Many people complain that their eyelids make them look “tired” or that they have dark circles under the eyes. At Baucom & Mina Derm Surgery, LLC, we offer a number of treatment approaches to refreshing the eye area.
We emphasize that a customized approach to each patient is necessary to address his or her concerns. Individual procedures from the following list may be utilized or, frequently, some procedures are combined to provide the best result.
Blepharoplasty (or “eyelid tuck”) Most commonly performed on the upper lids, this surgery removes excess skin and possibly protruding fat to recontour the lid. We perform eyelid surgery using local anesthetics and some medication to help the patient relax; we thus avoid the risks associated with general anesthesia. As a relaxing medication has been given and the eyelids can be swollen following the surgery, the patient is required to have someone drive him or her home. The incision heals in about 5 days and the sutures dissolve. Patients considering this procedure should expect some degree of bruising and swelling that may be noticeable for a week or so.
Botox Botulinum toxin can be carefully injected around the eye and brow area to reduce dynamic squinting and “crow’s feet;” often one can obtain a modest lift of the lateral brow if this is desired.
Chemical and laser peeling Resurfacing procedures are used to improve the overall texture and quality of the skin itself. Many sun spots and fine lines are significantly improved with these procedures. Typically the entire face is addressed at the same time to provide a unified enhancement.
Fillers and fat grafting Dark circles under the eyes are often really grooves with shadows. These grooves (or “tear troughs”) can be inherited, or can develop as part of the volume loss that occurs in the face as part of aging. Limited cases can often be addressed with an injectable filler agent, commonly a hyaluronic acid gel (brand names Juvederm and Restylane). More extensive volume loss will be more appropriately corrected with a fat transfer/fat grafting procedure where fat is suctioned from one area and injected to another.
Retinoids and sunblocks A topical skin care regimen may also be prescribed to improve the skin. We, of course, recommend a daily sunblock with a minimum SPF of 15. Retinoid creams (Retin-A, Renova, etc…) are utilized to stimulate the skin to manufacture new collagen and to refresh the surface of the skin. These are prescription agents that are applied at night.
Other Facial Plastic Surgery Some patients will have cosmetic issues that are better approached with a more extensive surgical approach. For example, some patients will complain of heavy upper lids but in reality have brows that have sagged and need to be lifted. Other patients will have such skin laxity that some sort of face lift procedure is indicated. We will assist in referring you to facial plastic or general plastic physicians that have specific experience in these procedures.