Nonsurgical Technique Can Rejuvenate Old, Tired Eyes

During the natural aging process, the characteristics of the eyes change in predictable but aesthetically unappealing ways: the skin thins and loses elasticity, brows begin to descend, the upper lid can recede or enlarge, and the bones around the eye become more prominent. Though the standard for enhancing the look of aging eyes has been surgery, injectable treatments are becoming a viable alternative for taking years off of eyes.

An article appearing in the Aesthetic Surgery Journal, a publication of the American Society for Aesthetic Plastic Surgery, offers details about the use of hyaluronic acid fillers as a reliable and long-lasting technique for improving the look of eyes. Hyaluronic acid has been used to treat the brow and upper lid since its introduction in 2005, using a technique similar to fat injections.

Author of the article, Val Lambros, MD, prefers to use hyaluronic acid for brow volumizing because he says contouring is easier, and the filler is less subject to variability than biologic fillers. In the brow area, hyaluronic acid has demonstrated long lasting effects, extending beyond two years. Additionally, the effects of hyluronic acid can be reversed immediately using hyluronidase, should the patient have any displeasure with the results.

Dr. Lambros claims, “Brow volume procedures should not be overdone; more is not always better. Most candidates for brow improvement with hyluronic acid elect to begin treatment with small amounts of product, and are very satisfied with the results.” Dr. Lambros is able to offer his patients a preview to their final look by giving temporary volume to their brow with a diluted local anesthetic that is threaded into the brow and molded into shape. If desired, the patient can then opt to undergo the surgery immediately following the preview, since the brow is already anesthetized.

The Aesthetic Society warns that the use of injectable fillers in the brow is a complicated process that requires great skill and experience. Ronaldo Saltz, president of the society, states, “Because of its dependency on technique, only qualified injectors and board-certified plastic surgeons should be performing this procedure. When performed properly and by appropriate medical professionals, the use of hyluronic acid fillers is safe, effective, and produces long-lasting results.”


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