Eyelid Surgery vs. Cosmetic Injectables

To address signs of aging, many of my patients seek eyelid surgery, also known as blepharoplasty, or cosmetic injectables such as BOTOX® Cosmetic, Xeomin®, and Dysport® achieve a more youthful look. I perform eyelid surgery to eliminate the excess skin and puffy fat pads on the upper and/or lower eyelid that contributes to an aged, tired appearance. Cosmetic injectables are designed to rejuvenate the appearance of the skin around the eyes, but there are a few differences to be considered with each of these treatments.

eyelid surgery and facial fillers atlanta gaBOTOX® Cosmetic, Xeomin®, and Dysport® contain a purified form of Botulinum that temporarily relaxes the muscles that cause wrinkles between and around the eyes as well as the forehead that form with age and repeated facial expressions. Because the products are injected into the muscle, they are eventually absorbed and eliminated by the body, and must be re-injected every 4-6 months to maintain facial rejuvenation results. For patients looking to address other areas of the face such as the cheeks, chin, lips, or nasolabial folds, I offer a variety of facial fillers including Restylane®, Juvéderm®, Voluma™, and Radiesse®.  While all of these types of injections target the signs of aging, they do not permanently stop the aging process. Additional treatments are necessary to maintain results.

In addition to the wrinkles that injectables treat, the inelastic skin of mature eyes can begin to droop and cause a “hooded” appearance. Upper blepharoplasty permanently removes the excess skin and fat pads (if necessary) of the upper eyelid with an incision hidden neatly within the eye’s natural crease.  Many patients assume that they need an upper blepharoplasty when their eyebrows begin to droop and sag. However, as you age, the skin on your forehead begins to stretch, causing wrinkles and even droopy eyebrows. In this instance, a brow lift (forehead lift) can better rejuvenate a more youthful appearance. Sometimes, this procedure is even combined with blepharoplasty for total eye rejuvenation.

As the skin ages, it also becomes thinner and easier to see the fat pads and dark vessels that appear under the eyes. Lower eyelid (conjunctional) blepharoplasty utilizes a discrete incision along the inside of the eyelid to remove fat from underneath. In addition to fat pad removal, some patients may also benefit from laser skin resurfacing or removal of excess skin in the area to treat the surface symptoms of aging.  If necessary, both blepharoplasty and skin resurfacing/ skin excision can be performed simultaneously.  While the eyes do continue to age after any facial cosmetic surgery procedure, be it surgical or non-surgical, the signs become much less pronounced by addressing the folded, excess tissue.

If you are interested in eyelid surgery, or any of the cosmetic or reconstructive procedures I perform, please contact Southern Plastic Surgery, P.C. today. Also, connect with me, Dr. David Whiteman, on Facebook, Twitter, and Google+ for the latest plastic surgery news.

What Causes Aging?

“Wrinkles should merely indicate where the smiles have been.” ― Mark Twain

There are multiple factors that can contribute to the aging process including toxins, sun exposure, stress, nutrition, and gravity, which all cause the deterioration of the suppleness of our skin. Though I perform various facial plastic surgery procedures including facelift, mini facelift, and blepharoplasty, I continue to remind patients that it is important to keep realistic expectations and understand that plastic surgery does not slow down the body’s natural aging process. In addition to surgery, there are also everyday regimens that can all help aid in prevention.

breast implantsIn an article on U.S. News “Fight These 4 Causes of Aging,” nutritionist and author of The Most Effective Ways to Live Longer, Jonny Bowden declares that we indeed can control the rate at which the signs of aging appear. According the Bowden, 5 to 20 percent of aging derives from genetics and the rest are caused by diet and lifestyle choices.

By exposing yourself to free radicals such as trans fats, cigarettes, overcooked meats, or fruits containing pesticides and herbicides, you’re speeding up the aging process as they contain chemically unstable molecules which attack our cells and harm our DNA. Inflammation plays a vital part in many diseases of aging such as cancer, heart disease, diabetes, and Alzheimer’s which is caused by the immune system attacking healthy cells and tissues. Engaging in daily physical activity and consuming anti-inflammatory foods such as whole grains, salmon, vegetables, nuts, avocados, or dark chocolate can aid in reducing your chances of having a heart attack. Excessive sugar intake can also increase your risk of heart disease and diabetes as the sugar collects, causing blood to not smoothly run through capillaries and into vital organs.

Stress is a large contributing factor to the aging process as it causes the release of multiple stress hormones that heighten your blood pressure. It is known that stress is one of the leading causes of weight gain and noticeable signs of aging. One of the best ways to minimize stress is by making sure to get the recommended 6-8 hours of uninterrupted rest. When we sleep, our bodies go into “repair-mode” to mend the damage from daily activities by replacing old cells and stimulating new skin cell growth.  When our bodies are not able to get enough rest, they become stressed and release increased amounts of the hormone cortisol. An increase in cortisol can affect the skin’s collagen production, which is beneficial in preserving the skin’s elasticity, and can lead to the formation of wrinkles and fine lines.

While I offer various facial and body procedures, I place the utmost importance on patients leading a healthy lifestyle in order to preserve successful and aesthetically-pleasing results. If you’re looking to make the first steps towards healthy lifestyle changes, our in-house NESTA Weight Management Specialist, Jackie Madison is here to help. With the Lifestyle & Weight Management program, Jackie will help coach you through your pre and post-surgery time period by teaching you how to commit to an active lifestyle, achieve weight loss and weight management goals, provide effective eating habits, manage your time and assist with battling stress.

If you are interested in any of the cosmetic procedures I perform, please contact us today. Be sure to connect with me, Dr. David Whiteman, on FacebookTwitter, and Google+ for plastic surgery news.

Am I a Candidate for Eyelid Surgery?

Though it may be true that we cannot stop aging in its tracks, luckily there are various cosmetic facial procedures that double-board certified plastic and reconstructive surgeon Dr. David Whiteman offers in order to help you achieve a more youthful and vibrant appearance. Often, one of the first places to show the signs of aging is the eyes. Dr. Whiteman performs blepharoplasty, or eyelid surgery, to eliminate the tired appearance aging eyes can cause.

eyelid-surgery-atlanta-georgiaAccording to the American Society of Plastic Surgeons (ASPS), over 215,000 eyelid surgeries were performed in 2013 with a six percent increase since 2012. Patients who are good candidates for blepharoplasty are individuals that lead a healthy lifestyle and who don’t have any medical conditions that can impair healing. It is imperative to discuss any pre-existing conditions you suffer from including thyroid disorders, cardiovascular disease, high blood pressure, or diabetes during consultations to ensure patient safety and minimize risks of complications.

As we age, skin loses its elasticity, often causing the upper eyelids to droop and form excess skin on the lower eyelids. Having the appearance of tired eyes is due to the formation of fat deposits underneath the eyes. These effects can potentially cause impaired vision if the excess skin on the eyelids creates a blanket over the eye’s crease. In order to treat patients with such concerns, Dr. Whiteman removes the excess fat, tissue, and skin around the eyes, providing a more alert look for the patient. If a patient requires upper blepharoplasty, Dr. Whiteman reduces the amount of lax skin and creates a natural-looking crease. If lower blepharoplasty is needed, puffy fat pockets under the eyes are removed to provide a more well-rested appearance.

If patients want to maintain their blepharoplasty results, Dr. Whiteman may suggest opting for facial fillers, like Juvéderm, for example, or Botox®. To obtain overall rejuvenation patients frequently combine their eyelid surgery with other facial procedures such as a rhinoplasty or facelift. You may also consider our Eye Package, which helps to maximize the benefit of the procedure.

If you are interested in eyelid surgery, or any of the cosmetic or reconstructive procedures Dr. Whiteman performs, please contact us today. Also, connect with us on FacebookTwitter, and Google+ for the latest plastic surgery news.