Cosmetic Procedures


Laser Skin Resurfacing

Laser skin resurfacing is a relatively new laser procedure used to improve the appearance of the skin. With great control and precision, the laser removes the sun-damaged superficial layers of the skin in order to treat wrinkles, superficial scarring, or facial pigment abnormalities. When the skin heals, the new skin layers are tighter and the wrinkles are less apparent.

The laser can be used to treat the entire face or can be limited to the fine wrinkles around the eyes and mouth. Aging, cigarette smoking, and a lifetime of sun exposure are some of the factors associated with wrinkles. Laser skin resurfacing can be used in conjunction with a face-lift procedure in order to tighten and reposition loose skin on the face and neck and diminish fine wrinkles. Younger patients who are not yet candidates for a face-lift may be candidates for the laser procedure.

Laser resurfacing can be done as an outpatient procedure using local anesthesia. If the entire face is treated or if this procedure is combined with other cosmetic procedures, intravenous sedation or a general anesthetic might be necessary. The procedure can last from a few minutes to two hours depending on the treatment area.

After surgery, the treated skin must heal, much like any wound that removes skin. There is significant swelling of the treated skin, especially around the eyes and lips. New skin layers take five to ten days to grow, depending on the depth of treatment with the laser.

Laser skin resurfacing has advantages over traditional resurfacing methods such as chemical peels and dermabrasion. Healing is generally quicker and there is less postoperative discomfort. While there is similar redness and swelling after surgery, there is less chance of scarring or skin pigment changes.

You will need a consultation with your physician to determine if you are a candidate for laser skin resurfacing in combination with other types of cosmetic surgery or as an alternative to other procedures. It is important to tell your doctor if you have had previous cold sore infections, are using the drug Accutane, or have any other conditions that might interfere with the normal healing process.


As we mature, the delicate skin around the eyes can appear puffy, saggy, or droopy. Eyelid skin stretches, muscles weaken, and the normal deposits of protective fat around the eye settle and become more prominent. The surgical procedure to remove excess eyelid tissues (skin, muscle, or fat) is called blepharoplasty.

Blepharoplasty can be performed on the upper eyelid, lower eyelid, or both. The surgery is performed for either cosmetic or functional reasons. Sometimes excess upper eyelid tissue obstructs the upper visual field or can weigh down the eyelid and cause the eyes to feel tired. Most often, people choose blepharoplasty to improve their appearance by making the area around their eyes firmer. When blepharoplasty is performed to improve vision rather than for cosmetic reasons only, the costs may be covered by your health insurance plan.

Blepharoplasty for the lower eyelid removes the large bags under the eyes. It is unusual for third-party payers to cover lower-lid blepharoplasty.

The surgery is usually performed on an outpatient basis and can take one to three hours. Upper-eyelid incisions are made in the natural crease of the lid, and lower-lid incisions are made just below the lash line. A procedure for lower-lid blepharoplasty, known as transconjunctival lower-lid blepharoplasty, removes or redistributes excess fat through an incision inside the lower lid. The incisions are closed with fine sutures.

Swelling, bruising, and blurry vision are common after blepharoplasty. Stitches are removed three to five days after surgery, except in the case of transconjunctival blepharoplasty, where the self-dissolving sutures require no removal.

Possible complications associated with blepharoplasty include bleeding and swelling, delayed healing, infection, drooping of the upper or lower eyelid, asymmetry, double vision, and dry eye, to name a few. It is important to note that the puffiness of the fat pockets may not return, but normal wrinkling and aging of the eye area will continue.

Botox Injections

Botox is the trade name for botulinum toxin. In its pure form, botulinum toxin is a poisonous neurotoxic protein that is found in certain spoiled foods and causes muscle weakness. It acts as a nerve impulse blocker, preventing muscles from contracting. In an extremely dilute form, botulinum toxin has many medical applications.

Botulinum toxin is used to treat ocular conditions such as blepharospasm, an excessive contraction of the eyelid muscles that forces the eyelids closed, and hemifacial spasm, an excessive contraction of the facial muscles on one side of the face. When the toxin is injected directly into the muscles of the face or the eye, it causes the overactive muscles to relax. It usually takes a few days for the therapeutic effects to be noticeable, and the injections may need to be repeated every four to six months.

Botulinum toxin also is used to treat certain kinds of double vision. The toxin is injected directly into the eye muscle opposite the paralyzed muscle.

Botulinum toxin can also be used for cosmetic purposes to soften wrinkles around the eye. It can also weaken the brow muscles in order to diminish the deep furrows or frown lines that may appear in the middle of the forehead.

Side effects of the injections are temporary. They can include a droopy upper eyelid, double vision, and being unable to close the eyelids.

Cosmetic Fillers

Cosmetic fillers are materials used by physicians to restore volume and fullness to the skin of the face in order to correct mild, moderate, or severe facial wrinkles and folds. Areas treated include the forehead and around the eyes as well as lines from the nose to the corners of the mouth (nasolabial folds), in addition to other depressions such as acne scars.

Common cosmetic fillers include hyaluronate, a biodegradable and fully biocompatible substance that can provide volume and fullness to the skin. Collagen, derived from animals like cattle, is also used but may produce allergic reactions in some people. An allergy test is needed before treatment with collagen injection. Fat injection, using a patient’s own adipose tissue taken from the abdomen, thighs, or buttocks, can also be used. Other injectable fillers include resorbable suture material (polyglactic acid) and biocompatible calcium hydroxyl appetite microspheres that are suspended in an injectable gel.

Injectable fillers plump up the skin to smooth away facial lines and wrinkles. In contrast, botulinum toxin (Botox) is a drug that relaxes the muscles underlying the wrinkles. One product does not necessarily replace the other product, and often they are used together in different areas of the face to provide the most natural line and wrinkle reduction.


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non surgical aesthetic treatments

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Laser Skin Resurfacing