and lower eyelids.“Sometimes a laser can be used instead of surgery to tighten the skin without a surgical incision, or to minimize swelling and bruising,”Dr. Foster adds. “When surgery is necessary, it’s performed under a light twilight sedation in a private surgicenter setting.” After blepharoplasty, he says, patients can expect to be healed enough to use makeup within a week.
“There are several types of eyelid surgery used for functional and/or cosmetic reasons,”says Ronald W. Kristan, MD, FACS, an ophthalmic plastic surgeon at Atlantic Eye in Holmdel, Little Silver, Manasquan and Long Branch.“Blepharoplasty is the type of cosmetic surgery that excises excess eyelid skin,” he says,“to make the eyes appear more youthful and appealing.”
Ocular plastic surgery, Dr. Kristan explains,was first used in World War II to repair injuries to the orbital area, which is the tissue around the eye. Today, in addition to reconstructive and functional eye surgery done for medical reasons, many people are opting for cosmetic surgery to correct droopy or baggy eyelids and improve the overall look of the face.
In some cases, both functional and cosmetic concerns may be present. “You have to listen to what is bothering the patient,” Dr.Kristan notes. “Is their vision impacted by the excess eyelid skin, or is it more a matter of not liking the way their eyes make them look?” An eye evaluation will determine what procedure will benefit the individual patient’s needs.
Dr. Kristan explains that cosmetic fillers, and neuromodulators like Botox, are useful tools but they do not achieve the same results as blepharoplasty. “Fillers are very artistic,” he observes. “It’s like you’re sculpting.” Although fillers and neuromodulators are often used to refresh the eye area, they do not remove excess eyelid skin and are not intended to be a substitute for blepharoplasty when it is indicated. “Neuromodulators and fillers serve one purpose, and blepharoplasty serves another,”he says.
Dr. Kristan advises patients to consult an ophthalmologist for a complete eye exam before undergoing blepharoplasty. “Any eyelid surgery, whether cosmetic or functional, will change the dynamics of the blink,” he explains, and cautions that “conditions like dry eye, especially if it’s severe, can result in issues post-surgery.” It’s important, therefore, to have your eyes evaluated to rule out any underlying problems.
With today’s evolving aesthetic technologies, women and more men are turning increasingly to advanced, non-surgical procedures to achieve a younger-looking face and body.
“Everyone wants to restore their youthful look,” says Kelly Weber, RN,BSN, the aesthetic nurse injector at Fostermd, the Facial Plastic Surgery practice of Wayne Foster, MD, FACS. “Twenty years ago, surgery was the only way to lift the face and reliably tighten the neck,” says Weber. “Today, we’re fortunate to have numerous nonsurgical options to rejuvenate the face and neck, including the nonsurgical facelift.”
The facial plastic surgeon can now restore facial volume and youthful contours, thanks to expertly placed injectables such as Juvéderm®, Restylane®, VollureTM XC, and Voluma® XC, with very little downtime or discomfort. “Imagine achieving a total facial transformation right in the office without surgery” says Weber. “Results are natural looking and can last for years, and for the most part can be achieved in a single visit.”
Having a Facelift Without Surgery
Weber suggests that, when considering a facelift of any kind, the key is to pay attention to what has changed about your face over the years.
• Have you developed jowls?
• Are your cheeks falling and creating lines around your mouth?
• Is your skin blotchy and pigmented with age spots?
• Do you have deep frown lines or hollows under your eyes?
• Do you have deep grooves creating a frown around your mouth?
“Each of these changes can be treated with non-surgical techniques in the office, or surgical procedures in the operating room,” adds Dr. Foster. “Once you have determined your goals, have a discussion with a board-certified facial plastic surgeon to determine what works best for you.”
CoolSculpting® Your Way to A Smoother, Tighter Body
“Your fat cells hate the cold,” says board-certified plastic and reconstructive surgeon, Asaad H. Samra, MD, FACS. CoolSculpting® is the only FDA-cleared procedure to use controlled cooling to safely target and eliminate diet-and-exercise- resistant fat.
“CoolSculpting® uses a patented technology to freeze and eliminate unwanted fat cells, without surgery or downtime, providing up to a 25 percent permanent reduction in fat in the focused area of treatment,” says Dr. Samra.
“Sometimes, no matter how intense your workout or strict your diet, you can’t ditch stubborn fat, especially along the torso and sides of the body. CoolSculpting can be used on areas of the body from the chin to the ankles, the thighs and arms,” says Dr. Samra, “and provides excellent results, helping patients feel and look their best.”
CoolSculpting® technology uses a powered applicator to safely deliver precisely-controlled cooling to gently and effectively target the fat cells underneath the skin during a 45-minute cycle. The treated fat cells crystallize and the body naturally processes the fat and eliminates these dead cells, leaving a more sculpted you.
After just one session, the treated area will gradually appear smoother and more toned. Results improve in 4 to 6 weeks. Most patients plan for three months to see optimal improvement.
“CoolSculpting® is safe on your body,” says Dr. Samra, “but tough on fat.”