Dear Dr. Seckel, How would the LaserLyte Lift affect the need to have an Arcus Marginalis Release and a blepharoplasty. At 35 years of age, I am noticing some need of maintenance, nothing severe, never ending dark circles under eyes and fine lines around eyes and forehead. If one goes through the non-surgical face-lift lift program, is there any chance that the eye area could improve, or would the blepharoplasty and arcus marginalis release still be required? If both procedures would be necessary, what would be the correct order to have the procedures? Thank you, Heather, Indianapolis, IN
Dear Heather,
Thank you for your very sophisticated question. You have a good knowledge of plastic surgery of the eyelids.
Dark circles under the eyes are the one facial problem that cannot yet be corrected with non-surgical facial rejuvenation techniques. While the ActiveFX laser skin peel orLaserLyte Peel can improve eyelid wrinkles and skin aging changes, neither the LaserLyte Peel or the LaserLyte Lift can correct dark circles under the eyes. To correct dark circles under the eyes and remove puffy eyes or eye bags under the eyes a transconjunctival laser blepharoplasty with arcus marginalis release and fat repositioning or grafting is required.
The two procedures can be sequenced either way. I frequently do the transconjunctival laser blepharoplasty with arcus release and fat repositioning and the ActiveFX laser skin peel at the same operation, thus correcting eye bags, dark circles under the eyes, eye bags, puffy eyes, and eyelid aging changes such as eyelid wrinkles and skin irregularity and laxity at the same time.
By combining both procedures you will have the benefit of the correction of the eyelid wrinkles and dark circles under the eyes and eye bags at the same time. When these two procedures are combined I usually do a canthopexy and orbiculopexy to tighten the eyelid and prevent ectropion or sagging of the corner of the lower eyelid by skin tightening created by the laser peel.
For more information on dark circles under the eyes, eyelid wrinkles, blepharoplasty and plastic surgery read Save Your Face or contact me.
Thank you,
Boston, Massachusetts