436 N. Bedford Drive, Suite 311
Beverly Hills, California 90210
There has been a significant improvement in non-surgical solutions for
improving the appearance of the eyes. Over the past decade we have learned
that volume loss is the main contributor to the aging process in the face and
especially the eyes. The hollow sunken undereye area is one of the first areas
to show signs of aging. Undereye "bags" or dark circles are frequently visible only because of the loss of volume in the surrounding area. There is a similar
loss of volume in the upper eyelid and brow area, as well as the temples and
forehead. This causes drooping of the brow as well as the appearance o
extra loose skin of the eyelid. This makes us seem more tired, hollow, and
gaunt. We do not grow more skin as we age. There is some increase in
skin laxity, or looseness, as we pass age 50, but in younger patients this is very minimal and
insignificant. The upper eyelid area can be viewed as a grape. As it
ages, a grape slowly loses moisture and volume, and shrivels up to become a raisin. To make that raisin look
like a grape again we need to rehydrate it and plump it up, not cut away the loose skin.
Simply cutting away loose skin will change the appearance of your eye,
and Dr. Aharonov's goal is to restore your eyes to their more youthful
The non surgical eyelid lift can help restore that volume instantly in a matter of minutes using fillers such as Restylane. Undereye "bags" seem to disappear, leaving only a refreshed youthful look. The loose upper eyelid skin gets filled in which also raises the brow and restores its more youthful shape and position.
The Non Surgical Eyelid Lift is a quick "lunchtime" procedure with no downtime. The entire process takes about 15 minutes, with only minimal redness that quickly goes away. You will notice an immediate improvement with eyelid fillers. The procedure is virtually pain free. Botox or Dysport and Fillers are mutually exclusive and cn either be done together or separately.
Dr. Aharonov utilizes nonsurgical volume restoration to address these changes in appropriate candidates. The main advance in this area is the use of in office injectables to improve the hollowness of the lower eyes and the laxity of the upper eyelids. The three products that are commonly employed by Dr. Aharonov in eyelid lift procedures are Restylane, Juvederm and the patient's own fat. Restylane and Juvederm are hyaluronic products (proteins that are naturally found in the skin). Restylane or Juvederm is generally injected in the tear trough (hollows) region of the lower eyes and can also be used to reduce the laxity of the upper eyelids by improving the position of the eyebrows. Restylane and Juvederm generally have few side effects and can last anywhere from 6 to 30 months. Botox/Dysport injections can also be used to reduce crow's feet wrinkles in a Non Surgical Eyelid lift procedure further enhancing your overall appearance. Although either restylane or juvederm can be used around the eyes, Dr. Aharonov prefers Restylane and thinks it gives a much more natural and predictable result compared to Juvederm.
Upper Eyelid Filler: non surgical 3D Upper Eyelid Lift
Many times, excess upper eyelid skin is due to volumetric deflation of the upper eyelid and eyebrow area. As we age, we tend to lose fat in this area of the face and eyes. Think of how young people and babies are often described as having full round faces, and older people develop gaunt, sunken features. Like a balloon losing air, we develop the appearance of excess skin in the upper eyelid area as the natural volume of facial fat decreases with age. In some situations it is best to cut away this extra Eyelid skin, but other patients will benefit most from inflating the brow and upper lid back to how it was when they were younger. Dr. Aharonov will determine which procedure is best for you during your consultation. To To restore lost volume around the eyes, Dr. Aharonov can use a Facial Filler like Restylane, and in a matter of 10 minutes, make your upper eyelid and brow look the way they used to, without surgery or downtime. In fact, surgery in these types of patients might actually make the eyes seem more hollow and skeletal, imparting a more aged appearance, even though there is less overhanging skin.
Injecting Restylane or other Facial Fillers around the eyes is one of Dr. Aharonov's specialties. When done with his expertise, Dr. Aharonov can restore your Eyes and Face to what they used to be without surgery.
The minimally invasive Eyelid Lift can also be used for patients who have had a surgical Eyelid Lift by another doctor with resulting Eyelid hollowness. The hollowness gives an overall aged appearance, and can be improved with this minimally invasive technique. Again, a Non Surgical Eyelid Lift takes just a matter of minutes and can even be done during your lunch break.
The minimally invasive Eyelid Lift restores your eyes to a more youthful state naturally and easily. During your consultation with Dr. Aharonov, he will discuss all of your non surgical and surgical options regarding your upper eyelids, brow, face or anything else that might be bothering you. If you decide to proceed with a minimally invasive treatment, it can usually be done during that same visit. Dr. Aharonov can also show you many before and after photos of patients who have had these procedures done. All of Dr. Aharonov's Los Angeles California area patients have been extremely happy with the results of their minimally invasive Eyelid Lift.
Non Surgical Treatment for Dark Circles and bags under the Eyes (Under Eye Filler)
One of the most common complaints that patients have about their eyes is the
appearance of dark circles. Some dark circles can be the result of shadows from bulging under eye fat or bags. The Lower Eyelid Lift surgery will soften the appearance of these dark circles as the fatty bulges are removed. The skin lies flatter and won't cast a shadow. However, many persistent dark circles are a result of genetics or thin under eye skin, and Eyelid Lift Surgery will provide only a minimal improvement in these situations. Frequently, under eye dark circles are the result of lower lid hollowness. This hollowness can even occur in younger patients and is often the result of decreased volume in the lower lid and upper cheek areas. Dr. Aharonov has successfully used facial fillers such as Restylaneto restore the natural volume and improve the under eye hollowness. This has greatly minimized the appearance of persistent dark circles in his Los Angeles area patients. Restylane and other facial fillers can be long lasting, even up to a year or greater. This procedure is quick, virtually pain free, and has little if any down time. Occasionally, a cheek lift surgery may be the best solution to minimize under eye hollowness and dark circles. Each patient must be evaluated on an individual basis, as there are numerous reasons why a particular person has under eye dark circles. During your consultation, Dr. Aharonov can thoroughly evaluate your specific concern and suggest the best possible treatment for under eye dark circles.
Non Surgical Treatment of Bulging Eyes or Prominent Eyes
Bulging eyes or prominent eyes can be caused by some medical conditions like Grave's disease, or could be something genetic that some people are born with. In some people the eyes can seem to be getting more prominent or more bulging as they age. For people with severe bulging of the eyes, or what is called proptosis, surgery is sometimes the best solution. Surgical options for prominent eyes or proptosis include orbital decompression surgery or orbital rim onlay grafting. These surgeries are fairly invasive and can sometimes have severe complications including to vision.
Proptosis or bulging eyes depends on the relationship between the globe (the eyeball) and the surrounding orbital rim (eye socket). How far anterior the globe or eyeball sits in relation to the orbital rim will dictate the degree of proptosis or prominence of the eyes. This is sometimes symmetric in both eyes or asymmetric with one eye being more bulging than the other.
Orbital decompression involves enlarging the size of the eye socket by fracturing the walls of the orbit outwards allowing the globe (eyeball) to settle further back and have more room so it doesn't bulge as much.
Another surgical option involves building up the surrounding orbital rim (the superior and inferior orbital rims) by placing onlay grafts on them to make the rims project more anteriorly in relation to the globe. This leaves the eyeball in the same position (as opposed to orbital decompression). The eye seems less bulging and less prominent because the orbital rim is sticking out further.
This same concept can be performed non surgically using facial fillers such as Restylane. The facial filler is used to build up the orbital rim (either the inferior, superior or both orbital rims) making the eye look less prominent and less bulging. This is a great option for people with moderate to mild proptosis, bulging eyes, or prominent eyes. It can be used to make the eyes more symmetric as well. This is a painless in office procedure that can be performed in a matter of a few minutes. It is similar in nature to using facial fillers to treat dark circles or under eye bags. It is also a great option for people with orbicularis hypertrophy (having a thick crease right below the lower eyelashes) because this problem is usually caused by decreased support of the globe by a weak inferior orbital rim.