Dr. Batniji reviews upper and lower eyelid procedures. read more>
How do you choose which one Ultherapy or Elixis is best for you?
Both Ulthera and Exilis are non-invasive skin tightening procedures. Ulthera utilizes ultrasound while Exilis utilizes radiofrequency. In an effort to achieve the desired result, a series of treatments may be of benefit. One question that remains to be answered is how long the results last from either of these modalities. For patients seeking brow lift, I favor an endoscopic brow lift to achieve the desired result, with or without an upper eyelid lift( the decision for upper lid lift is determined based on how much excess upper eyelid skin is present.
A common question that many patients have before having a blepharoplasty is how soon they can wear makeup again. This is an understandable concern, but patients should follow all of their surgeon’s instructions for recovery.
After sutures have been removed (usually one week after surgery) and the swelling has subsided, some patients may wish to try to camouflage post-op discoloration. Some patients find this helpful while others do not feel it makes the area look any better.
Before using any sort of eyelid makeup after eyelid surgery, make sure that your surgeon thinks that it is safe. Do not apply any product directly on an open wound. This could cause an infection or permanent discoloration. It is also a good idea to use brand new makeup products to reduce the chance of contamination.
Pre-application of an eyelid moisturizing cream may make the application of any makeup easier, especially if the eyelids are tender. You should use a fresh sponge or cotton swab to apply makeup to the eyes and avoid heavy application. Do not use makeup with glitter or frosting because the particles may irritate the skin.
To conceal bruising, a regular foundation may be applied over a thin colored cream chosen to be the opposite of the color of the bruising. If the bruising is red, use of a thin green cream is effective. If the bruising is purple, use of a yellow cream conceals better. If bruising is yellow, it means that it is almost gone and you may wish to avoid anything more than your regular makeup. Mineral makeup or post-surgical makeup is often best and your surgeon or surgeon’s staff should be able to recommend a product for you.
After eyelid surgery, do not divert from your physician’s instructions for recovery without his or her explicit permission. Use the products that he or she suggests. If you are interested in blepharoplasty, the recovery process, or which types of makeup products are safe to use, contact Dr. Batniji of Batniji Facial Plastic Surgery in Newport Beach, California, today for a consultation at (949) 650-8882.
Many people have heard of eyelid surgery, or blepharoplasty, which improve aging conditions of the eye area, including sagging upper eyelids and puffy under-eye bags. However, there’s another, lesser-known form of eyelid surgery: Asian blepharoplasty. Also known as "double eyelid surgery", this is a type of cosmetic surgery where the skin around the eye is reshaped with the purpose of creating an upper eyelid with a crease (double eyelid) from an eyelid that is naturally without a crease (single eyelid). Patients have this procedure to have a brighter, more aware look and to make it easier to apply eyeliner.
Patients considering blepharoplasty should first consult with a board certified facial plastic surgeon. During your consultation, you and the physician should discuss the specific concerns you have regarding your appearance. Before you leave the consultation, you should have a clear understanding of the outcome of the procedure as well as the potential risks. You should take any preventative measures that your doctor recommends such as limiting tobacco use.
Blepharoplasty is performed under general anesthesia. The operation typically takes one to three hours to complete. Initial swelling and bruising resolve in one to two weeks but at least several months are needed for full recovery. There will also be scarring. Following the procedure, patients may experience light sensitivity, tearing, and swelling. Patients should avoid wearing contact lenses for 2-3 weeks after the procedure.
The vast majority of patients who choose to have ethnic rhinoplasty do not want to have a more western appearance. Many are dissatisfied by what looks like swelling behind the eyelid. Patients should be wary of any physician who is pushing them to change their ethnic appearance.
Blepharoplasty is a complicated procedure that varies for each individual based on their facial structure and individual desires. Patients should be sure to find a surgeon with extensive experience in ethnic blepharoplasty. He or she should also have plenty of before and after pictures for you to compare. Dr. Rami Batniji is a board certified facial plastic surgeon with particular expertise in blepharoplasty and ethnic blepharoplasty. To learn more or to schedule a consultation, contact Batniji Facial Plastic Surgery of Newport Beach, California, today at (949) 650-8882.
What sort of results can I expect from eyelid surgery?
I perform upper eyelid and lower eyelid surgery. The indications for upper eyelid surgery include laxity of upper lid skin resulting in a hooded appearance of the upper lids. Trimming of this excess skin can result in a brighter, more open, appearance to the eyes. When it comes to lower lid surgery, there are several factors that play into the type of surgery and the expectations. For example, some patients may present with fullness of the lower lids, a crease or hollowness between the cheeks and lower lids, and a loss of volume in the cheeks. In this setting, we perform surgery to remove some of the fat that causes the fullness in the lower lids, transpose or re-position some of the fat into the areas of hollowness, and lift the cheek, thus resulting in a more youthful contour between the lower lids and cheeks.
I've heard that people often have eyelid surgery to fix drooping eyelids. My upper eyelids look puffy all the time. Can this be fixed with surgery?
It depends. There are some medical conditions that cause puffy eyes, including allergies and thyroid disease. Surgery is not indicated for these medical conditions. However, if your issues are due to excess skin and/or excess fat of the upper eyelids, then an upper eyelid lift (blepharoplasty) is an excellent option for you.
Can malar bags be improved with an eyelid lift?
Malar bags are a challenge to treat. I would recommend an eyelid lift to address excess skin and/or fat of the eyelids, but I wouldn't recommend an eyelid lift specifically for the treatment of malar bags. Malar bags have several potential causes, including but not limited to allergies, lymphatic drainage, salt intake. Several treatment options exist, with variable results, including but not limited to laser, surgical excision, eyelid lift, radiofrequency, injection of medication, such as steroid and/or hyaluronidase.
I am 52 years old from Orange County, and look tired all of the time due to the dark bags under my eyes. It feels like fatty tissue. I would like the fat removed. Can this be accomplished with gentle liposuction or is blepharoplasty necessary?
Liposuction for the bags underneath the eyes is not a good option due to (amonth other things) thinness of skin, risk of contour irregularity, and injury to important anatomic structures. A preferred technique is blepharoplasty. The bags are usually due to fat pads we all have in our lower eyelids. If the fat pads are prominent, I perform blepharoplasty to address those fat pads. Usually, I re-position those fat pads into hollow areas in the junction point between the lower eyelid and cheek; this is called fat transposition or reposition. Sometimes, I remove the fat if there is a significant excess of fat. Dark color to the lower eyelid may be due to shadow effect from those fat pads, allergies, pigmentation within the skin, and/or blood vessels beneath the skin. I mention these factors because dark color to the lower eyelid may persist after surgery if it is not due to the shadow effect from the fat pads.
I had eyelid surgery done 15 years ago, and have recently become bothered by pockets of skin above and below my eyes. I believe I need a revision blepharoplasty surgery, but can I have upper and lower blepharoplasty done at the same time?
Yes, you can have both upper and lower eyelid surgery performed at the same time. If you had the upper eyelid surgery performed in the past, I would like to evaluate the position of your eyebrows. If the eyebrow position is low, you may benefit from an endoscopic brow/forehead lift to address the hooding of the upper eyelids. Regarding the lower eyelids, I would like to evaluate the relationship of the lower eyelids to the cheeks. In patients who had previous lower eyelid surgery, they sometimes benefit from addition of volume to area of hollowness between the lower eyelid and cheek. That volume can be achieved with transposing or re-positioning the fat pads of the lower eyelid into areas of hollowness. In patients with previous lower eyelid surgery, there may not be enough fat to re-position. In this case, a non-surgical option is injection of hylauronic acid filler (such as Juvederm) to correct hollowness and create a more youthful contour between the lower eyelid and cheek. Finally, if the skin of the lower eyelid is crepe in appearance, a skin resurfacing procedure, such as fractionated CO2 laser or chemical peel with either Jessner's solution plus 35% TCA peel or an 88% phenol peel, may be of benefit for you.
Although I feel rested and youthful, my eyes look tired. What kind of techniques do you use for people like me?
Most of my patients wish to address heaviness or hooding of the upper eyelid. Hooding of the upper eyelid may be due to excess skin of the upper eyelid. If this is the case, then I recommend an upper eyelid lift, also known as an upper blepharoplasty (click here for more information on upper eyelid surgery). Occasionally, the hooding of the upper eyelid may be due to the eyebrows. Over time or for hereditary reasons, the eyebrows may drop slightly. If your eyebrow has dropped or is contributing to the hooding of the upper eyelid, I would recommend a brow lift. I use an endoscopic technique to perform brow lift. For the crow's feet region, I may recommend Botox or skin resurfacing. For the lower eyelid, I may recommend either Botox, filler, skin resurfacing, and/or surgery (click here for more information on lower eyelid surgery/blepharoplasty).
I am a 42-year-old Asian woman. I have had bags under my eyes for the past 10 years or so, and they seem to be getting worse and worse as I age. The bags have a full appearance to them, not like loose skin. Would lower blepharoplasty work on someone like me?
|Rami K. Batniji, M.D, F.A.C.S. Facial Plastic Surgeon||949-650-8882||361 Hospital Road, Suite #329, Newport Beach, CA 92663|