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BOTOX Cosmetic

BOTOX® Cosmetic, offered at our Boston-area offices, is an injectable solution that can help reduce the appearance of wrinkles on a patient’s face. BOTOX® injections are extremely effective at treating crow’s feet, laugh lines, frown lines, and other facial wrinkles.

BOTOX Cosmetic

Restylane

Restylane®, offered at our Boston-area offices, is a safe, effective, and entirely organic injectable filler. Made of hyaluronic acid, Restylane® is used to treat and reverse the effects of facial wrinkles and folds, providing a more youthful and energetic appearance.

Restylane

Choices in Eyelid Surgery

Are you seeking to learn about eyelid surgery? Do you have droopy eyelids or sagging eyelids? Perhaps insurance will cover this procedure. Call us to learn more about our oculoplastic and eyelid surgery services.

Choices in Eyelid Surgery

Insurance and Financing

If you are considering eyelid surgery, also known as blepharoplasty, the cost is one of the most important factors in deciding whether undergo the procedure. It is key to understand how your insurance may factor into the overall cost of this procedure.

Insurance and Financing

Tear Duct Disorders

Tearing is a symptom that occurs in many patients. There are a number if causes of tearing ranging from dry eyes with reflexive increased tear production to poor drainage of the tears. In order to best treat your tearing, it is necessary to determine the underlying cause.

Tear Duct Disorders

Choices in Eyelid Surgery

Upper Eyelid Lift (Upper Eyelid Blepharoplasty)

Drooping or sagging eyelids often cause the appearance of being older, tired or sad. For many patients the cause for this is from excess upper eyelid skin (dermatochalasis) that may weigh down the eyelid or be cosmetically unpleasing. Some patients may also have pronounced fat pockets that are normally present in the eye socket that protrude forward into the upper eyelid space creating a puffy appearance around the eyes. The removal of this excess skin and bulging fat (upper eyelid blepharoplasty) helps to rejuvenate the face and restores a more youthful appearance.

Brow Lift

The position of the eyebrow contributes heavily to the appearance of the face as well as the position of the eyelid and eyelid skin. Drooping of the eyebrows (brow ptosis) is one of the frequent cause of a saddened or tired appearance. Drooping of the eyebrows often co-exists with dermatochalasis and can often exaggerate its severity. Mild to moderate elevation of the brow can be achieved at the time of upper eyelid blepharoplasty with the placement of additional internal elevation sutures. This results in a beautiful natural appearing brow lift.

Lower Eyelid Lift (Lower Eyelid Blepharoplasty)

Similar to the upper eyelids, the appearance of the aging lower eyelids can contribute to poor facial aesthetics. With age, the lower eyelids may develop wrinkles and sagging as well as protrusion of the natural eye socket fat into the lower eyelid space creating the appearance of significant puffiness around the eyes. Lower eyelid blepharoplasty removes the bulging fat and any excess skin which may be present helping to reduce the wrinkles and puffiness. This helps to restore a more energetic and youthful appearance.

Repair of Droopy Eyelid (Ptosis Repair Surgery)

In evaluating the upper eyelids, in addition to evaluating for the presence of excess eyelid skin (dermatochalasis) and the position of the eyebrow, it is important to also assess the position of the eyelid itself. Many patients with time will develop a lowering of the upper eyelid position as a result of weakening of the associated eyelid elevation muscle and attachments. This condition is known as eyelid ptosis. Eyelid ptosis can often impair a patient’s peripheral vision or in very severe cases even their central vision. Eyelid ptosis often co-exists with dermatochalasis and brow ptosis and often all three components need to be evaluated and addressed in order to obtain the best results. It is important to understand that the primary goal of eyelid ptosis repair and any additional functional upper eyelid surgery is to improve the visual function of the eye and less so to improve the aesthetic appearance of the face.

Functional Upper Eyelid Lift & Brow Lift (Upper Eyelid Blepharoplasty & Brow Lift)

In some patients, the degree of dermatochalasis and/or brow ptosis adversely affects the patient’s visual function. These conditions, when severe, may impair a patient’s peripheral vision or even their central vision. The removal of the excess upper eyelid skin and elevation of the eyebrows in these patients can significantly improve their peripheral vision. The most successful and long-lasting brow lifts for these patients often involve placing an incision directly above the eyebrow and lifting the eyebrow tissue. The incision is placed adjacent to the eyebrow hairs and although softens with time, does leave a fine scar at the incision site so patients should be acceptable of this prior to surgery. It is important to understand that the primary goal of functional upper eyelid blepharoplasty and brow lift surgery is to improve the visual function of the eye and less so to improve the aesthetic appearance of the face.