Under Eye Hollows - Comparing Under Eye Filler, Tear Trough Implants, and Fat Grafting

Рет қаралды 6,000

Күн бұрын

More on under eye fillers: prasadcosmeticsurgery.com/und...
For more on tear trough implants, please go to: prasadcosmeticsurgery.com/tea...
More on fat grafting/ fat transfer, please go to: prasadcosmeticsurgery.com/med...
For more about Dr. Prasad's background and training, please go to:
prasadcosmeticsurgery.com/dr-...
New York oculoplastic surgeon Amiya Prasad, M.D. reviews why grafted fat is often perceived as the ideal filler; the complications associated with fat grafts under thin lower eyelid skin; why tear trough implant material is long lasting, but does not adapt to aging changes of the body; the different materials used for under eye fillers; and why the brand of filler doesn’t determine results, but the doctor’s technique and experience do determine the final outcome:
0:22 - Introduction to addressing under eye hollows, and dark circles
0:49 - How patients frequently request permanent treatments for hollow eyes
1:23 - Dr. Prasad details his background training in cosmetic oculofacial plastic and
reconstructive surgery, as well as his experience as a facial rejuvenation specialist
1:44 - The different types of permanent fillers
1:52 - How permanent fillers are difficult to fully remove in case of infection
2:02 - How hyaluronic acid filler can be dissolved using hyaluronidase
2:11 - Why grafted fat is often perceived as the ideal filler
2:39 - How fat grafting is performed
2:54 - The risks of fat grafts under the eyes
3:08 - How fat grafting removal surgery is a technically challenging procedure, and can require additional procedures to maintain proper eyelid support, and function
3:44 - How tear trough implant material lasts long-term, but are not truly permanent since they don’t change with the body
4:45 - How the brand of filler is not as important as placement technique
4:51 - How Dr. Prasad performs filler injections using hyaluronic acid fillers
5:06 - How placement technique can help make filler feel like bone
5:11 - What Structural Volumizing is
5:19 - How Dr. Prasad minimizes the chance of bruising by using blunt cannulas instead of needles
5:31 - How hyaluronic acid fillers are metabolized naturally in the body
5:52 - How fillers are more accurate, and precise than tear trough implants
6:10 - Conclusion
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Пікірлер: 117

@ZlodeyMr 8 ай бұрын

Dear Dr. Prasad, Thank you so much for your videos. You said you're placing the filler deep on the bone. But what about patients with a volume deficit under eyes in the preseptal area (above the orbiral rim edge)? You are probably familiar with this picture after excessive fat removal in blepharoplasty, when the pretarsal roll becomes very prominent because of hollowness in preseptal part. Can this problem also be solved with filler in some way? The only successful examples of correcting this problem that I have come across were on the website of the late Dr. Meronk (now available only in the web archive) and in Raul Loeb's 1989 book "Aesthetic Surgery of the Eyelids" - in both cases solid pearl fat grafts implanted in the orbital fat (behind the septum). What do you think of this technique and why is it so hard to find doctors who use it (if it's still being used by someone)?

@pomeraniangirl 3 ай бұрын

i wish i was closer. i think your explanation was helpful but also trusted you and would trust you to correct what someone did with filler. they removed most of it under my eye but they only do fat filler so i am getting another opinion in a couple of weeks

@AmiyaPrasadMD 3 ай бұрын

Sorry to hear about your problem, @pomeraniangirl. If things don't work out as planned, and you can make it to one of our offices, please let us know and we can help you.

@muhammadtahabutt2072 Жыл бұрын

I am also found the way he explain things

@AmiyaPrasadMD Жыл бұрын

Thank you for your kind words, @muhammadtahabutt2072. And thank you for watching!

@dr.kamleshmaywad8636 Жыл бұрын

Your explanation way is amazing. I a big fan of you. You are GURU of mine🙏

@AmiyaPrasadMD Жыл бұрын

Thank you, @dr.kamleshmaywad8636. I'm glad you like my videos! Thank you for watching!

@user-yy4ey8yk5q 8 ай бұрын

I love your videos! Was curious to know if autologous/donated cartilage could be used for infraorbital rim augmentation?? Ideally it should have a very low infection rate as compared to implants?

@AmiyaPrasadMD 8 ай бұрын

Hi @user-yy4ey8yk5q, While transferring cartilage can be done in some situations, cartilage doesn''t have the physical properties that are optimal for infraorbital rim. I hope this clarifies things for you.

@muhammadtahabutt2072 Жыл бұрын

Even I have don't have these issues but still watch ❤.. I always want to become a dermatologist 😅but I am student of BS IT and still interested in dermatology 😂

@AmiyaPrasadMD Жыл бұрын

Thank you for watching, @muhammadtahabutt2072. I'm glad you find the videos interesting.

@annaframeworktwo1288 Жыл бұрын

What is your opinion on micro current devices? Can you make a video about at home beauty devices? It would be interesting to hear a pro, thanks!

@AmiyaPrasadMD Жыл бұрын

Hi @annaframeworktwo1288, Microcurrent devices have limited temperature settings, so I don't use them in my practice. I hope you understand that devices used at home are not professional grade, and the main problem with these devices is that they are used by people with no training in treatment, and are unaware of the time needed in between sessions for healing, and collagen synthesis. I hope this clarifies things for you.

@TheMijas07 Жыл бұрын

I love your videos Dr Prasad. Thanks for sharing the photos and your expertise. Question: does this filler placement work best on younger, thicker skin at the tear trough? If your over 50 or even 60 does the thinner skin around the eye area & tear trough make it more difficult to perform this technique? Thanks 🙂

@AmiyaPrasadMD Жыл бұрын

Hi @TheMijas07, Lower eyelid skin is the thinnest skin in the body at 0.5mm thick, and it is also thin in young people. You can still have under eye filler treatment in your 50s and 60s, but like any procedure, the results do depend on the experience, and expertise of your doctor with filler in the under eye area. Many doctors don't perform filler treatment near the delicate eye area, so you do need to find a doctor experienced in administering filler, and other injectables in the lower eyelids. I hope this clarifies things for you.

@TheMijas07 Жыл бұрын

@@AmiyaPrasadMD yes that's great, thank you 🙂

@AmiyaPrasadMD Жыл бұрын

You're welcome,@@TheMijas07

@dakshbajaj1255 9 ай бұрын

Hey doctor, Do you use custom infraorbital implants or standard implants? And how do you usually place them? Through transconjuctival approach or through lower eyelid incision? Which approach is basically better so that lower eyelid doesn’t retract?

@AmiyaPrasadMD 8 ай бұрын

Hi @dakshbajaj1255 , When appropriate I use custom implants, placed transconjunctivally. I hope this clarifies things for you.

@mariannavarela4454 2 ай бұрын

Dr. Prasad- I am 4 weeks out from lower bleph/ fat repositioning. I had to have the surgery because filler was accidentally placed behind the orbital septum in the fat, so I developed a bag on that side. I still have a small bag and am wondering if that is swelling at this point or if it is possibly left over filler. Also, at what point is it acceptable to get under eye filler to camouflage the leftover bag?

@AmiyaPrasadMD 2 ай бұрын

Hi @mariannavarela4454, Sorry to hear about your problem. I would have to physically examine your eyelids to properly diagnose the issue, but fat repositioning does carry the risk of prolonged swelling. You can refer to this video about the increased risks of fat repositioning in the lower eyelids, and why I an many other surgeons don't recommend the procedure - kzfaq.info/get/bejne/o5OPoKmWmcu7naM.html

@andreamarteddu985 10 ай бұрын

Hi doctor, i understand that fillers are the more reliable choice to enchance under eye support, but what if i wanted also get lower eyelid retraction repair for congenital lower eyelid bowing? Wouldn't the results of the operation disappear once the filler dissolved, since the eyelid would again be without support?

@AmiyaPrasadMD 10 ай бұрын

Hi @andreamarteddu985, Lower eyelid retraction repair, or correcting a congenital lack of lower eyelid support would normally involve surgical procedures to strengthen lower eyelid support. Filler would be used to treat hollowness behind the lower eyelids, not as a procedure to strengthen lower eyelid support, so the support should still be there if filler is dissolved. I hope this clarifies things for you.

@lisaaustin4561 Жыл бұрын

This isn’t related to the topic. I had a face and neck lift 5 weeks ago. The incisions around the ears are itchy and looking slightly red. I think I’m well past having to worry about infection? Should I be worrying?

@AmiyaPrasadMD Жыл бұрын

Hi @lisaaustin4561, Sorry to hear about your problem. I suggest you follow up with your surgeon as they can examine your incisions for any issues, and know details of how your surgery was performed. I hope this helps you.

@muhammadtahabutt2072 Жыл бұрын

Is it really possible to get rid from freckles with lasers ? If yes then how much they could help

@AmiyaPrasadMD Жыл бұрын

Hi @muhammadtahabutt2072, Lasers can remove freckles, otherwise known as solar dyschromias. However, lasers can cause hyperpigmentation, or hypopigmentation in darker ethnic skin types, so I would have to examine your skin before recommending any laser treatment. I hope this clarifies things for you.

@sunshinesmile94 Жыл бұрын

Not all fat grafting is performed equally. Injection too superficially into the muscle or above, going into the wrong plane, placement above the orbital rim can lead to complications, featured in your photo examples. Fat grafting is simply a modality, to be used in conjunction with other surgical modalities, especially when addressing an area as difficult to treat as and less forgiving as the tear trough. Ideally these patients would have benefited from transconjunctival lower Blepharoplasty, fat transposition and fat grafting to use as a blending tool rather than as the sole solution.

@AmiyaPrasadMD Жыл бұрын

Hi @k94tran, This does not change the behavior of grafted fat under thin lower eyelid skin, as grafted fat cannot hold a consistent shape once removed from its original blood supply. As an oculoplastic surgeon for over 25 years, I do perform transconjunctival blepharoplasty, as well as revision lower eyelid surgery to correct surgeries performed by other surgeons. Although I don't recommend or perform fat grafting in the lower eyelids, I often have to surgically remove fat grafts as the original surgeon can transfer the fat, but can't address it when complications occur. You can refer to this other video about why I don't recommend fat repositioning in the the lower eyelids - kzfaq.info/get/bejne/o5OPoKmWmcu7naM.html

@anum3702 Жыл бұрын

Dr ....my nose is slightly tilted to a side ,only bottom part of nose......sephtoplasty is an option?

@AmiyaPrasadMD Жыл бұрын

Hi @anum3702, Possibly, but you have to have an examination to see which treatment works for you.

@lisaaustin4561 Жыл бұрын

And what if I don’t live near you? Even in CA it’s extremely difficult to find an injector that knows what they’re doing

@AmiyaPrasadMD Жыл бұрын

Hi @lisaaustin4561, I suggest you find a surgeon who is experienced with lower eyelid procedures, including surgery. Many doctors won't inject near the eye area because it's so delicate, so you need to start with a doctor experienced with the eyelids. I hope this helps you.

@dakshbajaj1255 8 ай бұрын

@@AmiyaPrasadMD Hey doctor, Do you use custom infraorbital implants or standard implants? And how do you usually place them? Through transconjuctival approach or through lower eyelid incision? Which approach is basically better so that lower eyelid doesn’t retract?

@AmiyaPrasadMD 8 ай бұрын

Hi@@dakshbajaj1255, When appropriate I use custom implants, placed transconjunctivally. I hope this clarifies things for you.

@bellegraves 11 ай бұрын

what about under eye blepharoplasty to release the ligament, is that a good option to do in addition to these treatments?

@AmiyaPrasadMD 11 ай бұрын

Hi @nancybrennan5536, Thank you for watching. I'm glad you found the video informative, even if you don't like my hair. Some people do like it, especially since I have many patients who come in for hair restoration.

@user-nr6sb2fe7b 10 ай бұрын

I have the same question!

@AmiyaPrasadMD 10 ай бұрын

Hi @liliesandlavender, Sorry, a KZfaq error posted a comment for a different video. I don't advise releasing the ligament as it's important for lower eyelid support, so releasing it can lead to rounding, eyelid retraction, and a change in eye shape. I hope this clarifies things for you.

@AmiyaPrasadMD 10 ай бұрын

Hi@@user-nr6sb2fe7b, Sorry for the late reply as a comment was posted from a different video. I don't advise releasing the ligament as it's important for lower eyelid support, so releasing it can lead to rounding, eyelid retraction, and a change in eye shape. I hope this clarifies things for you.

@EMBL2011 Жыл бұрын

This information was helpful thank you. I don't really want to use fillers since it can move around/get displaced and I hear it can't always be dissolved plus there's the risk of becoming blind 😳 so I've been looking into fat grafting and implants hoping those would be permanent and then I could be done. But now I see the disadvantages of them. 😏 Someone have a bottle of the fountain of youth?

@AmiyaPrasadMD Жыл бұрын

Hi @EMBL2011, Filler can be prevented from migrating with the right technique for placement to put them within anatomical structures, such as muscle, to hold it in place. The risk of blindness can be avoided with a doctor experienced in treating and operating within the eye area. You can refer to this other video about the risks of under eye filler treatments, and how they can be minimized and avoided - kzfaq.info/get/bejne/oqdmnMilqNy-lmw.html

@EMBL2011 Жыл бұрын

@@AmiyaPrasadMD great thanks for the reply!

@AmiyaPrasadMD Жыл бұрын

You're welcome,@@EMBL2011

@ZlodeyMr 8 ай бұрын

47% of blindness cases are caused by fat grafting, and only 28% by hyaluronic acid (according to "Soft-tissue Filler-associated Blindness: A Systematic Review of Case Reports and Case Series" published on pubmed), so it is definitely not the best decision to choose fat grafting in this regard.

@AmiyaPrasadMD 8 ай бұрын

Hi@@ZlodeyMr, It's important to know that avoiding and minimizing severe complications like blindness can be done with the level of experience, and expertise of the performing doctor, as explained in the video I sent previously in this thread -kzfaq.info/get/bejne/oqdmnMilqNy-lmw.html

@anum3702 Жыл бұрын

Cupid bow can be enhanced by braces teeth treatment ?

@AmiyaPrasadMD Жыл бұрын

Hi @anum3702, It depends if the prominence of your teeth are affecting the appearance of your lips. I hope this clarifies things for you.

@user-tx9ui3nn7p Жыл бұрын

hi i have lacrimal gland repositioning surgery one week ago. But my bump is still visible. is this permanent pr temporary

@AmiyaPrasadMD Жыл бұрын

Hi @user-tx9ui3nn7p, As I don't know details of your surgery, or diagnosed your condition, I suggest you follow up with your surgeon about this. I hope this helps you.

@OzodaSuyunova-bz1uz Жыл бұрын

Your opinion is prp? Is it good for under eyes hollow after lower eyelid blepharoplasty? Can you write what is the best option for fillers? Because I don't understand the English language videos. I speak with you with translation

@OzodaSuyunova-bz1uz Жыл бұрын

You give many information about fillers but I am sory I don't understand English language I am uzbek Thank you for your advises. You are honest doctor🙏

@AmiyaPrasadMD Жыл бұрын

Hi@@OzodaSuyunova-bz1uz, PRP can improve lower eyelid skin quality, and does provide a little volume, but it does not provide lasting volume that a hyaluronic acid filler can. You can refer to this video about why PRP or PRF can't replace fillers - kzfaq.info/get/bejne/a8xnkqZ92b_efo0.html

@ZlodeyMr 11 ай бұрын

@@OzodaSuyunova-bz1uz yes, it seems it is the best option at the moment until some predictable permanent solutions introduced in the future. redensity II worked very good for me, but different injectors have their own choice of filler. The most important in your situation is to find some oculoplastic/eyelid clinic or some place where they fill under eyes frequently, then the chances are higher that they know under eye anatomy and what they're doing. I know how hard it is after an unsuccessful blepharo, especially if a lot is removed. I wish you good luck in fixing your problem

@OzodaSuyunova-bz1uz Жыл бұрын

Now I have bad hollows after lower eyelid blepharoplastic

@AmiyaPrasadMD Жыл бұрын

Hi @OzodaSuyunova-bz1uz, Sorry to hear about your problem. It is important in lower eyelid surgery to not remove all fat, and leave a little behind to prevent a hollow appearance, and to have a nice contour in the lower eyes into the cheeks. Filler is likely the option for you, and it doesn't require additional surgery. I hope this clarifies things for you.

@niazahmadkhan1207 Жыл бұрын

Hi Dear, I trust that you are well. I have a question about treating my under-eye bags. At the age of 31, I value your professional opinion. There are numerous treatments available in the market, such as the Co2 procedure, Plasma Plexer, and Beploplasty surgery. In your expertise, which of these treatments do you believe provides the most enduring results?

@AmiyaPrasadMD Жыл бұрын

Hi @niazahmadkhan1207, If your under eye bags are always visible because they are due to prolapsed orbital fat, then the only treatment you mention that works is lower blepharoplasty. You can refer to these videos about how long lower blepharoplasty lasts, why lower blepharoplasty is not performed the same way by different surgeons, how to avoid common complications associated with lower blepharoplasty, and why non-surgical skin treatments can't treat eye bags: kzfaq.info/get/bejne/g89_q7yT1sCnn30.html kzfaq.info/get/bejne/j7qElZaqydeZZWQ.html kzfaq.info/get/bejne/i7h9lLiXks62o3U.html kzfaq.info/get/bejne/mbtgdZxersfMd58.html

@niazahmadkhan1207 Жыл бұрын

@AmiyaPrasadMD How will I know that the under eye bags are because of fats? However, I noticed that they became severe in the morning.

@AmiyaPrasadMD Жыл бұрын

Hi@@niazahmadkhan1207, If the puffiness is always visible throughout the day, it's usually due to fat. If it's only visible in the morning, then it's more likely an allergy, excessive salt intake, or sinus issues. You can refer to this video about the other possible causes of under eye bags - kzfaq.info/get/bejne/oaqod7potsvZn5s.html

@niazahmadkhan1207 Жыл бұрын

@AmiyaPrasadMD Yes, these are available all day, but in the morning, it swel up more, where your clinic is located. I am in Dubai.

@AmiyaPrasadMD Жыл бұрын

Hi@@niazahmadkhan1207, I only treat eye bags that are caused by prolapsed orbital fat, I don't treat puffiness due to allergies. You should see an allergist for a diagnosis before considering lower eyelid surgery. 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.

@anum3702 Жыл бұрын

Under eye blood vessels visible...so dark circles ...... whats the option doc

@AmiyaPrasadMD Жыл бұрын

Hi @anum3702, Treatments like PRP or PRF can improve and thicken lower eyelid skin, so the underlying anatomy is less visible. You can refer to these videos about it: kzfaq.info/get/bejne/h6imnc2n3bbYYps.html kzfaq.info/get/bejne/iZyPobeD15fYmaM.html kzfaq.info/get/bejne/oLeFlZlot9bFcYE.html kzfaq.info/get/bejne/iK56oseTmZmbn2g.html

@1989Channy 6 ай бұрын

I got vascular laser on my under eye veins and it improved the area a bit for me ❤

@AmiyaPrasadMD 6 ай бұрын

I'm glad treatment went well for you,@@1989Channy

@MrsAnimesmangas 8 ай бұрын

Hey doctor, what filler do prefer for undereye? belotero or restylane?

@AmiyaPrasadMD 8 ай бұрын

Hi @MrsAnimesmangas, It's important to remember that the brand of filler doesn't determine results, but it's the doctor's expertise, technique, and experience that determine results. Think of filler as the material, or in the case of sculpting, it’s just the clay. The clay itself doesn’t determine the sculpture, it’s the sculptor, or the doctor that determines the final appearance. You can refer to this video about it - kzfaq.info/get/bejne/nN2EdaaarK21o2g.html

@MrsAnimesmangas 8 ай бұрын

@AmiyaPrasadMD thank you for always answering doctor. I am in my early 20s and if I would start to get undereye filler now, and would get them regularly every year once...could have lead to complications like the muscle scarring? Do you have any patients that come that regularly for like 10, to 20+ years?

@AmiyaPrasadMD 8 ай бұрын

Hi@@MrsAnimesmangas, Proper technique, experience, and expertise by the doctor all contribute to avoiding and minimizing risks and complications. Yes, I do have many patients who come in regularly for under eye fillers every year, without any issues. I hope this clarifies things for you.

@MrsAnimesmangas 8 ай бұрын

@@AmiyaPrasadMD thank you so much!

@AmiyaPrasadMD 8 ай бұрын

You're welcome,@@MrsAnimesmangas. Here is a video about the risks of under eye fillers (and how they are avoided by an experienced doctor), for your reference - kzfaq.info/get/bejne/oqdmnMilqNy-lmw.html

@muhammadtahabutt2072 Жыл бұрын

Love from Pakistan

@AmiyaPrasadMD Жыл бұрын

Thank you, @muhammadtahabutt2072. And thanks for watching!

@OzodaSuyunova-bz1uz Жыл бұрын

Doctor can I put skin graft under my eyes instead of obtained fat Because I have done lower eyelid blepharoplasty 2 month ago

@AmiyaPrasadMD Жыл бұрын

Hi @OzodaSuyunova-bz1uz, Skin grafts are usually a last resort procedure when there is a skin shortage because skin grafts will likely have a different color, and texture once removed from its original blood supply, and has to take to a new blood supply. Lower eyelid skin is also the thinnest in the body, so potential skin grafts areas don't really match with it. There are grafting materials I use for revision eyelid surgery, but I would have to examine your condition before recommending specific treatments for you. I hope this clarifies things for you.

@OzodaSuyunova-bz1uz Жыл бұрын

@@AmiyaPrasadMD is the method you have permanent?

@OzodaSuyunova-bz1uz Жыл бұрын

@@AmiyaPrasadMD do you have a what app or telegram phone number?

@AmiyaPrasadMD Жыл бұрын

Hi@@OzodaSuyunova-bz1uz, Your condition is not clear since I have not examined you. It's not clear if you have a skin shortage, volume deficit, or a combination of both. The procedures for each of these issues are different, and longevity of a revision procedure also differs. 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. You can contact our offices or websites to arrange an appointment. 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.

@ZlodeyMr 11 ай бұрын

Fillers work pretty well for your situation, but you need to choose experienced injector who inject under eyes frequently. Unfortunately permanent options are too risky and unpredictable at the moment, but fillers are quite predictable and stay longer under eyes than in other areas

@OzodaSuyunova-bz1uz Жыл бұрын

The fat taken does not grow back, right I did lower eyelid blepharoplasty 2 month ago. I am 32 years old Thank you for answering

@AmiyaPrasadMD Жыл бұрын

Hi @OzodaSuyunova-bz1uz, The fat removed in lower eyelid surgery is permanently removed, and results can last decades, even permanently. However, it is possible for new orbital fat to prolapse, but if this happens, it would occur many years later. You can refer to this video about how long lower eyelid surgery lasts - kzfaq.info/get/bejne/g89_q7yT1sCnn30.html

@OzodaSuyunova-bz1uz Жыл бұрын

Thank you very much You are very very good doctor Because you are helping me my depression time🙏😭😭

@OzodaSuyunova-bz1uz Жыл бұрын

Can I put skin transplantation here?

@OzodaSuyunova-bz1uz Жыл бұрын

Or I want permanent filler or something

@AmiyaPrasadMD Жыл бұрын

Hi@@OzodaSuyunova-bz1uz, As described in the video, permanent fillers are highly prone to complications, so I don't recommend, or perform them. You can watch the video more closely for options to treat hollowness under the eyes. Skin grafting is a last resort procedure, but there are other options for lower eyelid surgery revision procedures described in these videos: kzfaq.info/get/bejne/rbppoLZz26fQnqM.html kzfaq.info/get/bejne/jK9kjZOjqbWZc2w.html

@virginiaarrieta8145 Жыл бұрын

Dear Dr Prassadi watch your videos since the pandemic .I'm 65 and just want to know how to have an appointment with you.I gave some usxsues with u nder eye, lots of sking hunguing and want to consult you fir a bkepgarollasty.

@AmiyaPrasadMD Жыл бұрын

Hi @virginiaarrieta8145 , Certainly. First of all, I generally don't advise lower eyelid skin removal in the majority of cases. You can refer to this video about it - kzfaq.info/get/bejne/i52bfZd0ssmuYHU.html Consultations are by appointment only, and can be done in our offices, or remotely through Skype or FaceTime. Consultations need to be scheduled by contacting our offices, or through our websites by filling out a contact form. A consultation fee is required before the appointment date is set, but the consultation fee can be deducted from 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.

@OzodaSuyunova-bz1uz Жыл бұрын

1 month ago I did lower eyelid blepharoplastic. But I don't like it because my face is very thin than before I am very depressed now Please give me advise

@AmiyaPrasadMD Жыл бұрын

Hi @OzodaSuyunova-bz1uz, Sorry to hear about your problem. I hope you understand that a second opinion requires me to perform a physical examine the condition of our lower eyelids after surgery, as well as review the medical records of your surgery. I advise you see an experienced lower eyelid surgeon for a proper examination, then recommendations can be made based on the examination. I hope this helps you.

@OzodaSuyunova-bz1uz Жыл бұрын

Now I want fat grafting under eyes because my face very very thin than before I want to became plump face as before

@AmiyaPrasadMD Жыл бұрын

Hi@@OzodaSuyunova-bz1uz, As shown in the video, fat grafting under thin eyelid skin is highly prone to complications. The alternative treatments are also featured in the video. I hope this clarifies things for you.

@judcor7752 9 ай бұрын

@@AmiyaPrasadMD Doctor I am also unhappy with my results and felt depressed. I had upper and lower surgery. When you mention to see an experienced lower eye lid surgeon, isn't that you? I've been thinking about to contact you for an evaluation since my surgeon said everything it's fine, but I know and people who know me that I don't look the same. I looked worst than before.

@AmiyaPrasadMD 8 ай бұрын

Hi@@judcor7752, Yes, I am an eyelid specialist, and I do often revise eyelid surgeries performed by other surgeons. You can contact our offices or websites about an appointment for an examination. 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.

@amiisonyondan244 Жыл бұрын

(I know i wrote too much ,but please please please 🙏 🙏 spare some time and give me a solution sir ,i have been struggling for 6 years now , and any dermatologist around me are scams ,they might not be very experienced and also can recommend expensive trearments which might not work with my genetic dark circles, ...so please help me out sir, 🙏🙏) Hello. Doctor I am 18 year old indian girl, and i have terrible terrible terrible dark circles,the thing with my dark circles is- it's not only under my eyes, it's also in my eyelids, i mean my below eye and above eye area both are dark as hell , so from a far my eyes look 360 degree black ,like somebody has hit me in the eye..... I started having these since i was 12 years old,and they have been the same dark black since 6 years, i m not malnutritioned,nor sleep deprived, but i do think that it's genetic since my mum also has them ,which makes it even more worse , Also after observing different types of dark circles,i think i don't have puffiness or extra fat under my eyes, but i have hollow eyes and i do feel like the 2 main problems for my dark circles are hyperpigmentation all around my eyes and the deep hollowness under my eyes (may be due to face bone structure .) Just to give u a more appropriate image of my condition, from the above video 5:27 condition ,is most appropriate as me, although mine are way much darker,... So can u please please please 🙏 give me any solution

@amiisonyondan244 Жыл бұрын

My doubts: 1. I think even if I would do anything for my dark circles ,still most of the treatments are for under eyes but I also want to remove the darkness on my upper eye lid part , So can u please suggest something for both upper eye and under eye or separate treatments for both.. (I have heard glycolic peels might work for upper eye too , please tell whether it can work or not, or any other treatments/procedures) 2.For some reason ,I don't think topical creams or serums would work for my dark circles ,it might work for my upper eye lids, but my under eye area is hollow so I don't think that they would do any thing, although I am trying to apply vit c serum and a glycolic acid cream at night alternatively for few days on my both upper and lower eye parts ,and have been wearing sunscreen every morning.. So , should I continue this or they won't be effective?,or if there is any topical active ingredient for dark upper eye ,can u suggest some?

@AmiyaPrasadMD Жыл бұрын

Hi @amiisonyondan244, Sorry to hear about your problem. I generally don't recommend treatment for dark circles for someone as young as you. Keep in mind your face is still growing and maturing, so there is still time for this to resolve itself. If you still have the problem when you are a little older, say in your early 20s when your face has stopped growing, you can consider treatment then. You can refer to these videos on the different ways we treat dark under eye circles for our older patients, for your reference: kzfaq.info/get/bejne/h6imnc2n3bbYYps.html kzfaq.info/get/bejne/iZyPobeD15fYmaM.html kzfaq.info/get/bejne/oLeFlZlot9bFcYE.html kzfaq.info/get/bejne/iK56oseTmZmbn2g.html

@amiisonyondan244 Жыл бұрын

@@AmiyaPrasadMD Thanks so much for the reply 🙂 Based on the videos u suggested above ,i think I do have ethnic pigmentation... I think I'd wait till my 20s for any filler or prp , but till then, I'd try applying hyperpigmentation removing active ingredients on my eye area , and will swear by sunscreens ,and will see if I get rid of them naturally without any cosmetic procedures.. Thanks again doc..

@AmiyaPrasadMD Жыл бұрын

Hi@@amiisonyondan244, You're welcome. Aside from sunscreen, I suggest you consult your doctor about the products you intend to use to make sure they don't make the situation worse. There are many products, especially over-the-counter creams that may not do much, or may potentially harm your skin.

@Steve.Maverick 3 күн бұрын

Is there any work or research being done on any kind of permanent filler? It feels like none of these options are great, given that fillers are temporary and an ongoing expense, implants don’t change with your face, and fat grafting is unreliable.

@AmiyaPrasadMD 2 күн бұрын

Hi @Steve.Maverick, There are permanent, and semi-permanent fillers made of PMMA (polymethyl-methacrylate). Since this material resists metabolization by the body, they are highly prone to complications like infection, foreign body rejection, and can break apart with time, reaching deeper tissues. Surgical removal of permanent, and semi-permanent fillers is extensive surgery, and not all of it may be removed. You can refer to this video about it - kzfaq.info/get/bejne/ecB6Y5ijz8faY6c.html The metablization of hyaluronic acid fillers without incident is a good thing because it means they are biocompatible with the body, so infections, and foreign body reactions are avoided. You can refer to this video about the safety of hyaluronic acid under eye fillers - kzfaq.info/get/bejne/oqdmnMilqNy-lmw.html

@Steve.Maverick 2 күн бұрын

@@AmiyaPrasadMD hi again, are you saying that there are no good permanent solutions? I’m not keen on the idea of acid fillers since they are such a short term ongoing expense. Are there any safe permanents fillers that have low complications risks?

@AmiyaPrasadMD 2 күн бұрын

Hi@@Steve.Maverick, As I tried to explain in my previous comment, it is the resistance to metabolization that makes semi-permanent, and permanent fillers prone to complications. As featured in the video, silicone facial implants can last longer than filler, but they are not permanent since facial dimensions change with age, so they will eventually need replacement. However, many people find facial implants uncomfortable once they actually have them. You can refer to this video about why there are very few permanent treatments because treatment does not stop aging - kzfaq.info/get/bejne/iuCBgqahmri2qok.html

@blondy8021 3 ай бұрын

But I’ve had filler for my deep under eye hollows, and I can honestly say with my certain anatomy I can’t get the desired volume I want with them and it leaves tiny little bumps on my skin from the filler injections. I’m considering tear trough implants.

@AmiyaPrasadMD 2 ай бұрын

Hi @blondy8021, Sorry to hear about your problem. The little bumps in the skin are likely from the way your treatment was performed with multiple pokes through skin, not due to the filler itself. I avoid bumps by minimizing the pokes through the skin. While I do perform tear trough implant surgery, a common concern for patients is that they don't find them comfortable. The appropriate viscosity of filler used in the under eyes does feel more natural than a silicone implant. I hope this clarifies things for you.

@dakshbajaj1255 8 ай бұрын

Doctor please reply to my comments

@AmiyaPrasadMD 8 ай бұрын

Hi @dakshbajaj1255, I just did.

@dakshbajaj1255 9 ай бұрын

Awaiting reply!

@AmiyaPrasadMD 8 ай бұрын

Hi @dakshbajaj1255 , When appropriate I use custom implants, placed transconjunctivally. I hope this clarifies things for you.

@dakshbajaj1255 8 ай бұрын

@@AmiyaPrasadMDthank you so much. How do I send my photos for evaluation. If it’s a bony hypoplasia then are implants recommended as in like for like? And if its soft tissue problem then are fillers recommended?

@AmiyaPrasadMD 8 ай бұрын

Hi@@dakshbajaj1255, I hope you understand that I can't recommend specific treatments without a physical examination, and just based on pictures alone. Pictures help, but they don't reveal details of internal anatomy. Also, I can't recommend procedures where someone else performs them as they will likely be done differently than I would do it. You would need to have a formal consultation before I recommend treatment for you.