Aging of the face is a multifactorial event. There is surface ageing, manifested in complexion changes, fine lines, overall loss of elasticity and dryness. Then there is ageing mediated by loss and redistribution of volume and structure, presenting itself in deep nasolabial folds and sunken eyes. Furthermore the weakening of muscle tone results in jowls and a sagging neck.
Our approach to facial rejuvenation is thus multifaceted and guided by our credo of "less is more."
Blepharoplasty (Eyelid Surgery)
By removing excess fat, skin and muscle from the upper and lower eyelids, blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes. It is typically a cosmetic procedure but can also improve vision by lifting droopy eyelids out of the patient's field of vision. Blepharoplasty cannot be used to raise the eyebrows or reduce the appearance of wrinkles, crow's feet or dark circles under the eyes, but the procedure can be combined with others such as a facelift and Botox® treatments to achieve these results.
The procedure is usually performed in an office with local anesthesia and lasts 45 minutes to a few hours depending on how much work is done. Incisions are made along the eyelids in inconspicuous places (in the creases of the upper lids, and just below the lashes on the lower lids). The surgeon removes excess tissue through these incisions and then stitches them closed with fine sutures. In the case that no skin needs to be removed, the surgeon will likely perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid and there are no visible scars.
Stitches are removed after three or four days and most people return to work in ten. Contact lenses may not be worn for two weeks. Eyes can be sensitive to light and wind and may be slightly irritated for a short while; your surgeon may prescribe eye drops and cool compresses to counteract these discomforts.
Complications from the procedure are uncommon, and can include: infection, reaction to anesthesia, double or blurred vision for a few days, temporary swelling of the eyelids, tiny whiteheads, and difficulty closing eyes when going to sleep. Uneven healing and scarring, and ectropion (pulling down of the lower lids) are very rare and may require surgical correction. Patients with thyroid problems, dry eye, high blood pressure, diabetes, detached retina, glaucoma or other health problems should consult with an ophthalmologist about eligibility.
(Structural Adipose Reconstruction- STAR)
A person's own fat is a natural choice when considering filling substances for facial rejuvenation. Did you know that it can be used to create a fuller, more youthful appearance? And that your own fat offers no chance of an allergic reaction and can be used in greater quantities to maximize enhancement?
Through injections of your own fat into the deep layers of facial tissue or the back of your hands, Dr. Weissmann and Dr. Mehrel can reestablish your face's and hands youthful appearance.
Fat Injection Treatment or STAR is a multi-step process that requires several office visits. First, the fat must be harvested from your own body, typically from the abdomen, thighs or hips through in-office tumescent liposuction, and then it must be prepared for injection. The physician will inject part of the harvested fat and save a portion for touch-ups at a later date. All unused fat is frozen and securely stored.
The longevity of injected fat varies, with some patients reporting outstanding long term results. Much of this depends on age and other individual factors. Fat contains stem cells which may explain the longevity.