04
Sep
Two patients can have the same amount of skin removed in an upper blepharoplasty and end up with completely different scars. Why? Very often, the difference comes down to something surprisingly simple: how the incision was closed. The Problem: Railroad Tracks and Suture Tun...
View More14
Sep
Most people who come in asking about their eyes have already decided what eyelid surgery is going to do to them. Usually they are wrong, and usually they are wrong in the same six ways. Blepharoplasty is one of the most requested procedures at the practice, and it is also on...
View More07
Sep
Under eye filler is marketed as a lunchtime treatment. In chair time, that is accurate. In difficulty, it is one of the least forgiving areas on the face, and injectors who work confidently in cheeks and lips treat the tear trough with far more caution. This is not an argume...
View More01
Sep
Patients rarely arrive using the words "tear trough deformity. " What they say is that concealer used to work and now it does not. That it sits in the groove and makes things look worse by the afternoon. That people keep asking whether they slept badly. The anatomy behin...
View More28
Aug
Not all upper eyelid surgeries are performed the same way. One of the biggest differences between techniques — and one most patients have never heard of — is what happens to a thin, delicate muscle called the orbicularis oculi. Meet the Muscle That Blinks for You The ...
View More26
Aug
"Should I just get filler? " It is the question most patients open with when they come in about their under eyes, and it is the wrong place to start. Filler, fat transfer, and lower eyelid surgery all address hollowing beneath the eye, but they solve different versions of the...
View More21
Aug
If you've been researching upper eyelid surgery (blepharoplasty), you've probably wondered the same thing most of our patients ask at their first consultation: "Will people be able to tell I had surgery? " The honest answer is that it depends enormously on technique — and on...
View More14
Aug
In surgery, some errors can be revised. Others are permanent. In upper eyelid surgery, one of the most consequential — and least discussed — permanent errors is removing skin too close to the eyebrow. The Eyebrow and the Eyelid: A Delicate Partnership The skin between...
View More11
Aug
Sixty-seven percent of facial plastic surgeons now report seeing more patients whose mainconcern traces back to rapid weight loss. That figure is up 45 percent in a single year, and fatgrafting has grown 50 percent for two years running. Those numbers describe something that isal...
View More11
Aug
"There is a new injectable for the neck now. Does that mean I can skip surgery? " That question has come up in nearly every neck consultation since the FDA approvedSKINVIVE by Juvederm for neck appearance in June. It is a good question, and the honestanswer depends entirely on wha...
View More10
Aug
The assumption that sends people down the wrong path A patient sits down in our Vista office and says some version of the same thing almost everyweek: "I've been getting BOTOX in my forehead for years and my brows are still heavy. I think Ineed more units. " Usually they do not ne...
View More30
Jul
Upper blepharoplasty — surgery to remove excess upper eyelid skin — is one of the most popular facial procedures in the world. It's also a procedure where the details of technique make an enormous difference in how natural, comfortable, and lasting your result will be. If you're ...
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