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It is not unusual to see hooded upper lids or saggy lower lids appearing when you are still in your early or mid 30's.
Juvederm, Restylane, Belotero and are flexible fillers that can be injected anywhere in the face to give an immediate and impressive fill to any fine line and wrinkle.
The patient below was treated with Restylane to the undereyes to smooth the hollow, add volume and bring the troughed area into the light, eliminating dark circles.
Among the most common area where dermal fillers are used is the nasolabial folds (lines between the nostrils and the corners of your mouth). Redness, bruising and swelling can occur with dermal filler injections, but usually resolve within a few days. Hollowed under eyes, dark circles and a tired appearance usually begin around the age of 40. Hyaluronic acid (HA) injectionable fillers work like magic in filling the void, rehydrating and plumping the under eyes and instantly restoring younger looking eyes.
Because Restylane provides only temporary correction (approximately 9 months) a more permanent alternative may be your next step in treating “sleepy hollowing”.
Under eye bags in young people are usually because of a negative vector orbit, where the orbit of the eye protrudes beyond the cheek bone. You may think your under eye woes are a real horror story, but these solutions for sleepy looking eyes and hollowing can be magically corrected with the above methods. Through blepharoplasty, or eyelid lift surgery, the excess skin and fat is removed to create a more youthful, rested, and revitalized appearance.
Contact our San Diego office today to learn more about blepharoplasty procedures and the variations in technique available. Alavi has been chosen as one of America's Top Cosmetic Surgeons by the Consumer's Research Council of America for the past 5 years.

Although we commonly will think that facial plastic surgery is only required for those in the 50's, 60's and 70's, individuals in their 30's are excellent candidates as well.
Consisting of a smooth hyaluronic acid (HA) gel material, Juvederm, Restylane and Belotero are FDA approved, affordable fillers and are popular treatments for patients of any age. Under eye hollows can be the result of your anatomy (negative vector orbits) or caused by loss of facial fat with normal aging. At some point, after realizing that concealing makeup isn’t really helping, women start looking for an alternative. Fat grafting provides this long lasting correction by using your own body fat, retrieved through liposuction and then purified for re-injection.
Our eyes tell a story about our age, mood, and energy level, and sometimes it isn’t the one we wish they were telling. Ayala is Board Certified in ENT and Facial Plastic Surgery and Board Eligible in Sleep Medicine. If your eyes are making you look tired, weary, depressed, or angry regardless of how you feel, you may consider aesthetic facial surgery to the eyes so that you will obtain a whole new look and a much more rested and less tired look. Juvederm, Restylane Silk, Restylane Lyft and Belotero can be used to restore lost volume, smooth out wrinkles or simply to rehydrate the lips. A safety benefit of hyaluronic acid based dermal fillers is that the effects can be reversed by an enzyme, returning you to your original state. Brian Reagan in 2015, is a comprehensive center focusing on aesthetic plastic surgery and skin care. Again, be very particular in choosing your practitioner, one experience in fat grafting to the eyes. The implants are safe, made of silicone and are positioned just under the orbit and above the cheekbone to permanently fill the hollow and bring the area into the light.

Blepheroplasty, or eyelid surgery, may be the appropriate procedure to restore the youthful appearance of the eyes. Droopy down turned eyes and overhanging upper lids often run in families, but that does not mean that you have to live with the aesthetically displeasing appearance.
We have been thoroughly inspected and are state licensed and Medicare certified, meeting the highest standards for an ambulatory surgical center. Generally 1 syringe is all that is needed for correction of both under eyes and the cost is roughly $500 for 1 cc. Brian Reagan have achieved for their patients in our Gallery of eyelid surgery before and after photos.
We have also passed the close scrutiny of the American Board of Plastic Surgery, which found it to meet their highest ethical standards. Seek an experienced injector for this treatment and ask to see before and after photos before treatment. Gilbert Lee of Changes Plastic Surgery & Spa is a pioneer of fat grafting and performs fat grafting to the under eyes under local anesthetic.
The latest edition to our dermal filler menu, is Restylane Silk, a very fluid, yet sturdy filler FDA approved specifically for lip augmentation. Restylane is a very forgiving product as it can be easily dissolved, but treating the delicate eye area takes skill. A fine ribbon of Restylane Silk injected along the lip borders achieves a more defined and youthful lip shape, without the risk of appearing duck-like.

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