As the face ages there is predictable descent of the cheek, which accentuates lower eyelid aging including the deepening of lines, hollowing, and prominence of under eye bags and dark circles. The cheek is a three dimensional structure which is supported by bone, ligaments, and muscle which weaken over time leading to sagging and flattening […]
Lower eyelid appearance can vary through the day, which indicates the tissues are active and reactive to the body and its environment. Simple care can help to improve the appearance of the lower eyelid and decrease the variability in puffiness and under eye-bags. Common Complaints: dark circles, lower eyelid lines, under eye bags, puffiness, and
Mild to moderate facial aging can be seen in the cheek or midface region with loss of volume and volume descent. Flattening of the cheeks, deepening of lines, lower eyelid puffiness and bags, and dark circles under the eye are all signs of midface aging. This aging process not only effects the cheek but the
Voluma® is a new FDA approved hyaluronic acid gel based filler for use in the cheek, or midface area. Hyaluronic acid fillers are thick gels used to replace volume and smooth creases. Juvederm® and Restylane® are commonly used hyaluronic acid based fillers for facial areas like the nasolabial folds (smile lines) and lips (lip augmentation).
There are numerous facial fillers on the market today and it is hard to objectively differentiate one from the other. Patients do identify with brand names and if it is presented as a hyaluronic acid filler in the tube that is about to be injected into their face, a puzzled and maybe concerned look will
Dark circles under the eyes are secondary to shadowing and skin color changes in this area. The shadowing is caused by a natural groove in this area called the tear trough. The tear trough is created by the deep attachment of the skin and muscle to the underlying bone. It functions to segment the movement