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Fillers or Blepharoplasty: What is the Best Option for You?

Fillers or Blepharoplasty: What is the Best Option for You?

Blepharoplasty Highlands, NCThe eye area is a point of concern for many adults. Several different problems under the eyes can cause frustrating problems, such as puffy bags, lines or dark circles. These can be caused by the stretching of the eyelid skin, descent of the tissues or loss of supporting tissues. You may have heard of filler treatment for under-eye problems like these and that there is a surgical procedure, lower blepharoplasty, that can improve the appearance of the under-eye. Both provide an excellent opportunity for a younger, fresher looking face, but it is likely that one is a better option for you based on your desired outcome, what caused the problem and your preferences. Here, we discuss details of blepharoplasty and fillers to set you on your best path.

Procedural Similarities and Differences

Blepharoplasty is an eyelid surgery that is performed as an outpatient procedure. It is best for those who have too much skin in the under-eye. In most cases, unless cheek elevation also needs to be done, the procedure can be done in the office with local anesthesia. Our blepharoplasty techniques are conservative, focusing on removing excess and repositioning tissue to achieve an excellent, long-lasting contour beneath the eyes. Lower blepharoplasty surgery can take anywhere from an hour to several hours, depending on the degree of change needed to achieve the desired outcome. Recovery is rapid. Sutures are removed in 3-5 days and most swelling and bruising resolve in 10 days to 2 weeks. You can resume most activities in several days.

Filler treatment is done in the office and can be done with local anesthetic if needed or a topical numbing cream can be applied to the skin. The treatment itself usually takes less than an hour, and all fillers we use contain a numbing medication so any sensation is minimized. They are ideal for those who have simply lost volume and have minimal excess skin. A filler below the tear trough at the upper cheek can restore volume to the area and diminish the appearance of both hollowness and puffiness. By smoothing the area, shadows and highlights are eliminated reducing “dark circles.” You do not need to take time off work or social obligations to recover from filler treatment. If, instead of an off the shelf filler, you opt for fat grafting, recovery is almost the same.

In some people, a combination of treatment may be the most reasonable. In fact, we have stopped doing cheek lifts and, instead, combine Blepharoplasty and filler or fat grafting.

The results of blepharoplasty last years. The eyes will always look younger than they would have had a blepharoplasty never been performed. However, the area will continue to age over time and further treatment may be desired again in the future. Fillers, on the other hand, are partially absorbed naturally by the body over time. This means that some of the filler is permanent having been used by the body to create new collagen, the building block of the tissues. Because the filler we use for eyelid rejuvenation is the longest lasting one available, it lasts minimally two years and has lasted significantly longer, in one case, well over 4 years.

There are pros and cons to both forms of eyelid rejuvenation and each has a specific problem where it is ideal. For further information and to find out whether fillers or blepharoplasty would be best for you, call our Highlands office at (828) 526-3783.

Face the Fat: Fat Injection Vs. Fat Reduction

Fat Injection Highlands, NCYou see the word “fat” and your initial reaction may be negative. Presently, this may be because our society is focused on general obesity and the negative aspects of fat. However, fat also can be beneficial. The 2 aspects may be combined.

At the Center For Plastic Surgery, we offer procedures that involve both adding fats to areas of deficit and removing it for a slimmer physique, both to provide a better appearance. So, what are these procedures? Let’s take a closer look.

Fat Injections

As we age, we gain fat in many places of our body, but our faces and hands generally lose fat and look older because of it. Our skin also loses collagen and elastin and develops fine lines and wrinkles made worse by loss of fatty support. Adding fat to these areas can reverse many of these signs of aging.

Fat injection removes fat from one part of your body (typically the abdomen, under chin, flanks, upper thighs, etc., places where you have extra) and then, after processing, injects it to alleviate lines, wrinkles or depressions or to improve contour. In fact, fat can be used anywhere a commercial filler such a Juvéderm™ is used. Although not all of the fat cells injected will survive, one of the unique benefits of a fat injection procedure is that results are typically permanent. Most areas injected are, therefore, slightly overfilled so the final result is close to what is desired.

Fat Reduction

In most instances, additional body fat can be unhealthy or contribute to poor self-esteem or both. Reduction of unhealthy fat involves dietary changes to reduce intra-abdominal fat. We generally refer to it as losing waist instead of weight. Once this is done, fat reduction of the external fat can improve your appearance and, thus, self-esteem. To help you do this, we offer two alternatives depending on the location and amount of the residual fat: liposuction and Zerona non-surgical laser treatment.

  • Liposuction: Liposuction has been used for over 30 years and is one of the most popular cosmetic procedures. It involves numbing the area of localized fat and removing the fat by essentially suctioning it using very small tubes through small entry points.
  • Zerona: Zerona is a non-invasive laser fat reduction procedure requiring no numbing and without surgery designed to remove larger areas of fat or help jump-start weight loss.

Like with most things in life, there are both benefits and problems with fat. If you want to learn more about either adding it or removing it to improve your appearance, schedule your consultation at our Highlands office today: (877) 526-3784.