Question:
I am a 42 year old mom of three. I don’t feel old, yet I feel like I constantly look exhausted. Does blepharoplasty help reduce darkness under the eyes?
Answer:
Blepharoplasty is an excellent procedure to take away the tired look of eyes. It involves removal of extra skin which cause the eyelids to look heavy as well as fat pockets which can make the eyes look puffy. Darkness in the eyelids is often due to shadowing from fat pockets, and this is improved with blepharoplasty. Darkness due to allergies, increased vascularity or skin thinness may only be partially improved. Other options […]
Question:
I’ve heard that Latisse can change the color of your eyes. Is this true regardless of color?
Answer:
Latisse is an FDA approved product to make eyelashes thicker, longer and darker. It has a very high safety record. One potential side effect is that it could cause brown discoloration of the iris of the eyes. We say “potential” because it has never been reported when using Latisse as prescribed. Eye darkening has only occurred when the medication is placed directly in the eye on a regular basis as it is when used to treat glaucoma. Users of Latisse should feel comfortable knowing […]
Question:
What is the difference between Botox and injectable fillers such as Restylane and Juvederm? What is the best option for minimizing lines in my forehead and neck?
Answer:
Botox is a muscle relaxant. In general it works best on the upper half of the face and typically last for 3-4 months. Botox is a great option for softening lines in the forehead. Injectable fillers such as Restylane and Juvederm work by “filling in” lines and wrinkles. It in general does better on the lower half of the face and typically last 9-12 months. The neck area is generally not ideal for either, […]
Question:
I’ve been reading up online about laser skin resurfacing. I’m a little confused, since I’ve read about CO2 lasers, Fraxel lasers, Dot lasers, etc. What might be the best laser skin resurfacing treatment for a 42-year-old woman with freckles and sun damage on the face, neck, and décolletage?
Answer:
With all the laser systems available today, choosing the right one can be challenging. The advantage of having so many systems available is that cosmetic surgeons can tailor specific treatments for each patient like never before. For someone with mild to moderate sun damage, IPL (intense pulsed light) is a great option. Theses […]
Question:
Post eyelid surgery will I be able to drive home?
Answer:
Absolutely not! Even with the best techniques and the procedure being done under local, patient’s can still expect to have some swelling and possible visual impairment. For safety reasons, after a blepharoplasty operation it is imperative that someone drive you home following eyelid surgery.
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Question:
After almost a year of investigating different cosmetic procedures, I have finally decided that I would like a facelift. I am planning it during my two week vacation from work. I am also not going to tell anyone except my best friend that I am getting it done. Will the bruising be completely gone by two weeks? Should I take another week’s vacation so that no one can tell that I have had a face lift?
Answer:
Most patients are able to get back out after 2 weeks following a facelift, but WITH make-up. Although most the swelling and bruising will be […]
Question:
I’ve been told by a doctor that I have thick nasal skin. How will this impact my rhinoplasty surgery?
Answer:
Thick skin can definitely affect rhinoplasty. The advantage of the thick skin is that it is more forgiving. Minor irregularities or assymetries will be less visible with thick skin. The disadvanatge is that it makes getting a well defined nasal tip more difficult – the thickness prevents the full affect of what has been done to the cartilage from being realized. An excellent rhinoplasty surgeon can adjust his techniques to compensate for some of this, but there are limitations. Consulting […]
Question:
How does Dysport compare to Botox? Do they perform the same and last the same amount of time?
Answer:
Most facial plastic surgeons see very little difference between the two products. There is a tendency for Dysport to work a little quicker and diffuse from its injection point more. Neither has been a clinical factor in my practice. Studies can be found for each product showing longer duration, but most clinicians have found little to no difference. My own experience has been, as with any cosmetic treatment, each patient responds differently to every product. Deciding which is right for you […]
Question:
Are chemical peels still used today? You don’t hear much about them anymore. What are they good for treating and are other things like injectables fillers better?
Answer:
Although chemical peels do not get the same press as newer cosmetic treatments such as lasers and Injectable fillers, they are a proven technique. Chemical peels provide different degrees of skin resurfacing depending on their depth. Superficial peels can be used to “freshen up” the skin with minimal downtime. Medium depth peels can provide more results, such as getting rid of brown spots and improving skin texture. With better skin improvement comes […]
Question:
I would like to get injectable fillers in my face. I would like to plump up both my lips and my nasolabial folds which have gotten quite pronounced. I would like hyaluronic acid because the reports that I read indicate it is longer lasting than collagen. Is hyaluronic acid appropriate for both areas?
Answer:
Hyaluronic acids are the number one filler right now as well as Dr. Hamilton’s favorite for many reasons. One is that the are so versatile- they are great for both enhancement of the lips as well as softening the nasolabial folds. In addition, the hyaluronic acids […]