Blog Archives
Lower Eyelids Look “Sad” After Weight Loss
DeLa in aucune asks:
“Hello, sometimes when i have a bad period, i loss face’s weight, and I make my eyes more sad. My lower eyelids are more “falling”. When I will regain face’s fat it will return as before? I don’t have strong cheekbones, so it’s loss forever (I’m 19) i have to go to see a plastic surgeon for fat injection?”
Fillers for lower eyelids. At a young age of 19 the best long-term picture is to keep healthy and keep your weight at an optimum level. The face does of course change with weight gain and weight loss and this is even more true in our 40s and beyond. Nonetheless fillers are likely the best answer for the tired appearance and I would encourage just a small amount of injectable initially and increase as time goes on. Start off with Restylane or Juvéderm and see how this works for you over the subsequent six to nine months or even a year. Not always does filler provide the satisfaction that you are seeking and reasonable expectations are important and this can be discussed with your plastic surgeon. More permanent options in the future include fat injections if you are properly motivated and generally reasonably high success is achieved in expert hands. – David Santos MD, FACS
Would a Lower Lift Help with Sagging in the Marionette Area?
Marionette Area
Katt122 in Florida asks:
“Would a Lower Lift Help with Sagging in the Marionette Area? Due to 30lb weight loss I have sagging in the marionette line area. Its not too bad but it bothers me that I look sad. I talked to a plastic surgeon about a lower lift. He said this would also help my jaw line. What would this entail. Is the recuperation difficult. I am 48. Would juvederm help to hold off the surgery for awhile? Can it help the neck? I have already had my eyes done and rhinoplasty so surgery isn’t new to me.”
Combination treatment facelift plus filler is best answer for sagging marionette lines. The marionette area sometimes is reasonably simple to treat, but other times is more difficult. A simple answer is to utilize simple, safe and less expensive techniques such as Juvéderm or Restylane for the marionette line area. This can be a potential six to nine month or even one year successful therapy in many instances, but not all. More permanent answer entails Sculptra or lipo injection to the area that can additionally soften the marionette line. These answers are safe and less expensive. Nonetheless a facelift provides an excellent improvement in marionette lines in most instances, but there are some instances where supplemental injection is needed. So at 48 years of age I would suggest trying fillers first and if this doesn’t resolve things to your satisfaction then strongly consider a mini-lift or facelift by an expert surgeon in the area who has done a lot of facelift procedures. And again even then, consider subsequent injections if this is not satisfactory. – Dr. Santos MD, FACS
Treatment for Eye Hollowing After Restylane Injections
Unsuccess Beauty in Singapore asks:
“I had Restylane injections for my hollowing eyes 6 months ago. Since injection, my hollowing became deeper and till now it’s getting worse. What else can I do? I don’t dare to inject again. How can I make it back to my past look?”
Restylane before and after
Lower eyelid bagginess and lower eyelid hollowness are the hallmarks of aging eyes. Dermal fillers have been studied and utilized for treatment of the aging lower eyes. Restylane has probably been the most common injectable for this treatment. However, this is a challenging area to really affect an excellent result ultimately. The skin is thin in this area and there are also small blood vessels that are vulnerable to the injection and rendering a bruise in the area.
Nonetheless, Restylane has become an excellent treatment for the hollows underneath the eyes. I do think that one treatment is satisfactory, but not in all instances and further follow-up treatment within a week is a reasonable consideration. Standardly, I always recommend that patients come back a week later simply to assess for the overall benefit and to see if there is any touch-up that might be required. In the case of persistent hollow after Restylane injection, I simply would suggest a bit of further finesse with more Restylane. ” ~ David Santos, MD, FACS
