Puffy Eye Bags and Under Eye Wrinkles Can be Treated with Separate Procedures

A woman had a backpack and wrinkles under her eyes. She wants to know the options available to fix the eye problem.

Dr. Amiya Prasad is an oculofacial plastic surgeon who has practiced in Manhattan and Long Island for over 20 years. Her background lessons are first in eye surgery and specialized training in cosmetic and reconstructive cosmetic surgery, as well as facial and bone surgery around the eyes.

Dr. Prasad explained that this woman dealt with two major issues: swelling and wrinkles. Swelling under the eyes is caused by a fat pocket. This fat pocket has nothing to do with body fat but genetics and anatomy around the eyes. They are obese and prolapse that results in obesity. Unfortunately, this fat is undeniable. People often try all kinds of over-the-counter creams and ingredients that often fail to do anything. As a rule of thumb, over-the-counter treatments have a limit on how far they can go, no matter how many manufacturers promote and advertise. They cannot go too far into the skin to reduce the amount of pockets of fat.

In the practice of Dr. Prasad, he highlighted these fat pockets in a procedure called lower eyelid blepharoplasty, which meant he was approaching their surgery. Most patients fear surgery because they think of hospitals and deep anesthesia, but in Dr Prasad's practice, he has his own facilities certified by the Joint Commission. This is the same organization that certifies hospitals to ensure that office-based cosmetic surgery is performed at a very high level in conjunction with ambulatory surgery centers or hospitals in terms of safety protocols, sterilization methods, and so on. In addition, she underwent this procedure under local anesthesia with LITE ™ IV treatment. The patient was given a liquid valium equivalent that relieved them and allowed them to perform the procedure. The patient recovers quickly and usually returns to work within a week.

The method of surgery also depends on whether or not the presence or absence of excess skin.
There are two approaches to the lower eyelid: the transcutaneous or external approach and the transconjunctival or the inner. In order to determine the best approach for the patient, a physical examination is required to determine whether the skin is excessive. In the practice of Dr. Practically, his most popular procedure is transconjunctival blepharoplasty in which he avoids external incision, which is commonly used in those with no additional skin.

Some patients feel that they have extra skin due to the appearance of wrinkles. Wrinkles under the eyes are due to changes in the quality of the skin rather than to the quantity of skin. Changes in skin quality are loss of collagen, blood supply and skin elasticity.

To get closer to the lower eyelid skin, Dr. Prasad uses a regenerative drug technology called platelet-rich plasma (PRP) that is the growth and healing factor needed for wound healing. It is extracted from the blood of the patient performed as a routine blood routine. Through plasma rich in platelets, it stimulates new collagen, blood supply and improves skin quality and color.

In lighter skin individuals, Dr. Prasad also uses a technology known as fractional CO2 lasers. This is a great way to direct heat energy to the skin which causes skin shrinkage, fine lines and wrinkles. It also builds collagen and improves appearance.

Dr. Prasad also adds that when people look at themselves and focus below their eyes, they also sometimes feel that they have hooding on their eyelids. She politely mentioned that this was also present in this woman and that it was probably something she wanted to address during her consultation.

Dr. Prasad recommended that he meet with an experienced cosmetic surgeon and learn about their style by looking before and after pictures. He or she must also study the type of sedative or anesthesia and determine if he or she is comfortable with the doctor. It is very important that he can convey his concerns and set expectations of what he wants to see when the procedure is completed.

For more information on eye surgery, please visit:



To learn more about platelet rich plasma:



For information on fractional CO2 lasers, please visit:

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Rejuvenation for Under Eye Wrinkles, Eye Bags, and Hollowing Need Separate Treatments

A 42-year-old woman said she had terrible eyes and severe cramps. He wants to know the best procedure for solving the problem.

Dr. Amiya Prasad is a cosmetic plastic surgeon who has practiced in Manhattan and Long Island for over 20 years. Periodicals or aesthetics around the eyes are typical. This woman's situation is something she deals with everyday.

Hollowing is caused by genetics and aging. As people get older, they lose amounts of bone, muscle, and fat. At the bottom of the eye, especially at the junction of the eyelids to the cheeks, there is a condition called V-defect caused by the relative throat in the area. Cheeks also lose volume.
Every time Dr. Prasad saw the eyes of the people, he always saw their face. She does facelifts, cheek implants and many things to help rejuvenate her face. He thinks of everything separately, but also their relationship to other regions as the whole is always greater than the sum of its parts.

There are two types of facial wrinkles: wrinkles when people make facial expressions called dynamic wrinkles are activated during muscle contraction; wrinkles at rest are called static wrinkles. There are two different approaches to these issues.

Dr. Prasad also noted that while the woman's face was resting, there was swelling under her eyes, called lower eyelid fat prolapse. He usually performs a surgical procedure for this called transconjunctival blepharoplasty in which the fat causes the bag to be carved and reduced from the inside of the eyelids. This is done in his office under local anesthesia with LITE ™ sedation which means the patient has not had general anesthesia, so recovery is quicker. She explains that eye bags are the dominant female problem.

In order to lose volume below the eye, especially at the intersection of the eyelids and cheeks, Dr. Prasad discusses it with fillers such as Restylane, Radiesse and Juvederm, or uses more permanent solutions such as cheek implants. Most of the time, people don't want to hear about cheek implants the first time they see it. Occasionally, it is possible to have an injection test, and there is a value to the convenience of the injection compared to the surgery. However, injections are not permanent which means they need to be maintained.

As far as wrinkles are concerned, for static or wrinkles to rest, Dr. Prasad uses a combination of modalities consisting of platelet-rich plasma (PRP) and fractional CO2 laser. Static lines represent collagen loss. PRP, derived from your own blood, has a growth factor that stimulates collagen. He also uses lasers like fractured CO2 lasers. It is not intended to make a person look fine or porcelain, but to enhance the appearance of lines and wrinkles. When it comes to dynamic wrinkles, Dr Prasad uses Botox ™, Dysport, and Xeomin. This is an injection that can reduce muscle activity in the forehead or wrinkles. One thing to keep in mind is that when people smile, their cheeks go up vertically, so there will always be skin bunches in the area.

Dr. Prasad explained that it is important to understand how each of these factors contributes to the overall appearance. As a cosmetic surgeon, patients often come to her with high special attention on their priority list. He often lets them see themselves from a wider perspective. They learn that it may be important to them in terms of their perception, but they should consider how it contributes to their overall appearance. He can improve their appearance by taking bits and pieces of various issues and incorporating them. The results can be very good. He cannot stop the aging process, but he can certainly help patients see the best by addressing many of these genetic and aging problems.

Dr. Prasad suggests that it's best to meet an experienced, experienced cosmetic surgeon. He recommends surgeons because they can do other things that other dermatologists and non-surgeons can do, and can even provide patients with surgical solutions. It is very important for patients to think about the things that are important to them and to have a clear communication with the doctor about expectations.

For more information on eye surgery, please visit:



To learn more about fractional CO2 lasers, please visit:

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1- Instant Wrinkle Reducer™


2- Kollagen Intensiv™ - Accelerate Your NATURAL Collagen Production In Just 84 Days


3- Illuminatural6i™ Advanced Skin Lightener


4-Dermefface FX 7™ - Scar Reduction Therapy


5- ClearPores - Improve the way you look


6- Phyto350 - Fill In Wrinkles From the Inside Out!


7- Intensive Stretch Mark Therapy - Visibly Reduce The Appearance Of Stretch Marks


8- Age-Defying Eye Therapy - Get Rid Of Crow's Feet, Laugh Lines And Dark Circles


9- Rosacea Relief Serum - Long-Term Relief For Dry, Itchy And Inflamed Facial Skin


10- Argan Oil - Cold Pressed Cosmetic Argan Oil


11- Feel Better. Look Better. Live Better.


12- Hersolution Booty Sculpt System - The Complete Sculpt, Firming & Smoothing Anit-Aging System


14- Stop Grow™ - Say Goodbye to Unwanted Body Hair!


15- GenF20™ - Look Younger, Feel Younger, Stay Younger With HGH


16- GenFX™ - Live Your Life to the Fullest with GenFX