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Facial Rejuvenation!


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Dear Dr. Seckel, I think I need a cheek lift. I had a face lift 2 years ago, not by you but by someone else. I was bruised for several weeks and had a tough recovery. But now I still have sagging cheeks and sunken cheeks. I thought a face lift also was a cheek lift. How come my cheeks still sag and look sunken in? On your website the pictures of the face lift show full pump cheeks. Is there any way to fix sagging cheeks and sunken cheeks without surgery? I don’t want another face lift. You talk on your website about non-surgical methods-can you do a non-surgical cheek lift. I am 45, very fit and look young everyplace but my sunken, sagging cheeks. Please help, Brenda, Boston, Massachusetts

December 19th, 2008

Dear Brenda,

I am sorry to hear about your experience with sagging cheek and sunken cheek after face lift. I always try to make a cheek lift an integral part of any face lift I do. Often, many face lift procedures focus only on the neck and jaw line, and miss the cheek lift and one of the most important characteristics of a young face, full high cheeks, are not achieved. There are however exciting new non-surgcical liquid cheek lift techniques now available. These new non-surgical facial filler techniques can plump the cheek and mid face quickly and easily.

Full cheeks and high cheekbones are classic signs of a youthful beautiful face. Sagging and sunken cheeks make your face look older and create a tired look. Cheek lift is one of the common plastic surgery procedures but the new non-surgical liquid cheek lift can create a beautiful full looking mid face in a matter of minutes. New facial filler methods using Restylane, Radiesse, Juvederm and others for cheek lift can plump and lift the sunken or sagging cheek with minimal discomfort and no down time. New facial fillers are a safe easy non-surgical way to have a liquid face lift or cheek lift and keep your cheeks looking full and your face young.

What Causes Sagging Cheek and Sunken Cheek?

Babies and young children have chubby cheeks. That is because a structure called the malar (cheek bone) fat pad rests firmly on top of the cheek bone in children and young adults. People begin to think of a cheek lift after their face begins to age.

Skin aging causes sagging of the facial skin. Gravity pulls the cheek skin down as we age, and the cheek fat pad or malar fat pad slides off of the cheek bone and into the face. The effect is a sunken cheek on and below the cheek bone where the fat pad used to be.

Another effect is fullness and sagging cheek below the cheek bone in the mid cheek area closer to the nose and mouth. This aging and fullness also creates a fold of skin that hangs over the mouth, called the nose to mouth lines, nasal labial fold, or nasolabial fold.

As the sagging cheek gets worse, the skin folds fall down to the chin and jaw line area creating marionette lines and jowls.

What cheek lift or mid face rejuvenation should achieve

liquid-facelift-_final.jpg

Before and After face Lift on my patient. Notice the full cheek area after.

A young face should be round and full in the mid face; proper correction of the sagging or sunken cheek should create:

• A full, round plump cheek high on the cheek bone
• Correction of the sunken cheek look
• Lift of the nose to mouth lines or nasal labial fold
• Lift of the mouth
• Lift of the marionette line
• Lift of the jowl

Non-surgical cheek lift

New facial filler injections produce a beautiful mid face lift. Facial filler injections with Restylane, Juvederm, Radiesse, Perlane and other soft tissue fillers are safe, quick, effective methods to lift or plump the sagging or sunken cheek with minimal down time.

A newer technique called the liquid face lift uses strategically placed facial filler injections in the mid face and on the zygoma (cheek bone) to lift the cheek and restore a youthful look. Results can be fabulous and you avoid the scars and risks associated with a surgical cheek lift or mid face lift. Benefits of the liquid cheek lift procedure are:

• Full round high cheek
• Correction of sunken cheek
• Safe quick procedure
• No down time
• No surgery
• See a beautiful result immediately

How is the procedure done?

The liquid cheek lift takes only a few minutes. Your face will be cleansed with a special anti-bacterial soap. Numbing cream is applied to the face to minimize any discomfort during the facial filler cheek lift injection.

When I use the facial filler Radiesse, I actually mix xylocaine, an anesthetic, with the Radiesse filler so that the cheek area is numbed as I do the liquid cheek lift. If I use Restylane, Juvederm or Perlane, I cannot mix the anesthetic with the filler so I often give you a nerve block so that there will be no discomfort when I do the injection.

Many of my patients insist that I do not numb the area as they consider the cheek lift injections cause minimal discomfort. The actual injection of the Restylane, Radiesse, Juvederm or Perlane takes only a few minutes. The liquid cheek lift procedure is very quick, in my hands.

You will see your new plump youthful cheek immediately! No waiting for complicated recovery. Bruising is unusual with the facial filler cheek lift injection in this area.

What does the procedure cost?

Facial filler injections can cost $400-$900 per syringe of filler used. Prices depend on the particular filler used, and the skill and reputation of the doctor doing the filler injection.

Typically 2-3 syringes of filler are used to do the liquid cheek lift mid face plumping procedure. More extensive full face lifting filler injections may require more syringes, especially if the jowl and mouth area are to be lifted as well.

Learn more about this remarkable non-surgical cheek lift technique. The new non-surgical facial fillers are revolutionizing plastic surgery and facial rejuvenation. Now you can restore or maintain a full young looking mid face with minimal downtime or discomfort.

To learn more about non-surgical cheek lift call us at 978-369-4499 or email us. Read our free newsletter to learn about new techniques in facial rejuvenation. Read Save Your Face to learn how to prevent facial aging.

Dr Seckel
Concord, Massachusetts
Boston, Massachusetts

Dear Dr. Seckel, I am interested in an eye lift. Can an eye lift be done with the laser? My upper eyelids are hanging down tpo my eye lashes. My friend had an eye lift but she had a bad time. She was very bruised for several weeks and now she looks kinda surprised. I don’t want to look weird after an eye lift. I just want a small eye lift to get rid of the hoods. Is there an eye cream that really works for eye lift? I read that the laser is better. How come the Laser eyelift is better? Thanks, Patti, Boston, Massachusetts.

December 17th, 2008

Dear Patti,

Thank you for your question about eye lift. Expecting an eye cream to correct puffy eyes, bags under eyes, and eye hoods is like putting an aspirin on top of your head to cure a headache.

Modern eye lift eyelid surgery can rejuvenate the eyelids and remove tired eyes, puffy eyes, bags under eyes, eye hoods, dark circles and eye wrinkles with much less down time and fewer complications than ever before. New laser eye lift is faster with less bruising and no change in eyelid shape after surgery.

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What is so new is that the laser is used for eye lift surgery and a visible incision on the lower eyelid is no longer required. The new technique is called transconjunctival blepharoplasty meaning the incision for the lower eyelid surgery is made on the inside of the eyelid-thus no visible scar and no change in eyelid shape after your eye lift.

What Can Modern Laser Transconjunctival Eye Lift or Blepharoplasty Achieve?

• Remove Eye Hoods and Tired Eyes- As our eyes age loose skin develops on the upper eyelid and the tissue falls down over the eye lashes. This is called Dermatochalasis, but is commonly called eye hoods or tired eyes. New laser blepharoplasty uses the laser to remove the loose skin and reveals a bright, refreshed awake and youthful look to the eyes after the eye lift.

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• Remove Bags under Eyes and Puffy Eyes
- Eye bags and puffy eyes are corrected through a tiny laser incision made on the inside of the eyelid through the pink tissue called the conjunctiva-thus the term transconjunctival blepharoplasty. The benefits of the transconjunctival approach to eye lift surgery are:

1. No visible incision on the eyelid

2. No change in eyelid shape-traditional blepharoplasty through an external incision weakens the lower eyelid. The eyelid turns down at the outside corner creating a sad eyed or hound dog look. The modern transconjunctival eyelid surgery does not damage eyelid support so the beautiful lower eyelid shape is not changed

blepharoplasty-before-and-after-slide-163.jpg

• Remove Dark Circles under the Eyes-The new transconjunctival laser blepharoplasty eye lift can also be used to remove dark circles under the eyes. A structure called the arcus marginalis which holds or tethers the lower eyelid skin to the bone of the eye socket and creates the dark circle under the eye, is released. Protruding eyelid fat which is causing the bag or puff under the eye is removed and a small piece of the fat is placed back into the eye to plump the dark circle. This new eye lift surgery technique has revolutionized surgery to remove dark circles under the eyes.

• Remove Eyelid Wrinkles and Crow’s Feet- New fractional laser resurfacing techniques can smooth eyelid wrinkles and crow’s feet with much gentler lasers and a third of the down time of traditional laser resurfacing techniques. Botox™ is used to quiet the muscles that cause crow’s feet and eyelid wrinkles after the laser has smoothed the skin.

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What are the Benefits of Tissue Conservation Blepharoplasty or Eye Lift Surgery?


• No Hollow eyes after eye lift surgery
-Older excisional blepharoplasty techniques removed skin and fat and often left the eyes looking hollow and turned down at the corners. The new transconjunctival tissue sparing approach to blepharoplasty has avoided this problem.

• No change in eyelid shape after Eye Lift-Older blepharoplasty methods that removed skin shortened the eyelid and weakened eyelid support. The result was a sad eyed look.

• Plumping the depressed cheek with Eye Lift-As we age our cheek near the lower eyelid sinks in because fat and skin sag down lower in the cheek. By repositioning eyelid fat into this depression instead of throwing the fat away, the lower eyelid and upper cheek are plumped and rejuvenated.

How Long Is Recovery after Eye Lift?

The only recovery is the time it takes for swelling and bruising to go away usually a week to ten days although many patients do not have bruising when the laser is used for eye lift. The laser seals blood vessels as surgery is done thus there is less bruising with the laser.

It is important to rest with your head elevated the first few days. This helps get rid of swelling. No heavy lifting or exercise the first week as these activities could result in post operative bleeding.

Most people are ready for eye makeup by day four, and many people are comfortable in public wearing sunglasses after a day or two.

Who Should I Consult for Eyelid Rejuvenation?

I recommend a board certified plastic surgeon that specializes in laser surgery and eye lift surgery or eyelid rejuvenation. The laser transconjunctival blepharoplasty with tissue preservation and fat grafting or repositioning is a fairly new eye lift procedure and not many plastic surgeons are familiar with this technique.

Even fewer plastic surgeons are using the laser technique.

You will have to do your homework. Search for laser transconjunctival blepharoplasty and fat grafting or fat repositioning.

Try to consult at least two surgeons and as to see photos of their results with the newer technique. Ask how many of these operations they have done and evaluate their response.

bleph-ii-before-and-after.jpg

For more information on modern eye lift call 978-369-4499 or email us. Read our free newsletter to learn more about modern aesthetics and skin aging. Read Save Your Face to learn how to prevent skin aging.

Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts

Dear Dr. Seckel, I am writing to ask about laser skin care. I have some fine wrinkles and sun spots on my face. I do wear sun block. Can laser skin care remove wrinkles and brown spots? What is the best laser? Does laser skin care hurt? Will my face be red-for how long? I have used Retin a and sun block but still see wrinkles and brown spots after a year. I hope that laser skin care can fix my problem. Thanks, Sheri, Boston, Massachusetts.

December 14th, 2008

Dear Sheri,

Thank you for your question about laser skin care. The new lasers in use today are much gentler and pinkness after laser treatment is usually only 4-5 days. Discomfort is controlled with topical anesthetic which is usually used for most laser skin care procedures today. i am going to answer your questions by reprinting an article i previously wrote about laser skin care.

The most common laser skin care procedure available today is hair removal. There are many other types of laser skin care treatments which can remove wrinkles, brown spots, blood vessels, and even tighten skin. Laser skin care treatments for skin rejuvenation or anti-aging are becoming one of the most common skin treatments in use today. The applications of this new laser light technology for laser skin care today are:

Laser Resurfacing Before and After

• Skin Exfoliation or laser Skin Peel
– Lasers can be used to peel or exfoliate the skin to remove dead skin and smooth wrinkles and fine lines. Once the dead skin and surface of the wrinkles are removed, you see new shiny skin on the surface of your face. The skin can form new cells daily and deep skin peel is a very effective way to stimulate the production of new facial skin cells. These treatments also stimulate new collagen production in the deeper dermal layers of the skin. Benefits are:

Smooth Fresh Skin

Wrinkle Removal

These laser peels usually requires some down time for redness and healing. This is because the peel is an ablative laser procedure which means the dead skin cells and wrinkles are ablated or removed. More modern peel or laser resurfacing called fractional laser resurfacing is also effective and recovery time is 4-5 days, about a third of the recovery time required by traditional CO2 laser resurfacing done in the past. Common fractional ablative skin care machines are: Lux2940™, Fraxel Repair™, ActiveFX™ and ProFractional™ to name a few.

• Non-ablative Stimulation of New Collagen in The Deep Skin Layer, The Dermis
– A major cause of wrinkles and acne scars is loss of collagen in the deep layer of the facial skin called the dermis. Sun damage kills the collagen in the dermis of the skin and when the collagen dies the skin loses volume, shrinks and loses elasticity. These changes result in wrinkles and sagging skin. This effect is not unlike what happens to a nice plump plum which is dried in the sun. After the plum loses its inner water volume, the skin wrinkles and you have a prune.

New Non-ablative Fractional Lasers can stimulate the production of new collagen deep in the dermis of the skin. Because the skin is not ablated or removed, there is no down time as with the ablative laser fractional machines mentioned earlier. Benefits of the non-ablative laser fractional skin care treatments are:

Skin Plumping
Scar Removal
Wrinkle Improvement
Pigment Removal

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• Treatment of Pigment and Facial Skin Photo-damage – The aging effects of the sun, called photo damage or photo aging, are not only dry skin and wrinkles but also pigment, called brown spots, sun spots, age spots, and “liver spots”. Laser technology is very effective for removing pigment and photo-damage. The peel or laser resurfacing strips away excess pigment. The non-ablative laser treatments are also effective at deeper pigment removal such as Melasma or mask of pregnancy.

Today Intense Pulsed Light (IPL), also called photo-facial is used most commonly for pigment removal. The IPL is excellent for removing brown spots and is the gentlest method.

dec-before-and-after-two-treatments.jpg

• Skin Tightening – Laser skin tightening is possible but less effective than other skin tightening methods. Laser resurfacing or deep peeling does tighten skin a bit because deep dermal injury stimulates new collagen production in the skin. The new collagen is tighter and the tighter collagen tightens the skin. This effect takes months after the ablative peel skin care treatment and is not nearly as noticeable as a face lift.

Newer and more effective skin tightening treatments are possible. The more effective skin tightening treatments are done with Infrared or Radiofrequency energy with machines like LuxIR Deep™, Thermage™, Titan™, and Refirme™ to mention a few.

• Remove Broken Blood Vessels, Red Spots and Rosacea on the Face
– Photo-aging and sun damage cause broken blood vessels on the facial skin, especially around the nose and cheeks. Lasers can be used to remove broken blood vessels on the face and legs. Both the 532 and 1064 Yag laser wavelengths are useful for removal of broken blood vessels.

However the newer IPL and Photo-facial treatments are very effective for removing blood vessels, produce less down time and are used more frequently today. The 1064 Yag is the choice for larger broken blood vessels and leg veins.

• Hair Removal
– Laser hair removal is the most commonly performed laser skin care procedure done today. There are many different laser machines and IPL’s for hair removal. I prefer the diode laser called the Lightshear Diode™ for hair removal-I believe it is safer for darker skin types.


• Tattoo Removal
–Tattoo removal was one of the first applications of this new laser therapy for treating the skin. There are many different wavelengths for tattoo removal and the wavelength is chosen for the specific color of the tattoo to be removed. Tattoo removal takes many treatments over a long period of time, but is preferable to surgery which can leave scars.

The indications listed above are the most widely used applications for lasers in treatment of the skin. Each of these applications is best accomplished with a specific wavelength which is best and most appropriate for the skin condition to be treated.

Chose the Right Doctor

I strongly recommend that you seek consultation with two board certified doctors who specialize in laser treatments. Typically board certified dermatologists and plastic surgeons are the most experienced doctors with this new laser technology.

These new forms of laser therapy can achieve remarkable benefits in skin care but the treatment is only as good as the doctor who is giving the treatment. In untrained or unskilled hands these new laser technologies can burn the skin, damage the eyes, and cause injury. I certainly do not recommend having laser treatments in a Spa unless a board certified dermatologist or plastic surgeon with experience and expertise is present.

Learn more about what these remarkable technological marvels can achieve on our skin. Call 978-369-4499 or email us. Read our free newsletter to learn about the latest discoveries in anti-aging skin care and plastic surgery. Read Save Your Face to learn how to prevent facial aging.

Dr. Seckel

Concord, Masachusetts
Boston, massachusetts

Dear Dr. Seckel, I am noticing brown spots on my cleavage and neckline skin even when I am not tan. It makes my cleavage and neckline look old. I have a nice full cleavage but the brown spots embarrass me and I don’t want to wear a low neckline gown or blouse any more. Can brown spots and aging skin on the cleavage and neckline be treated? What are the best treatments for the cleavage and neckline area? Thanks, Darlene, Boston, Massachusetts.

December 14th, 2008

Dear Darlene,

The cleavage and neckline skin, also called the décolletage has been the hallmark of youthful feminine beauty, sensuality and sexuality throughout history. Why then is the cleavage and neckline skin the most neglected when it comes to anti-aging skin care?

Lack of awareness I believe. We are used to carefully studying our face when we look in the mirror, but we don’t see our cleavage or neckline skin in the mirror. Yet, the cleavage and neck skin is the most common indicator of aging skin in my plastic surgery practice.

Why Does the Cleavage and Neckline Age so Quickly?


• Sun Exposure
- because the chest area is slanted out away from our face, the sun’s rays strike the chest directly. The chest skin burns often before the face when you are out in the sun. We are also more likely to spend more time applying sun block to our faces, arms and legs than to the chest area. Sun damage causes brown spots, red spots and blood vessels, and wrinkles on our skin. Since the cleavage and neckline get more sun, skin aging changes are accelerated.

• Thin Skin
- Our skin on the neckline, chest and cleavage is much thinner than the skin on our back, arms and legs. Thin skin is more susceptible to sun damage and aging changes because the sun can penetrate deeper into the vulnerable dermis, the deep skin layer where aging changes are most striking.

How Can We Remove Brown Spots, Blood vessels and Wrinkles from the Cleavage and Neckline or Décolletage?

• Intense Pulsed Light-IPL-Photo Facial-Intense Pulsed Light (IPL), also called Photo Facial is a miracle treatment for aging changes of the cleavage and neckline. IPL is not a laser. IPL uses a flash of visible light which is of an appropriate color to specifically target brown pigment and blood vessels in the skin. When the IPL light hits the brown pigment or blood vessel, the heat from the light energy breaks up the pigment or closes the blood vessel. The full effect of the IPL on the brown spots or blood vessels takes about five weeks. Usually three IPL treatments scheduled 5 weeks apart are required for complete removal of the brown spots and blood vessels. Results are usually spectacular. An aged sun damaged cleavage and neckline can be restored to a blemish free younger look. I don’t know why more people do not have these IPL treatments. See IPL result of cleavage and neckline below:

dec-before-and-after-two-treatments.jpg

• Retin A Topical Skin Care- Retin A is the only topical skin care product that has been proven to prevent and reverse aging skin changes and sun damage. Why then is everyone not using Retin A? I assume because Retin A is expensive and requires a prescription. But most people spend huge amounts of over the counter anti-aging skin creams that simply do not work and have no scientific proof of effectiveness. Dermatologists and Plastic Surgeons know the remarkable benefits of Retin A, that’s why they prescribe it. Use Retin A on your face, neck, and chest. The chest area needs the Retin A as much or more than your face.

• Microdermabrasion-Microdermabrasion is the best, most effective form of deep exfoliation. Exfoliation removes dead and sun damaged skin cells from the surface of your skin. After the dead and damaged skin cells are removed the younger newer skin cells are revealed and your skin looks fresher and younger because the younger skin cells are visible. Microdermabrasion also stimulates the skin to grow new fresh cells. Microdermabrasion is also slightly irritating to the deeper skin dermis. This slight irritation stimulates the dermis to make new collagen to replace the collagen that has been lost from sun damage and skin aging. After microdermabrasion removes dead and damaged skin cells from the skin surface, Retin A, Vitamin C Serum and other topical skin care agents are absorbed more readily from the skin surface. Better absorption and penetration of these topical agents improves their performance. I strongly recommend that my patients have microdermabrasion of the neck and chest area when they have a facial microdermabrasion.

Lasers Are Too Strong for the Chest Area- Laser resurfacing goes too deep to be used on the chest area. As I mentioned earlier the skin of the chest and Décolletage is very thin. After laser resurfacing, healing occurs from cells in what are called skin appendages. Skin appendages are the hair follicles, sweat glands, and oil glands in the skin. The chest area in women has very few skin appendages and is quite thin, thus there is very little potential for healing of the chest area after laser resurfacing. The same is true with the hands and to a lesser degree the neck. New, more modern fractional laser resurfacing is more gentle, produces less skin damage and Erbium fractional laser resurfacing may be used cautiously on the neck. I am not comfortable yet using any laser on the chest. The IPL works beautifully on the chest, so in my opinion there is no need to take the risk of using the laser on the chest area.

How To Prevent Aging of the Chest and Neck


• Sun block
-Be sure to put sun block on your chest and neck when you put it on your face. Re-apply every hour when in the hot sun.

• Sun Avoidance
- From 11 o’clock to 4 o’clock wear a cover over your chest if in the sun. Better yet, go into a shady area during these hours when the sun is strongest. Wear a wide brimmed hat which shades your face and chest when in the sun. It protects you and is more of a fashion statement than your baseball hat.

• Never Use A Sun Reflector
-the shiny aluminum foil on cardboard sun reflectors that people use to tan their face, can fry your chest. Never use them.

• Avoid tanning Booths-If you haven’t gotten the message about tanning booths pay attention. I don’t care what wavelength they use, UVB, UVA- both UV rays cause aging changes in the skin and I believe they can cause skin cancer. If you have to go to a tanning booth please wear a strong sun block. Sun block prevents a sunburn-you can still tan, it just takes 5-7 days to see the tan. All the color you see immediately after tanning is just a burn and your skin is damaged and aging changes will occur. You won’t see brown spots, blood vessels, and wrinkles when you get out of the tanning booth, but I promise you they will come, certainly after a few years.

Your décolletage and neck are an important often neglected part of your appearance. Skin aging changes occur more rapidly here than anyplace else on your body. If you are not worried about appearance then worry about skin cancer which is very common on the chest area as we age. Learn more about how to protect and preserve your neck and chest skin.

Learn more about skin rejuvenation and anti-aging skin care. Call us at 978-369-4499 or email us. Read our free newsletter for the latest information on anti-aging skin care. Read Save Your Face to learn how to prevent skin aging,

Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts

Dear Dr. Seckel, I am 38 and starting to notice lip wrinkles and my lips are less full. I have heard about lip augmentation and am interested but a bit scared. How complex is lip augmentation. I don’t want huge Goldie Hahn lips. Is that the way everyone looks after lip augmentation? I would like to have full plump lips without lip lines and wrinkles. Does lip augmentation involve surgery? Can Restylane or Juvederm be used instead to plump the lips? How much does lip augmentation cost? Thank you, Darlene, Boston, Massachusetts.

December 13th, 2008

Dear Darlene,

Thank you for your question about lip augmentation. I am posting my article on lip augmentation for you below.

Many people consider lip augmentation or lip enhancement to have fuller lips. Lip augmentation or lip enhancement not only plumps the lips but reverses aging changes like lip wrinkles and thin long lip. There are many lip augmentation options available today. Both non-surgical and surgical lip augmentation is possible. Read below to help you decide which lip augmentation procedure is best for you.


Lip Augmentation-Lip Enhancement Options

There are several different methods available for lip augmentation or lip enhancement. The methods may be divided into non-surgical and surgical procedures.

• Non-surgical Lip Augmentation- Fillers such as Restylane™, Juvederm™ and others can be injected into the lips to create a young full lip. Filler injections not only make the lip full but also distend the lip skin which has the effect of lessening lip lines and lip wrinkles.

lip-rejuvenation-before-after1.jpg

When injected properly, fillers turn the pink portion of the upper lip upward, lessening the distance from the pink lip to the nose. This helps create a younger appearance to the lip, as the lip tends to turn down and lengthen as we age. The only downside to fillers is that they need to be repeated at least yearly, sometimes at six months.

• Surgical Lip Augmentation
- There are several surgical methods to enhance the lips. The most common are:

1. Fat Injections- Fat is harvested from another body area such as the hip. The removed fat is treated in a way to improve “take” or survival after transplantation. The fat is then injected into the lip to plump and fill the tissue. Fat injection works but there is prolonged swelling and bruising following fat injection. Since 50% of the fat will dissolve, the surgeon has to over correct the injection. It can take three to six months for the final result to be seen.

2. Lip Augmentation with Lip Implants- There are several implants which can be used. These implants are small and soft and very different from breast implants. Small pieces of Gortex™ have been used for many years. Newer implants are like small long balloons which are inserted into the lips. The results of lip augmentation with lip implants can be excellent and are permanent, unlike fillers. However, implants pose a risk of rejection by the body. If implants are rejected and need to be removed, significant scarring and deformity can result.

3. Lip Lift Surgery- There are two common lip lift procedures. The best is a newer technique done on the inside of the upper lip, thus no visible scar. During the lip lift procedure small flaps of the mucosa (pink tissue in mouth) are bunched to push the lip outward and up. Results can be excellent and the lack of visible scars is a big plus.

Older methods of lip lift used an external incision below the nose. Upper lip skin near the nostrils of the nose was removed, thus pulling the upper lip upward. While this technique does improve age related lengthening of the lip, the scars in my opinion are unacceptable.

Why do People have Lip Augmentation?

why do people have lip augmentaton

• Full Lips and Mouth Look Younger-As our face ages, striking changes occur in our lips. As we age, skin laxity develops in the face and the lip begins to sag, lengthen and turn inward. The pink part of the lip, the beautiful Cupid’s bow, the part of the upper lip which is curved, becomes less evident as the lip turns inward. In addition, lip wrinkles, lip lines and lipstick lines develop as we age. These lines are the result of years of pursing action of the lip muscles and create an aged appearance to the mouth.

• Modern Concepts of Beauty- Today, full looking, plump lips are considered an ideal component of facial beauty. The popularity of the face of Angelina Jolie as an American example of a beautiful face often focuses primarily on her full lips. We are now a multi-cultural society, very different from fifty years ago when the Caucasian face with thinner lips dominated the beauty magazines. The Hispanic, African American and Asian concepts of beauty have always included full lips, and modern American beauty ideals have embraced this feature as our multi-cultural society has evolved.

Botox™ Helps Lip Augmentation

• Botox™ Removes Wrinkles – Botox™ relaxes the lip muscles that cause pursing and thus lip lines. If a patient has lip wrinkles I usually inject both a filler, like Restylane™ or Juvederm™ and also inject a small amount of Botox™.

• Botox™ Lifts the Mouth
- Botox provides a lip lift when the Detrussor muscle (the chin muscle which pulls the lip and mouth down) is weakened. As we age the mouth turns down, especially at the corners. This contributes to the marionette lines and jowls. A small amount of Botox™ relaxes the muscle which pulls the lips down and provides a lip lift to the corners of the mouth.

What Does Lip Augmentation Cost?

• Filler Injections
-Filler injections cost $400-$750 depending on the amount of filler used.

• Surgery
- Lip Implantation Surgery can cost $1500-$5000 depending on the surgery involved, type of implant, and length of procedure.

Who Should Do My Lip Augmentation?


• Fillers
- My own opinion is that you should see an expert who has experience in lip injection techniques. Typically this would be a board certified plastic surgeon. Many board certified dermatologist also do fillers.

The key is to find a doctor who has experience in creating a beautiful lip with fillers. It is not easy to get a perfect result. Experience and technical skill is important. Ask the doctor to show you photos of his/her work. Ask how many lip injections they have done. Trust your gut instincts about the answer you get.

• Lip Enhancement Surgery
-my own opinion is that a board certified plastic surgeon with experience in lip surgery should be consulted. The lips are a complex vital structure of the face with both aesthetic and very important functional components. Thus I think you will be better served if you seek out a board certified plastic surgeon who is experienced in lip surgery.

I always recommend seeing two surgeons before you decide. Ask how many lip procedures the doctor has done and ask to see results.

Lip enhancement can add beauty and youth to your face. Modern filler injections are easy and a wonderful way to start. I always recommend that my patients try filler injection and possibly Botox™ first. If they love the result but want a permanent solution, then we consider the surgical option.

To learn more about lip augmentation, lip enhancement and lip lift call 978-369-4499 or email us. Read our free newsletter to learn more about new aesthetic treatments and non-surgical facial rejuvenation techniques. read Save Your Face to learn how to prevent facial aging.

Dr. Seckel

Concord, Massachusetts
Boston Massachusetts

Dear Dr. Seckel, I am interested in Restylane or Juvederm to fill my nose to mouth lines and lips. A friend of mine had filler and had lumps. Is there a risk of lumps with Restylane and Juvederm? I have heard that Restylane and Juvederm are the best fillers. How long do they last? What are the risks of Juvederm and Restylane? Does the shot hurt? Thanks, Betsy, Boston, Massachusetts.

December 12th, 2008

Dear Betsy,

Thank you for your questions about Restylane™ and Juvederm™. Both Restylane and Juvederm are excellent fillers and work well and are safe when used by an experienced dotor. To answer your several questions I am going to use an article I have published on Restylane™, Juvederm™, Radiesse™, Sculptra™ and Perlane™. results can be beautiful as seen in the before and after picture of my patient below:

liquid-facelift-_final.jpg

Restylane™, Juvederm™, Radiesse™, Sculptra™ and Perlane™ are fillers which can be injected beneath the skin to remove facial lines, fill depressed areas and actually lift the skin in some areas. These fillers can dramatically rejuvenate the facial appearance and are widely used today in anti-aging facial skin care.

What are Restylane™, Juvederm™, Radiesse™, Sculptra™ and Perlane™ made of?

These soft tissue fillers are FDA approved, liquid or gel medications that are injected beneath the skin to plump or fill an area of the facial skin which is depressed, such as a line, fold or area of atrophy. Soft tissue fillers are used to plump facial lines and wrinkles, to camouflage a fold of skin around the mouth, and to fill depressed areas such as the cheek that occur during facial aging.

Before and After Fillers

The new fillers are hypoallergenic unlike older collagen type fillers used in the past. Most are a form of Hyaluronic acid (HA) which is a normal “ground substance” in the skin which helps maintain fullness and moisture in youthful skin. Some HA products are cross linked or have larger particle size for longer lasting results. Some, newer longer lasting fillers are made of other types of materials which I will discuss below. The ingredient of the common facial fillers is:

• Restylane™-Hyaluronic Acid

• Juvederm™
-Hyaluronic Acid-Cross-linked

• Radiesse™-Calcium Hydroxyl Apatite

• Sculptra™
- Poly Glycolic Acid

• Perlane™-Hyaluronic Acid-Large particle

How Are Restylane™, Juvederm™, Radiesse™, Sculptra™ and Perlane™ Used To Correct Facial Aging?

Soft tissue fillers are injected into the skin to add volume. Think of fillers as skin plumping agents. With aging the skin loses collagen and becomes lax. Especially in the mid face and cheek area the face can develop depressions and make the face look gaunt. Fillers can be injected into these depressions to make the cheek look more full and youthful. Fillers can be used to plump the lips to a more youthful appearance;

Lip Rejuv Before and After

Fillers are also injected into deep facial lines. The nose to mouth lines or nasal labial fold lines and marionette lines give the face an aged appearance. The fillers can be injected into the depth of these lines to plump the lines and camouflage the folds.

Recently, larger filler injections have been done to plump the cheek and fill and lift the jowl in a procedure called the liquid face lift, with dramatic results.

Are Restylane™, Juvederm™, Radiesse™, Sculptra™ and Perlane™ Injections Safe?

The FDA approved fillers discussed in this article are safe when used by an experienced physician in a carefully performed manner. Filler injections are not an easy procedure for a doctor to perform properly. Experience is required to get a good result. There can be side effects which will be discussed below under risks.

How long do Filler Injections Last?

Pure HA fillers maintain correction for 4-6 months. The longer lasting cross linked, large particle, calcium hydroxyl apatite and poly Glycolic Acid fillers can last nine months to a year.

Do Restylane™, Juvederm™, Radiesse™, Sculptra™ and Perlane™ Injections Hurt?

I use a combination of a topical anesthetic and nerve blocks to make patients comfortable during filler injections. Cooling the skin also helps numb the skin and prevent bruising.

Recently we have been mixing lidocaine-an anesthetic with some fillers and this also makes injection more comfortable.

What Are the Risks of Restylane™, Juvederm™, Radiesse™, Sculptra™ and Perlane™ Injections?

• Bruising-Bruising can occur especially when fillers are used around the mouth. Icing before injection helps prevent bruising. The herb Arnica Montana, taken as a pill is also used by some to lessen bruising.

• Swelling-Some degree of swelling is common at the injection site. Ice helps lessen the swelling

• Long lasting lumps or bumps-Some patients develop firm lumps at the filler site. This is more common with the longer lasting cross linked and non HA fillers. While longer lasting results are desirable, fillers must be injected in a smooth form.

Lumps are more common when irregular injection technique is used because of the inexperience of the doctor. Massage usually lessens the lumps and most are gone, even with long lasting fillers by nine months to a year.

• Eye Complications
-injecting fillers around and beneath the eyelid is not recommended by the companies that make fillers and is thus an off label use. There have been very long lasting lumps, discoloration and other problems associated with filler use beneath the lower eyelid to correct dark circles under the eyes.

What Do Restylane™, Juvederm™, Radiesse™, Sculptra™ and Perlane™ Injections Cost?

Depending on the product used $600-$950 per syringe. One syringe will treat the nasolabial fold and possibly the upper lip. Two syringes are required for the nasolabial fold and marionette lines. The liquid face lift requires at least three and sometimes more syringes.

Warning-Do Not Have Restylane™, Juvederm™, Radiesse™, Sculptra™ and Perlane™ Injections around Your Eyes

Do not allow anyone to inject fillers into your lower eyelid to correct dark circles under your eyes. The companies that make fillers do not recommend this use, thus it is an off label use of a filler.

There has been a reported case of blindness following injection of filler beneath the eye in England.

Many doctors do inject fillers beneath the lower eyelid and get good results. I am sure good results are possible. However, many doctors do not have training in eye surgery and eye anatomy, and I believe it is dangerous for anyone without detailed knowledge and experience in eyelid surgery to do injections around the eyes.

Who Should Do My Restylane™, Juvederm™, Radiesse™, Sculptra™ and Perlane™ Injection?

The most experienced doctors who do filler injections are board certified plastic surgeons and dermatologists. Experience and skilled technique is very important to achieve a good result and avoid complications. Many people do filler injections; the company sells to anyone who is a licensed physician.

In my opinion you should seek out a board certified plastic surgeon that has a lot of experience and does filler injection several times every week. Ask the doctor how experienced they are and how many injections they do a week.

Soft tissue fillers are remarkable effective products when used by an experienced skilled physician. They are one of the most valuable, effective and best non-surgical facial rejuvenation methods available today. Do your homework and find an expert who can treat your unique face with the care it deserves.

For more information on fillers call us at 978-369-4499 or email us. Read our free newsletter to learn more about prevention and non-surgical treatment of facial aging. Read Save Your Face.

Dr. Seckel

Concord, Massachusetts
Boston, Massachusetts

Dear Dr. Seckel, I have crow’s feet and want to get a botox injection. But I am scared of botox. A friend of mine had a botox injection and had a drooping eye. I also have heard you can get a headache after botox. Does botox really cause food poisoning? I want to have botox to get rid of my crow’s feet but I don’t want to get sick! Can you please tell me more about botox and its safety? Does botox really remove crow’s feet/? Thank you, Dianna, Boston, Massachusetts.

December 12th, 2008

Dear Dianna,

Thank you for your question about Botox™. I will best answer your Botox™ question by using an article that I have written about Botox™.

Is Botox™ safe?

Yes when FDA approved Botox™ made by Allergan™ is used according to approved dosage by experienced licensed physicians, in my opinion.

What Is Botox™?

Botox™ is an injectable medication that relaxes facial muscles that cause lines or wrinkles. Technically called Botulinum Toxin A, this medication is synthesized in the laboratory by Allergan™, a major pharmaceutical company.

Contrary to stories in the media Botox™ is not food poisoning bacteria and you cannot get food poisoning from a Botox™ injection. Botox™ was discovered as a toxin created by the Clostridium Botulinum bacterium which is a cause of food poisoning which caused muscle weakness.

The synthesized, medical grade Botox™ used today has been safely used in medical practice for 30 years and is FDA approved. Its first use was in children with spastic legs-the spasms were relaxed by this medication. It has also been used in Toticollis-painful spasms of the neck, and in Oculogyric spasms-tics or involuntary movements or twitches of the eyes.

How Does Botox™ Work on Wrinkles?

The wrinkles caused by the pull of your muscles of facial expression are called “dynamic lines” because they are dynamic or move. That is these wrinkles and lines are caused by repeated motion of muscles of facial expression-each time the muscle moves it pulls the skin into a wrinkle. After years of repeated motion, these wrinkles or lines become permanent.

Botox™ relaxes or quiets the muscles of facial expression. When the muscle is relaxed, the line or wrinkle caused by the muscle disappears.

Which Wrinkles Are Removed with Botox™?

The lines of facial expression which are:

• Crow’s Fee
t-lines on the cheek around the eyes
• Frown Lines-the deep creases between your eyes at the base of your nose
• Worry Lines-the creases running across your forehead
• Bunny lines-the wrinkles at the base of your nose that wrinkle when you smile hard
• Lip Lines-the wrinkles around your mouth when you purse your lips
• Marionette Lines-the lines running from the corner of your mouth down to the jaw lie that pull the mouth down when you are angry or sad

How is Botox™ Given?

Tiny amounts of Botox™ are injected directly into the muscle that is causing the wrinkle or dynamic line. These injections are dosed in International Units (IU). Very small amounts of the solution are used.

Generally a treatment of 25 IUs of Botox™ is used to treat the crow’s feet and frown lines-5-6 IU in each side of the crow’s feet and 13-15 IUs in the frown lines. If the worry lines are also treated and additional 6.25 IU is placed into each side of the forehead for an additional 12.5 IUs.

Very small amounts of Botox™ are used around the mouth to avoid any interference with mouth function. Generally only 1 or 2 IUs are used on the upper lip for lip wrinkles-after treatment you may not be able to whistle or drink through a straw-but those lip wrinkles will be gone. Only 1 IU is used on each marionette line-this treatment can reduce the mouth line and help reduce the jowl.

Small amounts of Botox™ can also be used on the bands on the neck below the chin. 1 or 2 IUs in each band will reduce the folds or bands on the neck.

Does Botox™ Injection Hurt?

I use a topical numbing cream which is very effective. I also use a cold Titanium Roller to cool the skin which is very effective at numbing the skin and which also helps prevent bruising. My patients often do not even feel the injection. If the patient has had a previous injection without these measures in a different office they are amazed at the difference.

What Does the Injection Cost?

Nationally these injections cost $20.00 per unit injected. If you are offered a discount or deal be sure to ask how many units you are getting. Some low priced offers are using diluted Botulinum Toxin A which will not be as effective for removing wrinkles.

What Can Go Wrongwith Botox™?

Botox™ injections are safe when done properly by an experienced and licensed physician who is an expert in facial anti-aging therapy. However there are potential side effects which can occur-some are unavoidable-some are related to injection technique.

Generally there is about a 2% incidence of side effects with Botox™ in my current experience although initial studies years ago were higher. The more common potential side effects are:
• Headache
• Flu like illness
• Nausea
• Temporary eyelid droop

Eyelid droop is caused if Botox™ is injected too low in the forehead near the eyelid, and does not occur with the typical forehead injection.

Where Should I Go to Learn about Botox™ ?

See an expert in facial rejuvenation therapy. In my opinion experts are board certified dermatologists and plastic surgeons that specialize in facial rejuvenation procedures.

Study your doctors website and ask questions-especially ask how many Botox™ injections they have done and how many they do each week. Experience is very important in getting the best result and avoiding complications.

Don’t go to Botox™ parties-I have seen some unhappy results on patients who have had Botulinum Toxin A injections in a non medical setting.

My opinion is that you want an expert who is board certified in Dermatology or plastic surgery who is an expert at what causes facial aging and wrinkles, knows all of the various techniques for correcting facial aging, and knows which treatment is best for your unique face.

There are many wrinkles and lines that definitely should not be treated with Botox™.

For more information on Botox™ and other non-surgical facial rejuvenation techniques call 978-369-4499 or email us. Read our free newsletter to keep up with new aesthetic treatments. Read Save Your Face to leaqrn how to prevent facial aging.

Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts

Dear Dr. Seckel, I am 34 and am interested in anti-aging skin care. I am starting to see crow’s feet and fine wrinkles. I have tried several wrinkle creams but see no difference. What is an effective anti-aging skin care program for someone in their 30’s? Thank You, Claire, Boston, Massachusetts.

December 11th, 2008

Dear Claire,
Thank you for your question about anti-aging skin care. There is no face lift in a jar and a real anti-aging skin care wrinkle cure has not been invented.

There are however many new non-surgical anti-aging skin care methods to improve wrinkles, refresh your facial skin, and restore a youthful look to your face. There are 6 very basic steps that must be taken to rejuvenate the face and facial skin. You need to understand the 6 basic steps of anti-aging skin care before you invest any more money in facial rejuvenation. I will review facial aging changes and then introduce you to my anti-aging skin care facial rejuvenation program below.

laser-resurfacing-before-and-after2.jpg

Why Our Facial Skin Ages

Anti-aging skin care is based on the correction of skin aging changes. As we age several important changes occur in the facial skin that cause wrinkles, brown spots, red spots or blood vessels and skin laxity. Sun exposure, heredity, diet, lifestyle and stress all contribute to facial aging. The basic aging skin changes are:

• Skin Surface Changes-wrinkles, brown spots, red spots (blood vessels) and thickened dry skin

• Deep Dermis Changes-loss of collagen and loss of elasticity which result in wrinkles, skin sag, and folds of skin creating deep lines in the face

The 6 Step Anti-aging Skin Care Program®


• Step 1-Exfoliation
-remove aged skin cells and stimulate the growth of new healthy skin.

• Step 2-Stimulate New Collagen production
-restore volume and elasticity to skin, plump wrinkles

• Step 3-Remove Excess Skin Pigment and Blood Vessels
-remove brown and red spots

• Step 4-Relax Dynamic Lines
- lines of facial expression-remove crow’s feet. worry lines, frown lines and lip wrinkles

• Step 5-Fill Deep Lines and Contour Deformities-plump the cheek, lessen nose to mouth lines

• Step 6-Tighten Facial Skin-lift the cheek, tighten jaw line and neck

Methods for the 6 Step Program


• Exfoliation
-Topical Retin A™, Microdermabrasion, Micropeel™, Ablative Fractional laser Skin Resurfacing, Chemical Peel

• Stimulate New Collagen Production
- Topical Retin A™, Microdermabrasion, Micropeel™, Non-ablative Fractional laser Skin Resurfacing, Deep Dermal Heating Methods-LuxIR Deep™, Thermage™, Titan™, Refirme™ and others

• Remove Excess Skin Pigment and Blood Vessels-IPL (Intense Pulsed Light-also called Photo facial) and some lasers

• Relax Dynamic Lines-Botox™

Relax Dynamic Lines

• Fill Deep Lines and Depressions- Soft Tissue Fillers-Restylane™, Juvederm™, Perlane™, and Radiesse™ among others

Facelift Liquid Before and After

• Tighten Skin- deep dermal Heating- LuxIR Deep™, Thermage™, Titan™, Refirme™ and others, and new laser liposuction techniques

Consult Qualified Board Certified Specialists

Effective anti-aging skin care requires medical knowledge and a familiarity with a very complex and rapidly changing medical field. The skin care experts are your board certified dermatologist and plastic surgeon. These doctors have spent many years learning the basics of skin medicine and surgery and have passed vigorous examinations to determine their knowledge before achieving board certification.

Your face is too important to be trusted to anyone other than an expert. I suggest that you consult two doctors who are board certified in either dermatology or plastic surgery before deciding to start your anti-aging skin care program.

To learn more about anti-aging skin care call 978-369-4499 or email us. read our free newsletter. Read Save Your Face to learn the details of the 6 step facial rejuvenation program.

Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts

Dear Dr. Seckel, I have dark circles under my eyes. One doctor has suggested fat injections or fat grafting to plump the dark circles. Another doctor I saw recommended a filler injection with Restylane into the dark circle. I have read that surgery can be done for dark circles. What is your opinion as to the best treatment for dark circles? Thank you, Carol, Boston, Massachusetts

December 11th, 2008

Dear Carol, Thank you for your question about the treatment of dark circles under the eyes. I have a very strong opininion about the best dark circle treatment. I use open fat grafting and an arcus marginalis release to correct dark circles. I do not do fat injections or soft tissue filler injections for dark circles under the eyes. I have treated hundreds of patients over many years for dark circles and have been very happy with the techniques I use, which I will describe in more detail below.

Dark Circles Before and After

Open fat grafting is different from fat injection or soft tissue filler injection to correct depressions beneath the eyelid. In open fat grafting, intact pieces of fat are placed into an area under direct vision through a small incision. Most commonly, in my practice open fat grafting is done to correct hollow eyes or dark circles under the eyes. Unlike fat injections in which a fat solution is injected by a needle, open fat grafts are placed under direct vision and can be accurately put into position.

Why Add Fat to the Eyelid?

Patients with hollow eyes lack enough fat to support the eyeball and have a normal full eyelid. Patients with dark circles under the eyes have a depression beneath the lower eyelid which can be plumped or filled with fat to remove the dark circle. In both of these situations it is beneficial to add fat to the lower eyelid region.

Problems with Fat Injection Techniques

• Fat injection is a blind procedure-When fat is injected into the eye area with a needle or small tube, the doctor cannot see exactly where the instrument is and what eye structures are near. There is risk, in my opinion, of injuring blood vessels, eye muscles or even the eye when doing an injection of fat.

• Survival of fat is inconsistent
-Typically fat is removed from the hip or other area, treated outside the body and then re-injected. Many fat cells are damaged and do not survive. It is very difficult to get the right amount of fat to survive and get the proper correction desired.

• Accurate placement of fat is difficult
-Often fat is placed to low beneath the eyelid and creates a lump below the dark circle or hollow eye and actually makes the problem worse.

• Injected fat survival is irregular
-Inconsistent fat survival often results in visible lumps.

Benefits of Open Fat Grafting Technique

• Fat is placed accurately under direct vision of surgeon-Open fat grafting to correct hollow eye and dark circles under the eyes is done, in my practice through a small laser incision on the inside of the eyelid. This allows direct vision of the depression that needs to be filled; a properly sized piece of fat can be placed accurately into the area where the fat is needed. See result of open fat grafting in before and after photo of my patient below:

dark-circles-2-proper-size.jpg

• Intact fat of proper size can be used-A composite (whole) fat graft will survive or “take” after losing about 40% of its volume in the first 3-6 weeks during which time new blood vessels grow into the fat to keep the fat alive. I am able to accurately predict the proper graft size to correct the hollow eye or dark circle.

• Smoother graft contour
-in my experience a composite graft almost always has a uniform smooth appearance after healing-my opinion is that fewer fat cells are lost than with injection technique.

Open Fat Grafting or Fat Repositioning for Correction of Eyelid Deformities

Fat grafting is most commonly used, in my experience, to correct depressions or deformities in the lower eyelid. Typically fat is used to make a hollow eye look less hollow or to correct dark circles under the eyes.

Most often, in patients with facial and eyelid aging, the lower eyelid is puffy or has bags under the eyes. In these situations, the fat that is causing the puffy eye or eye bag is removed from the protruding area and grafted back into the lower eyelid, on the cheek bone just beneath the lower eyelid to plump the dark circle which creates an aged look to the eyelid.

When fat is taken from one position on the eyelid-the bag or puff, and replaced as a graft to plump a dark circle, this procedure is called fat repositioning rather than fat grafting.

Excellent Accurate Results

In my experience, the ease of accurate placement, and the excellent survival of the composite fat graft have resulted in excellent and dramatic correction of the hollow eye and dark circles under the eyes.

• Eye injury is avoided
• Lumps or irregularities are minimal
• Accurate correction of hollowness and dark circle is possible

To learn more about open fat grafting to correct dark circles under the eyes call 978-369-4499 or email us. Read Save Your Face to learn about prevention of eyelid and facial aging.

Dr. Seckel
Concord, Massachusetts
Boston, Massachusetts

Dear Dr. Seckel, What is the best puffy eyes treatment? I have puffy eyes all the time. I tried tea bags and prep H, but still have puffy eyes. I don’t have allergies. I need a puffy eyes treatment that works. Is surgery necessary? Please help, Rosa, Boston, Massachusetts.

December 10th, 2008

Dear Rosa,
Thank you for your email about puffy eyes treatment. There are many causes of puffy eyes and the best treatment can only be decided after we know what is causing your puffy eyes.

The most common cause of puffy eyes that I see is aging changes of the eyelids. As eyelid skin becomes lax, the normal fat under the eye pushes forward and creates a bag under the eye which looks puffy.

Modern Techniques for Removal of Puffy Eyes, Bags under Eyes, and Dark Circles
Blepharplasty Before and After Male

Laser Transconjunctival Blepharoplasty-Today, rather than making a visible incision on the outside of the eyelid, surgeons make a tiny incision on the inside pink portion of the lower eyelid-the conjunctiva. By avoiding the outside incision the support of the lower eyelid is not damaged and the eyelid shape is not changed.

• Fat Repositioning – Instead of removing the fat from the eyelid, the fat is repositioned down lower, on the top of the cheek bone. This maneuver plumps the dark circle and adds youthful fullness to the upper cheek.

Laser Blepharoplasty-Instead of a scalpel I use a laser to make the tiny incision in the conjunctiva of the lower eyelid. The laser is very precise and accurate and seals blood vessels as the incision is made. There is less bruising with the laser technique.

Act Now

Eyelid rejuvenation techniques to cure puffy eyes work well when you are younger and when puffy eyes, bags under eyes and dark circles are just starting to show. As we grow older and eyelid aging progresses, more permanent changes such as loose skin and wrinkles are harder to correct and may require more complex surgery including skin removal and eyelid tightening called a canthopexy.

Find an Expert

Eyelid plastic surgery is an art. I always recommend consulting two board certified plastic surgeons before you decide. Ask the doctor if eyelids are his/her specialty and how many they have done. Ask to speak to patients who have had eyelid surgery done by the doctor.

Pre Post Brow and Eye

To learn more about the treatment of puffy eyes call 978-369-4499 or email us. Read our free newsletter to keep up on new aesthetic and eyelid rejuvenation techniques. Learn how to find a good plastic surgeon read chapter 10 in Save Your Face.

Dr Seckel
Concord, Massachusetts
Boston, Massachusetts