Q&A Topic: Eyelid & Facial Rejuvenation
James R. Gordon, MD, PC, FACS, FAAO
Q. Why and when should I consider an eyelift?
A. The eyes are often the first area of the face to show signs of aging. If the first thing you do every morning is look in the mirror and try to pull your eyelid up to lift your eyes, it may be time for surgery. To address concerns like hooding of upper eyelids with loose skin, under-eye puffiness, and dark circles, blepharoplasty—often referred to as an eyelift—is the best solution to turn the clock back by about 15 years.
Q. Is there a non-surgical way to rejuvenate my eyes?
A. There are many around-the-eye rejuvenation options available without surgery. The key is to treat the delicate areas of the skin surrounding the eyes and contours of the faces with precision. I use a combination of injectables and fillers, known as the “liquid lift,” to address a variety of common aging concerns. Hyaluronic acid fillers, such as Juvederm, Belotero, Perlane and Restylane, can be used off-label to fill in under-eye hollows and create a smooth contour from the lower eyelid down to the cheek. Neutrotoxins injectables, such as Botox and Dysport, can be used to treat crow’s feet and wrinkles, which blepharoplasty cannot correct. Laser skin resurfacing can also help to tighten the skin, remove discoloration, and boost a healthy glow.
Q. At what age should I start to preserve a youthful look?
A. The answer is different for everyone. While great skin care and sun avoidance are instrumental in maintaining a youthful appearance, sometimes a little more help may be needed. Some of my patients feel that early intervention is effective in preventing future wrinkles. Other patients choose to start with Botox or Dysport injections as soon as traces of fine lines appear between the eyebrows or around the eyes, typically in the late 20s to early 30s. As for tissue fillers, the timing varies for each patient. I find that most patients become interested in restoring fullness to their face and lips sometime in their early 30s to early 40s. Laser skin procedure can resurface damaged skin for patients in their 30s to uncover fresher, radiant skin.
Q. How do I ensure looking good long term?
A. From targeted skin-care regimens and fillers to lasers and surgery, anything that improves the look of your face requires maintenance. It is all about building upon your outcome with the right treatments and procedures to defy aging. Map out with your doctor what you should be doing and when—injectables every 3 to 4 months, fillers every 9 to 12 months, lasers every few years, and surgery either as needed, or for touch-ups, every 10 years. Sticking to a treatment plan will keep you looking good as you age.
Q. What is trending in 2016?
A. Procedures that promote youth with no downtime and minimal discomfort. Microneedling with PRP (platelet rich plasma) is producing impressive results for my patients. This combination treatment visibly reduces acne scars and stretch marks, prevents skin aging, and stimulates collagen growth for overall rejuvenation. Yet, it does not require a prolonged recovery and it is relatively painless. With several studies in the medical literature supporting microneedling technology and PRP benefits, I can envision many busy professionals opting for this proven, non-invasive option. Patients generally see improvement in their skin after their first treatment.
Click here to view Dr. Gordon's Q&A page about Blepharoplasty.
Dr. Gordon is a Board Certified Ophthalmologist and Oculoplastic Surgeon with over 16 years of experience. He has performed thousands of procedures from common eyelid enhancements to major reconstructive surgeries. Recognized as one of the best cosmetic surgeons in New York, Dr. Gordon has earned many prestigious honors and distinctions, including being consistently named to Castle Connolly Top Doctors, Westchester Magazine’s Top Docs, RealSelf Top Doctors, and U.S. News & World Report Best Doctors. He is also awarded Most Compassionate Doctor, Patients' Choice, Top Beauty Doctor and Expert Injector for cosmetic facial fillers and injectables. Dr. Gordon appears frequently in major media outlets, including CBS, OK! Magazine, NewBeauty, Good Housekeeping, Woman’s Day, Redbook and The New York Times.
James R. Gordon, MD, PC, FACS, FAAO
Cosmetic Eyelid & Facial Surgeon
450 Mamaroneck Avenue
Harrison, NY 10528
115 East 29th Street
New York, NY 10016