Why Surgery for Under Eye Wrinkles is Generally Not Advised, and Safer Treatment Options
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- Опубликовано: 13 окт 2024
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New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. details the different types of procedures to address wrinkles under and around the eyes, as well as the reasons why surgery is generally not advised for under eye wrinkles:
0:17 - Introduction to surgery for under eye wrinkles
1:00 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience in cosmetic eyelid surgery
1:33 - Samples of lower eyelid complications
2:06 - Lower eyelid wrinkles are most commonly caused by decreased skin quality, rather than an increase in skin quantity
2:20 - Why eyelid skin has limited tolerance for overly aggressive treatments
2:35 - What lateral canthal tendon laxity is, and its effects on the lower eyelid
3:03 - The effectiveness of fractional laser treatment as a procedure to achieve smoother skin
3:36 - Samples of treatments using erbium laser and fractional CO2 laser
3:56 - The number of sessions required for long pulse erbium laser, and why it has little to no downtime
4:20 - Dr. Prasad details how he examines the person’s skin quality before recommending a procedure
4:30 - Why skin rehabilitation is needed before correcting damage from prior procedures
4:53 - Before and after photos of treated crow’s feet lines using Botox®
5:20 - What herniated fat or eye bags is, and how to address it
5:44 - Dr. Prasad details the process of transcutaneous blepharoplasty procedure
6:10 - The possible effects of the transcutaneous blepharoplasty procedure, including skin shortage
6:58 - Some effects of skin shortage after skin removal are lower eyelid rounding, retraction, and ectropion
7:11 - Dr. Prasad’s specialized procedures for reconstructive lower eyelid restoration
7:23 - Transconjunctival blepharoplasty as a recommended procedure for under eye bags
7:50 - How lower eyelid transconjunctival blepharoplasty with fractional CO2 laser can be effective as a treatment for under eye bags and wrinkles, without any skin removal
8:12 - How restoration of volume in the cheek can improve cheek projection and help with under eye appearance
8:45 - Before and after photos of Structural Volumizing
8:54 - The benefits of using local anesthesia with LITE IV sedation as opposed to general anesthesia
9:25 - Focus on treating skin quality rather than skin quantity when improving the appearance of wrinkles
9:35 - The importance of recognizing the delicate structure of the eyelid skin when performing lower eyelid procedures
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Great doctor! As Derm working at the Plastic Surgery office, I love his input and expertise!
Thank you for your appreciation, Nadina Fiveland! And thanks for watching!
What an extremely informative and clear presentation, doctor. Thank you so much!
You're welcome, Grateful Princess of God! Thanks for watching even more videos!
@@AmiyaPrasadMD They teach me so much. Thank you. :)
I'm happy you find them helpful and informative!
I'm learning a lot from your very informative videos, Dr Prasad. Thank you so much.
Thank you for watching, Bev McMullan-Kungl! Glad you found the videos helpful!
This brought a lot of insight, thank you for explaining. Also thank you for including options for darker skin people; a lot of doctors leave that part out. I've been researching for so long and you're the first I've run across that mentions darker skin in the initial video. Props to you!
You're welcome, Brianna Hall! I do mention darker skin in my videos as it's more prone to hyperpigmentation with thermal treatments, and also more prone to keloid scarring in surgical procedures. It does take experience with ethnic skin to treat a diverse range of patients, and I have darker skin, too!
Thank you so much for these informative videos. You explain so many options based on the individual’s skin type and needs. I feel so much more comfortable now to proceed with much safer options.
You're welcome, Darron Padilla! I'm glad the videos helped you! I make these videos so people make better decisions about cosmetic procedures.
Wow, great video! As always, very informative and thorough. Thanks, doctor! 👌😊
You're welcome, Eva Angel! Glad you found it informative! Thanks for watching!
Very informative! You explain everything so thoroughly it makes sense. Thank you
Thank you for watching, Babs X! I'm happy you found the video helpful and thorough :)
As usual, a brilliant video. You are so knowledgeable. I suffer from Dry eyes and would love to have an upper eye bleph. I wish you were in the UK, ever thought of moving???
Thank you for kind words, arym hansie! Not planning on moving, but we are one plane ride away! These videos about eyelid surgery for people with dry eyes may help you with your research:
ruclips.net/video/Vi6rOTw1CBo/видео.html
ruclips.net/video/g0z5DmORXo4/видео.html
Doctor you are so talented i wish i was close to NY
Thank you for your kind words, maria mahr!
Another great video that you explain with passion! Thanks Dr.
You're welcome, Mariana Tirante! And thanks for your kind words, and for watching!
another wonderful information video for wrinkle under the eyes....focus on the quality of the skin right?
Hi silky,
Yes, you are correct in focusing on skin quality when it comes to wrinkles. When skin quantity is the focus in wrinkles around the eyes, complications happen due skin shortages, and compromised support anatomy of the eyes.
I trust this guy. Great presentation. You should teach other people how to use "layman's terms".
Glad you found the video helpful and easy to follow, Mike Albanese!
It was very informative. Thank you doctor
You're welcome, Haneef Haneef! I'm glad the video helped you!
*THANK YOU*
You're welcome, spottydog4477! Glad you found the video informative!
I inquired with a surgeon about bilateral lower lid blepharoplasty. She told me does not make the incision below the eye, she cuts a lateral incision on the outer corner of the eye. Have you heard of this approach?
Hi @LenGreenblat,
There are variations of blepharoplasty to enhance the appearance of the eyes, but it isn't clear what exactly you are looking to treat. Accessing the fat pockets below the eyes that causes eye bags would be limited with an incision at the outer corners alone. I hope this clarifies things for you.
I am from india and was actually thinking of skin removal. Thank you doctor for this so informative vedio
You're welcome, Haneef Haneef! I'm glad you caught the video in time before you had any bad complications!
I just rewatched this and am so grateful for the information. Dr Prasad, do you have any video(s) on treating crow’s feet and eye hollowing? Thank you.
Hi,
Yes, I do have videos about treating both issues:
ruclips.net/video/Q0QiNH7LUVI/видео.html
ruclips.net/video/VzzsbNDlaHQ/видео.html
ruclips.net/video/C1pxoU7e1SE/видео.html
ruclips.net/video/PXMhY90TReM/видео.html
Hi Dr. Prasad,
Thank you for your excellent videos. I am 57, regularly use Retin A and other actives, but still losing the battle of under eye wrinkles. I use Botox for crows, but have very deep wrinkles that are starting to extend down my cheeks when I smile. When I'm not smiling, I have fine lines criss crossing the area. These become pronounced if I wear makeup. I do not have under eye bags or dark circles, and just barely volume loss in tear trough. I'm considering Fractional laser but very scared of fat loss. I would come to see you but I am in California. What do you think of a deep or very deep chemical peel to treat under eye wrinkles? Later followed by PRF in the area? The rest of my face does not have much wrinkling, and I eat right and stay in shape. These under eye wrinkles are really aging me I would do anything to treat them, that would not cause more harm than good. Thanks so much in advance
Also I am very light-skinned.
Hi @KT-ml1sy,
Botox used for crow's feet may also help with the depth of creases when you smile. I would have to see you in consultation to examine your wrinkles before I recommend specific treatments, but you can refer to this video on how under eye wrinkles are usually treated in my practice - ruclips.net/video/PXMhY90TReM/видео.html
Hi Dr Prasad thanks for your video, can you recommend any moisturizer which can keep my face wet for 24 hours thanks
Hi adnan hussain,
There are many moisturizers that can optimize moisture in the skin, so I would have to examine your skin, and your skin type before making a specific recommendation. If you can't see us for an examination, you can see a local dermatologist. I hope this helps you.
Fantastic video Doc.
Thank you, Orwell Huxley! Glad the video helped you!
Thanks dr. I have been planning for under eye blappherplasty but after wating this informative video I stopped my self. My skin is very thin with wrinkles around eyes from the early age. Do you recommend for filler ? Thanks sir
Hi Hameedullah Baloch,
I wouldn't likely recommend filler unless you also have hollowing under your eyes. You can refer to the video you are commenting on for different treatment options, but you can also refer to this video about treating wrinkles around the eye area:
ruclips.net/video/PXMhY90TReM/видео.html
Hi Dr hope you are doing well. Which age do you suggest for under eye surgery. Or does it depend on the case ? also is the surgery a lifetime solutions?
Hi KeepingupwithLilly,
It is possible to perform lower eyelid surgery in teenagers in some special cases, but I normally perform this surgery in adults in their early 20s when the face has stopped growing. While eye bag removal surgery can last decades, even a lifetime in some people, there is no guarantee that new prolapsed orbital fat can recur, causing new eye bags. You can refer to this video about it - ruclips.net/video/ZZNsbkXgKWg/видео.html
@@AmiyaPrasadMD thank you so much doctor always kind enough to answer. With very clear honest answers. Keep up the good work 🙏🙏🙏
You're welcome,@@keepingupwithlilly6591. And thank you for your kind words!
Thank you, Dr. Prasad, for your very informative videos. Would you please recommend a doctor in San Diego County California who I could see to address under eye and other cosmetic facial issues? Thanks again.
Hi Mary Minore,
Although I know surgeons in California, we all have different practice focuses, and aesthetic styles. I suggest you look for a surgeon who performs transconjunctival blepharoplasty, which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.
@@AmiyaPrasadMD Thank you.
You're welcome, @@maryrsf!
I would love to have a consultation.
Hi Drea,
Certainly! You can contact our offices or our websites to arrange for a consultation. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi Dr! How much would a surgical procedure to remove under eye bags and treatment procedure to minimize under eye wrinkles cost? I’m trying to save up and a rough estimate cost would be greatly appreciated. Thanks!!
Hi Kristen Her-ly,
As we don't have set costs that apply to every case as extent of treatment does vary, it is best to contact our office, and we will get back to you regarding price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, Garden City, Long Island at (516) 742-4636, or Vienna, Virginia at (703) 356-1446. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hey Dr. Prasad. I know you don’t specialize in dermatology, but in your practice have you noticed a difference in a patients concerns such as wrinkles and other facial aging who follow a daily skin routine such as cleanser, moisturizer, retinol, sunscreen - versus patients who does not follow a daily skin routine.
If so you do believe a daily skin routine reduces someone’s facial skin aging?
Hi MidNiteR32,
There are definitely benefits in appearance and skin health for people who actively take care of their skin, and reduce the effects of sun damage/ photoaging in their skin. Skin also does reflect on the outside how healthy you are on the inside. I hope this clarifies things for you.
Hello Dr Prasad!
I find your chanell very professional. I have a question. Maybe you will be so kind and help me somehow. I am 34 and I had fat grafting 5 month ago. I had a really bad swelling problems with lower and upper eyelid. When it finally came back to normal I found my skin less firmer, with more wrinkles than it was before the procedure. Could the swelling couse this? What can I do now? Laser would be good for it? I started to do PRP Mesotherapy.
Hi Katarzyna Malczewska,
Sorry to hear about your problem. Prolonged swelling may have contributed to your problems in this area, but it can't confirmed without details of your medical history and your prior procedures. I would need to perform a physical examination before giving you specific recommendations for treatment. I hope this helps you.
@@AmiyaPrasadMD Thank you very much for your response. Yes, of course it is not possible to make any suggestions without physical examination. That's a shame that you have your practice so far a way.
You're welcome,@@katarzynamalczewska2197!
Hi Dr.Prasad, I have done my lower eyelids surgery 7 years ago. The doctor did remove some skin and the incisions under my eyelash are very noticeably. My eyes shapes have changed by this procedure. I want to know this situation can be fixed? What do I expect if I do the second surgery? I am very scared and can’t afford to have a second failure surgery. I really appreciate if you answer my questions. 🙏
Hi 飞扬人生--所飞飞,
Sorry to hear about your problem. It is common complication because many doctors remove lower eyelid skin, which does change eye shape. You can refer to these videos on specialized lower eyelid revision surgeries I perform as an oculoplastic/oculofacial surgeon that are not performed by general plastic or cosmetic surgeons:
ruclips.net/video/wT9mSBvAlno/видео.html
ruclips.net/video/VI4Z0rDO5C8/видео.html
Awesome video. What about hollow eyes? When I smile I have fine lines at the corner of my eyes.
Hi Mia's Eclectic Cuisine,
Hollow eyes and crow's feet at the corners are two different issues with different causes. You can refer to these videos about treating them separately:
ruclips.net/video/PXMhY90TReM/видео.html
ruclips.net/video/C1pxoU7e1SE/видео.html
ruclips.net/video/VzzsbNDlaHQ/видео.html
ruclips.net/video/Q0QiNH7LUVI/видео.html
Thank you, great video!👍
You're welcome, Cheri Norris! Glad you found the video helpful!
A friend had erbium laser about 10 years ago. It was a wound and took about a week to heal. It removed the upper layer of skin. But you video says no down time.
Hi minky cat,
Erbium laser can be fully ablative, which needs downtime; fractional or partially ablative, which needs less downtime; or non-ablative, which needs no downtime. It all depends on what the patient needs to reach their aesthetic goal, the temperature setting, the wavelength, time of exposure, etc. as laser treatments are customized, and the expertise in using the laser as a tool depends on the experience of the doctor. I hope this clarifies things for you.
Hi Dr Prasad, I am back watching this. @3:36 May I know how do you decide which to use for under eye wrinkles, between ablative CO2 + erbium laser and fractionated co2 + erbium laser? Do these treatments require a longer down time? You mentioned one week.
Hi,
Downtime is not the primary reason for choosing a specific tool or mode of treatment. The primary reason is what best helps a patient treat the issue they want treated, given their skin type, age, etc. I hope this clarifies things for you.
I watched your video on allergies to fillers, I want to try this out and went to a local med spa in the Portland, Oregon area and they didn't offer any patch allergy tests, is there any other way I can get tested for an allergy to the numbing and the filler before actually getting this procedure done? I really have been eager to get some fillers done as I'm 31 now.. and I think will be very beneficial but have severe allergies to aloe, castor oil, onion family , and soy so I know what a severe allergy can do and wanted to take the best precaution before hand, Any recommendations? Thank you.
Hi Jasmine Gutierrez,
You can consult an allergist if you want to take precautions. Hyaluronic acid fillers are labeled as hypoallergenic since hyaluronic acid occurs naturally in the body to help retain moisture and lubricate the joints. It generally does not require allergy testing, so most cosmetic practices don't offer allergy testing. I hope this clarifies things for you.
Sir I have how should I contact you. I don't know English properly.
Hi Chewang Dolker,
Consultations are by appointment only, and can be arranged by our offices to be done remotely on a one-on-one video call on Skype or FaceTime. Consultations do require a consultation fee, but the fee can be applied to the cost of treatment.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Dear doctor, l have small eye bags and my skin under eye is too light . What's your opinion about fotona smooth eye can it help me to reduce these eye bags ?also is hifu useful for them?please advise me thanks for your kindness
Hi Basel Basel,
Eye bags that are always visible, and not temporarily caused by allergies, sinus issues, or salt intake, are due to prolapsed orbital fat underneath the skin, and is not a skin issue. Laser or high frequency ultrasound are skin treatments, so they are not appropriate to treat prolapsed orbital fat. You can refer to these videos about why skin treatments are not used to treat eye bags, and how eye bags can be treated;
ruclips.net/video/cU0B9-IahGk/видео.html
ruclips.net/video/46Kp6ayfyzg/видео.html
ruclips.net/video/yszpZSOEGoQ/видео.html
Hello Dr . Prasad, endoscopic lufting coukd be a good option to minimize crown feets and under wrinkles? I do not have extra ali g to remived under my skin but Ii can ser a lot of wrinkle lines .
Thanks
Hi Jacqueline AZ,
Brow lifting is a risk because it can look unnatural, and possibly change your facial character. Crow's feet and undereye wrinkles can be treated non-surgically, which you can refer to this video about - ruclips.net/video/PXMhY90TReM/видео.html
What do you think about fibroblast around the eye area? What’s your take on the treatment for darkness and crow's feet? What about threads in that area?
Hi BrightWinter23,
Fibroblast recruitment is part of PRP treatment, as indicated in your question from another video. I generally don't perform thread lifting, but more advanced surgeries such as treating lower eyelid retraction may need some type of anchoring. As for darkness in the lower eyelids, and crow's feet, you can refer to these videos about treatment:
ruclips.net/video/QBvjjvxPt2g/видео.html
ruclips.net/video/PXMhY90TReM/видео.html
ruclips.net/video/S6_nTRr1tio/видео.html
ruclips.net/video/jQUb67RpaAM/видео.html
ruclips.net/video/RHJodb437o4/видео.html
@@AmiyaPrasadMD Thank you for taking the time to reply!! Would you recommend PRP together with micro needling?
Hi@@BrightWinter23,
You can refer to this video about how I usually treat wrinkles in eye area - ruclips.net/video/PXMhY90TReM/видео.html
Dr Amiya, can PRP be injected under the lower eyelids with a cannula or does one have to have a microneedling ?
Hi arym hansie,
I mostly administer PRP under the eyes, or other areas with a cannula. Microneedling is not a requirement to administer PRP. I hope this clarifies things for you.
Would it be wiser to have a lower transconjunctival blepharoplasty, wait 6 months, and then have a transcutaneous blepharoplasty, or have a lower transcutaneous blepharoplasty and, at the same time, use that opportunity for an eye pinch
Hi Craig Anthony,
I most often perform transconjunctival blepharoplasty, with non-surgical treatment to improve under eye wrinkles. I only perform skin pinch blepharoplasties on rare occasions when the lower eyelid skin is folding over itself. Surgical treatment of under eye wrinkles, and the transcutaneous method, are the most common causes of lower eyelid surgery complications, so to avoid complications is to avoid these procedures. I hope this clarifies things for you.
@@AmiyaPrasadMD very informative, thank you . What non surgical do you suggest ?
Hi@@ReformationsGlassArt,
While an examination is needed before recommending specific treatments for you, the video shows several examples of laser treatments for treating wrinkles.
This other video shows different options for treating wrinkles around the eyes - ruclips.net/video/PXMhY90TReM/видео.html
What do you think of face and eye yoga?
Hi Butterfly effect,
It would have a limited effect on aging as it does not treat facial volume loss, or diminishing skin quality. I hope this clarifies things for you.
I had upper eye lid surgery and it really made below my eyes stressed from its very firm appearance. It's been about 9 months and not a whole lot better. I believe my lower eye lids took a beating with the upper surgery with bruising, fluids and the simple stress-now I feel I need the lowers done. Have you seen this before happen-is it the risk???
Hi Danna York,
Upper eyelid surgery should not have an effect on your lower eyelids. However, you may have since experienced aging changes to your lower eyelids, or just noticed them more now since you have been tracking the progress of your upper eyelid procedure. I would need to examine your under eye area to see if further procedures could benefit this area. I hope this helps you.
Hi Dr Prasad, if my eye doctor doesnt do any laser work for under eye laxity issues, how long should i wait before laser is suitable after surgery? Thanks.
Hi,
There is no way to say as it depends on how the surgery is performed, so there is a range in recovery time. I hope this helps you.
@@AmiyaPrasadMD So you will never do laser under the eyes during a lower eye blep surgery? You will allow the patient to heal before doing laxity improvement? Thanks.
Hi,
Since I perform both laser treatment and lower eyelid surgery, I can actually do them both at the same time for my patients. I hope this clarifies things for you.
Hi Dr Prasad, @4:41 you mention about patients having darker skin... are Chinese under this category as well?
Hi,
Yes, Chinese ethnicity often falls under darker skin, as shown in the thumbnails of these videos:
ruclips.net/video/A1g8cMavhpk/видео.html
ruclips.net/video/LSy_8Z-kbAs/видео.html
If I apply Hifu or thermage on eye upper and lower lids, will they cause loss of fat ? I got fine lines on lower eyelids, can RF improve?
Hi Any,
Unintended fat loss is determined by the practitioner who may overheat or overexpose using the device, but not the device itself. I don't use high frequency ultrasound devices as they heat more suddenly instead of gradually like radiofrequency or laser devices. Radiofrequency can improve fine lines under the eyes, in the right patient, but a physical examination is needed for me to determine what is the best treatment for your situation. I hope this clarifies things for you.
Is no down time the reason why you use long pulse erbium fractionated laser (smooth eye procedure) @4:00? Thank you.
Hi,
Downtime is not the primary reason for choosing a specific tool or mode of treatment. The primary reason is what best helps a patient treat the issue they want treated, given their skin type, age, etc. I hope this clarifies things for you.
If you are darkskin, does that mean you are not qualified for fractional laser to treat undereye wrinkles? Also do you reccomend Cosmelan on darkskin people?
Hi Xue'Ann,
Wrinkles in people with darker skin can be treated with radiofrequency (shown in the video), or a lower level laser with less exposure. A physical exam is needed to determine what's the best treatment for you. I hope this clarifies things for you.
We have 20M RF ,it treatment wrinkle removal is better
Hi@@kellymonette843,
Not sure if you are asking a question, or stating something else. One device does not apply to all skin types and skin issues. I hope this clarifies things for you.
Hi dr im from india actually there is small injury in lower eye lid of my eye due to which my skin under rt eye is little wrinkled. How can this wrinkle be removed. Im 34 yrs old
Hi hussain,
I hope you understand that your lower eyelid, and skin type would need to be examined before I make specific treatment recommendations. Wrinkle treatments featured in the videos such as lasers can cause pigmentation issues in darker Indian skin types like mine, so an examination is needed especially for darker ethnic skin types. I hope this clarifies things for you.
What do you think of PDO threads to lift the eye slightly?
Hi Studio Artist,
I don't use PDO threads, but there are several specialized techniques to lift the eyelids with more stability and longevity than PDO threads. I hope this clarifies things for you.
Dear Doctor Amiya Prahad,
I am very stressed out and do hope that you can help me out with this eye problem. I've had an upper eyelid Surgery for 40 days so far,everything is going ok (just a bit swollen) until yesterday. I boiled a pot of water and lemongrass. I later ( 5 minutes after it is boiled) steamed my face with it for about 5 minutes. Initially I think steaming doesn't matter with my eyelid, but when I have it finished, my upper eyelids started getting red (just a bit, no pain) but the awful thing is my eyelid is not swollen as it was 5 minutes before. I waited until the next day, and the situation still the same, the swollen has gone. My concern is that if it gonna affect the process of healing of my eyelids, I afraid that there is no any change anymore with my eyelid from now on. ( I am sorry as my English is not good).
I am very sad and worried about it, so I am very grateful if you can answer this for me.
Thank you very much and wish you had a good day.
Hi Hằng Đặng,
While this shouldn't be a problem, there is a possibility of oils and fertilizer in the lemongrass causing irritation. It has been quite sometime since your surgery, so they won't likely get into the incision, but if you are experiencing discomfort, you can follow up with your surgeon. I hope this helps you.
Dear Doctor Amiya Prasad,
You are so kind to answer my question. i now totally relieved as you said it is not serious. i feel like all my stress has just gone. you help me a lot. Thank you very much.
You're welcome,@@hangang7631!
What can be done if it’s dark pigmentation that makes you look sleepy and it’s with wrinkles?
Hi Lisa Pierce,
Treatment can still be done, but an examination is needed before a specific treatment can be recommended, as some treatments like lasers on certain types can make pigmentation worse. I hope this clarifies things for you.
Dr. Are you familiar with eyelash transplant????? My right lashes are longer and thicker than my left due to Trichotillomania
Hi Dontrel Dontrel,
I do perform eyelash transplants, but it is quite a the commitment for the patient. Since donor hair is taken from the back of the head, once transplanted, these hairs do grow long and need to be trimmed. Their may be some styling needed as well for the lash to curl, depending on the natural curl of the graft. Also, there is a high risk that these transplanted lashes may also be pulled out again due to trichotillomania. I hope this clarifies things for you.
@@AmiyaPrasadMD yes it does. I'm happy that I found you. I really would like to have a video about how it can be done, it's plenty of ppl that are either looking for it, or don't know how to go about it, and I did see that the hair doesn't always have to come from the back of the head. I saw a lady got it done from pubic hair or leg hair. I did read that it could be any hair. Me for example would like to have pubic hair because it doesn't grow as long and somewhat the right size. I'm located here in Georgia btw. School us and hopefully I shall see you soon
Hi@@dontreldontrel416,
I will consider making a video about it. I don't perform transplants using body hair because you will have to consider that donor area will be scarred from the extraction process, and these areas cannot be sutured and camouflaged as effectively as the donor hair at the back of the head. Also consider that the difference in the texture of hair of the donor site as actual eyelashes. I hope this clarifies things for you.
@@AmiyaPrasadMD true, I was diagnosed with trichotillomania, so taking her from the back of my head will never be a great decision, besides I'm already getting a hair transplant in a few, but I'm trying to use my beard hair, like underneath my chin and chest hair, I think about everyday and every minute of the hour. I'm not interested in taking any hairs from my head, because trichotillomania has already weakened it. So I'm looking forward to pubic hair or leg hair. I'm can't wait super excited about it. Just have to find someone that can do it and actually know what they are doing. Thank you for the time Dr. I appreciate it.
You're welcome,@@dontreldontrel416! Like I said previously, be aware of donor area scarring when considering body hair transplantation.
So using contacts by having to bring the eye stuff down is what been causing my eye lines
Hi Vexify on ipad,
Contact lenses are unlikely to cause lines under the eyes, but an examination is needed to determine the cause, and possible treatment. I hope this help you.
I wish u have office here in LA??
Hi Mary Felix,
Sorry, I only practice on the East Coast. You can contact our offices on the East Coast if you are willing to travel like our patients from the West Coast. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
@@AmiyaPrasadMD doctor, you have a office in Miami, Florida?
Hi@@lisapierce737,
Sorry, I only practice in New York state, and Northern Virginia. If you're willing to travel, our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I have a had all this fillers, fractional co2, chemical peel but NOTHING has helped at all and I look at 40 worse than people with 70. Surgery seems the last option. I had NO difference at all
Hi @jasminkleiner-bf4fo,
Sorry to hear about your problem. Complications from lower eyelid skin removal are very common, so I only recommend surgery in the rare cases that eyelid skin is folding over itself. Non-surgical skin tightening treatments such as lasers usually require more than one treatment session to avoid overexposure, and overheating. You can refer to this other video about why surgery for under eye wrinkles is only done in relatively rare cases - ruclips.net/video/AAH37kjfyK8/видео.html
Recently I saw some advertisement about this invisible stickers that can give our skin a temporary lift hahaha! But I reckon the skin will suffer worse sagging with often usage.
Hi Dr. I have had two quite prominent lines under each eye since I was a kid. (after seeing pictures, I am pretty sure they are Dennie Morgan folds). I am turning 20 soon and I feel like the lines make me look a lot older than the people around me. I have been treating allergies, but I used to scratch my eyes a lot as a kid so maybe that made it worse. Do you think these lines could be treated by some laser treatments or is surgery the best solution?
Hi hedda ds,
Sorry to hear about your problem. Surgery is most likely not recommended, unless your aggressive eye scratching caused damage. Treatment is not usually recommended for Dennie Morgan lines. If it really bothers you, you do need a physical examination to see what can be done in your case, or if no treatment is recommended at all. Lower eyelid skin should not be surgically removed as it will change your eye shape, and can lead to severe complications like irritation from eye exposure, and not being able to close your eyes fully. I hope this helps you.
What is the cost of prp + a cell for hair
Hi Rocky Singh,
The cost of the TrichoStem Hair Regeneration treatment varies with the extent of treatment needed. However, at it’s full cost, it’s priced at about half of a single FUT hair transplant, or about a third of an FUE transplant performed in the US. Our offices are located in the USA in Manhattan, New York City which you can call at (212) 265-8877, Garden City, Long Island at (516) 742-4636, or Vienna, Virginia at (703) 356-1446. You can also reach us through www.prasadcosmeticsurgery.com, www.nyhairloss.com, or www.trichostem.com by filling out a contact form, and we will get back to you regarding price range. I hope to hear from you soon.
@@AmiyaPrasadMD thanks sir
You're welcome,@@RockySingh-rx6dg!
@@AmiyaPrasadMD can I go gym when on prp treatment for hair loss ?
Hi @@RockySingh-rx6dg,
Yes you can, but you may want to wait a day or two after the procedure is performed for your own comfort as the scalp may still be tender after the injection. I hope this clarifies things for you.
Sir I have seasonal elergy
Hi salman khan khan,
Sorry to hear that, but I don't treat allergy related issues as a cosmetic surgeon. You can see an allergist regarding your issue. I hope this helps you.
Your my fav
Thanks again for the compliment, Victoria!
Doctor it’s hard to believe you are not in your late 30’s 😮😮
Thank you for your kind words, @Xyz-rt1ed, but I'm certainly much older than that! Your compliment is much appreciated.
7:53
For under eyes wrinkles
dr doesn't Botox leave you with a "frozen expression" ?... by the way i already have a meeting set with you.
Hi zibtihaj,
The frozen expression from Botox is due to using too much material, but it doesn't happen much when done by an experienced practitioner. The reason why frozen-looking results are common is that many practitioners apply Botox, including non-physicians like medical assistants and even salon workers. The effects of Botox cannot be reversed, but do wear off in 4-6 months. I avoid frozen-looking results by administering Botox conservatively in the initial session, and then seeing patient again in follow up two weeks later. If a little more enhancement is needed, I do it then. It's always better to be conservative at first, and more later if needed, than it is to add too much, and be stuck with the frozen look until it wears off in 6 months. You can watch this video about it - ruclips.net/video/tLwQuS_vamk/видео.html I hope this clarifies things for you, and I look forward to meeting you in person!
Who creates plastic surgery procedures and why can’t there be more actually get rid of the problem not like magic
Hi Frank Sanchez,
You can refer to these videos on how eye bags can be treated with a specialized procedure that involves no external incision, so there is no scar, and the lower eyelid anatomy is preserved so common complications are avoided:
ruclips.net/video/URMaUf-hRsA/видео.html
ruclips.net/video/YTTb3ydq550/видео.html
Doctor I'm 20 year's old and i have wrinkled eyes🥲
Hi @SonuKaur-ir6hc,
Sorry to hear about your problem. Lines under the eyes at your age are usually genetic, and not treatable as they are not due to diminished skin quality. Keep in mind that some people your age do have genetic lines, but they still look young because they have youthful facial volume. If you didn't have these lines when you were a teenager, you may consider seeing a local dermatologist for an examination of your skin for any potential issues. I hope this helps you.
Can’t the fat pockets be injected like liposuction
Hi Steve Budgen,
No, because the eyes are a very delicate area. Fat needs to be carefully and artistically sculpted for a nice contour, and a little is left behind to prevent a hollow look. I hope this clarifies things for you.