The eyes and gaze are crucial in determining a person's appearance. For this reason, therapies to rejuvenate the gaze and eyelids are of particular importance and significance. In modern dermatology, there is a plethora of options, ranging from less to more invasive, to achieve this.
Wrinkles on the eyelids and crow's feet, eyelid ptosis, eyelid laxity, under-eye swelling and bags, dark circles, xanthelasma, and hollowing that occurs on the upper eyelid over time or after aggressive blepharoplasty are targets of our therapies. We achieve all of these safely and with a natural result, without side effects such as ectropion or entropion.
Botulinum toxin
The use of botulinum toxin is the most common method for prevention, elimination, or reduction of wrinkles, mainly on the outer corner of the eye, the so-called crow's feet. It is a quick and safe method where reducing the movement of the orbicularis muscle relaxes the overlying skin and leads to the elimination of wrinkles. Generally, we avoid using the drug more centrally on the lower eyelid, as reducing muscle mobility and contractions there can lead to reduced lymphatic drainage and the formation of edema. The result lasts for several months, and repetition maximizes the effect.
Laser use for eyelid rejuvenation and tightening
A very effective and completely bloodless method of rejuvenating and tightening excess skin (eyelid laxity) is performed using lasers. For maximum results, we first apply local anesthesia to the area and then, with the appropriate parameters and passes, thermally stimulate the area. The procedure after anesthesia is painless and also does not cause discomfort during recovery. However, in the following days, there may be swelling and flaking of the eyelid. The result is visible after one session and can be comparable to a mild eyelid surgery to reduce excess skin, either on the upper or lower eyelid, always in the appropriate case. Also, it leaves no scars.
Excess skin reduction with blepharoplasty
In some cases where eyelid laxity (patients call it eyelid ptosis) is severe, excess skin reduction can be performed under local anesthesia. The correct selection of the case is essential. Stitches are removed within one week, and our goal is always a natural and measured result.
Use of hyaluronic acid and fat under the eyes
Injecting filler under the lower eyelid at the tear trough line can have an excellent result in reducing the appearance of under-eye swelling, the so-called bags. This is because, in addition to what happens on the lower eyelid, often there is also volume loss behind it and a "hollowing" appearance. By placing the filler in the right place and in the right amount, we can slightly lift this area under the bag and thus reduce this imbalance and make the bags less visible. The result lasts for a long time since there is not much mobility in this area. The correct case selection is crucial for this, and fat always has the most natural and long-lasting result. In small amounts, hyaluronic acid also has a very natural result and is quick and easy to place.
Treatment of xanthelasma
Xanthelasma is the deposition of cholesterol under the skin on the eyelids. It appears in both elderly and young individuals, often with a hereditary component. Part of the problem is the thinning of the skin, which leads to the underlying vascular network appearing with a dark-purple hue. Mesotherapy can help both with its decongestant action and with the nourishment and thickening of the skin. For optimal results, at least 2-3 sessions are required, followed by maintenance sessions to sustain the result.
Hollowing of the upper eyelid – Hollow Eyes
The upper eyelids with age are sometimes characterized by fullness and relaxation of the excess skin, and sometimes by loss of volume behind them and an appearance of 'hollowing.' This can also be caused by very aggressive blepharoplasty.
A new and very nice treatment of the problem is the injection of specialized hyaluronic acid behind the upper eyelid, which leads to a more youthful look with greater fullness. Indeed, it has been shown that the result at this point lasts for over 1, perhaps even 2 years. It is performed with a specific technique described in the international literature, using a cannula and local anesthesia at the entry point.
Black Circles and Eyelid Mesotherapy
Black circles are a problem that concerns not only the elderly but also young individuals, and often there is a hereditary component. Part of the problem is the thinning of the skin, which leads to the underlying vascular network appearing with a dark-purple hue. The use of mesotherapy can help both with its anti-edematous action and with nourishing and thickening the skin. For optimal results, at least 2-3 sessions are required, and maintenance of the results can be done afterward.
