Our Blog
  • Dermal Fillers, Lower Blepharoplasty, & Fat Grafting for Dark Circles and Under-Eye Bags

    The area around the eyes is one of the first places to reflect the tell-tale signs of aging. Bags, hollows, or dark circles under the eyes can make a person’s overall appearance look tired, haggard, and even unwell. Fortunately, various cosmetic treatments, including eyelid blepharoplasty and dermal fillers, can correct these issues to provide a younger and more rejuvenated appearance.

    What Causes Bags and Dark Circles Around the Eyes?

    The delicate skin around the eyes can change because of lifestyle, diet, the amount and quality of sleep, and overall health. Some people are even genetically predisposed to having excess skin and dark circles under their eyes. Age and drastic changes in weight can stretch and weaken the muscles around the eyes to create hollows or bags of excess fat.

    Dermal Fillers to Correct Under-Eye Bags:

    Injectable dermal fillers use synthetic or natural substances, such as hyaluronic acid, to restore lost volume and stimulate collagen production under the eye. A cosmetic surgeon strategically injects the filler under the eye to plump the skin, which eliminates hollows and reduces the appearance of under-eye circles. The results of dermal filler injections typically last about one year.

    Fat Grafting:

    Fat grafting is another minimally-invasive method of rejuvenating the area under the eyes. A small amount of fat is harvested from the patient, typically around the flank or hips. The fat is then processed and injected into the area under the eye. The results of a fat graft last longer than injectable dermal fillers.

    Blepharoplasty Surgery:

    Blepharoplasty, commonly known as eyelid surgery, provides a long-lasting solution to dark circles and sagging under the eyes. The procedure involves removing or repositioning excess skin and fat under the eyes. The redistribution of the fatty tissue keeps the eyes from appearing too hollow. The result is a smooth, youthful appearance. The incision is made along the inside of the eyelid, so the scar is completely hidden.

    Choosing the Right Under-Eye Treatment:

    Individuals who wish to undergo cosmetic treatment to correct dark circles or bags under their eyes should consult a board-certified oculoplastic surgeon like Dr. Robert Schwarcz to discuss their options. Dermal fillers, fat grafts, and blepharoplasty are all safe, effective procedures that can be performed in his offices in New York using a local anesthetic. The most appropriate treatment depends on the patient’s goals, the type of issue to be corrected, and how long the patient would like the results to last.

    Contact Dr. Schwarcz’s Scarsdale or New York City practice today to learn more information regarding these cosmetic procedures.

  • 5 Signs You Need Revision Eyelid Surgery

    Most patients undergoing eyelid surgery, also known as blepharoplasty, do so for aesthetic or medical reasons. Blepharoplasty surgery is an effective way to remove loose skin and excess fat around the eyes that can add years to the overall appearance and even interfere with the proper function of the eyelid. If the cosmetic surgeon is not skilled in the procedure, the patient may experience complications and require a revision surgery to correct the issue.

    Reasons to Undergo a Revisional Eyelid Blepharoplasty:

    Eyelid surgery is not a forgiving procedure. Even the slightest mistake can create undesirable results. The following are a few of the most common reasons why a patient may opt for corrective surgery.

    Drooping Eyelids

    The most common reasons that the eyelids may continue to droop following the original surgery are that too little skin was removed or that the levator muscle responsible for lifting the eyelid was not tightened. This can be corrected with a revisional surgery that tightens the muscle to create a more refreshed and vibrant appearance.

    Distorted Eye Shape or Contour

    An example of this type of issue is a sagging lower eyelid that reveals more of the white than normal. The problem typically occurs when too little or too much skin is removed. A revision blepharoplasty can help restore the natural shape of the eye.

    Inability to Blink or Shut the Eyes

    This issue can occur if too much skin is removed during an upper eyelid surgery. The skin is then so tight that the eyes cannot completely close, which is referred to as lagophthalmos. This is not only uncomfortable, but it also increases the risk of injury to the eye by dust and other debris. A revision blepharoplasty that uses skin grafts can make it possible to blink and close the eyes properly.

    Undereye Hollowness

    This issue can occur if the surgeon removed too much fat from the lower eyelids. The result is that the eyes appear sunken, which makes the individual look ill or tired. Revision blepharoplasty surgery can be used to add volume to the hollow areas to create a younger, rested, and alert appearance.


    While no one has perfectly symmetrical eyes, a poorly executed eyelid surgery can make the eyes appear noticeably unbalanced. This can occur if too much fat is removed from around one eye, if more skin is removed from one side than the other, or if the levator muscle of one eye is tightened too much. Revisional surgery can restore the normal symmetry of the eyes.

    When considering eyelid revision surgery, it is best to seek out a board-certified oculoplastic surgeon like Dr. Robert Schwarcz with specific expertise in performing these types of procedures. Click here to learn about what is involved in an eyelid blepharoplasty procedure.

  • Types and Benefits of Facial Fillers

    As you age, your skin will naturally lose volume and sag as the pads of fat and connective tissues beneath it shrink. Facial fillers help reverse this change by adding support beneath the skin, stretching it out to erase wrinkles. When administered by a skilled cosmetic plastic surgeon, fillers can give quick, long-lasting results with no surgery or recovery time necessary.

    Temporary, Semi-Permanent and Permanent Facial Fillers

    Fillers are classified as one of three types: temporary, semi-permanent, and permanent.

    Temporary fillers are based on natural compounds. All temporary fillers eventually break down and are absorbed by the body, so they must periodically be renewed to maintain their benefits.

    Originally, collagen fillers such as Cosmoplast, Cosmoderm, and Evolence were the most popular injectable treatments. However, they have been overtaken in popularity by hyaluronic acid-based fillers, such as Restylane, Juvederm, Restylane Silk, and Perlane. Hyaluronic acid’s advantage is that it provides a softer, more natural look.

    Another type of temporary filler is calcium hydroxylapatite, which is stronger and heavier than hyaluronic acid and is typically injected deeper in the skin. Radiesse is a filler composed of calcium hydroxylapatite and is used to treat moderate to deep creases and folds.

    The only facial filler composed of poly-L-lactic acid that is FDA approved is Sculptra. This is heavier than temporary facial fillers, and is usually used to treat especially deep facial lines and indentations to create volume, when other fillers aren’t strong enough. While their results are long-lasting, they may still require occasional maintenance with your cosmetic plastic surgeon.

    Permanent fillers such as ArteFill are made with microspheres of polymethylmtethacrylate (PMMA). They are too heavy to be used in delicate areas, but work well in places where the skin is thick and lines form deeply, such as the nasolabial folds.

    One permanent injectable treatment to beware is silicone. Silicone injections are not approved by the FDA and are dangerous and unsafe, especially since many practitioners offering silicone injections are not licensed. Patients have suffered severe reactions and side effects from silicone. Silicone can also shift within the body, producing an uneven, lumpy appearance.

    Which filler is best for you is a matter best determined in consultation with a licensed cosmetic plastic surgeon. Your doctor can help you determine what’s best for your case and work out a treatment plan. The right filler can produce a remarkable renewal in your look, with no surgery involved.

  • Treat Your Excessive Sweating with Botox

    An estimated 2.8 percent of the American population, or about 8 million people, suffer from a condition called hyperhidrosis. These people sweat heavily from their armpits, soles of the feet, or palms of their hands. This sweating occurs regardless of the weather or the person’s emotional state. Hyperhidrosis or excessive sweating can be embarrassing by producing visible dampness and sweat odors through clothing. It can also damage clothes, and when present in the feet it can produce an environment conducive to athlete’s foot and other infections.

    Treatment for hyperhidrosis usually involves antiperspirants and medication, with surgery as a last resort. However, there’s a non-surgical treatment your cosmetic surgeon can help you with. Botox has recently been approved by the FDA as a treatment for hyperhidrosis in the armpits, and many doctors use it to treat Blepharospasm and any involuntary twitching as well. In addition, Botox is commonly used on the neck and face.

    How Botox Controls Hyperhidrosis

    Botox is primarily known as an anti-wrinkle treatment. It works by temporarily paralyzing the nerves in the affected area. In the case of hyperhidrosis, Botox is injected to block the nerves that send signals to the sweat glands.

    Botox injections in areas commonly affected by hyperhidrosis, such as the hands, armpits, and groin, is a relatively simple procedure that should not be painful. The injections do not need to penetrate deeply, so a small needle is all that is needed, minimizing discomfort. Using Botox on the feet is somewhat more difficult because the skin of the feet is thicker than the armpits or hands. A larger needle and some form of anesthesia, such as a nerve block, may be required.

    Effects of Botox Injections for Hyperhidrosis

    You should see immediate results from your Botox injections. There should be no recovery or downtime necessary. The effects of the injection should last approximately eight months. However, that may vary depending on your own body chemistry and the area to be treated. Your cosmetic plastic surgeon will help you assess how well the injections are working for you and create a schedule of injections to keep you sweat-free.

  • Cheek Implants Create Definition & Tone

    Cheek implants are a way to improve facial balance and definition. Facial implants reduce signs of aging around the eyes and create a more proportioned mid-face. By adding projection to the cheek area, the face looks less heavy and more fit and toned.

    When volume and soft tissue are lost around the cheeks, the entire face can look tired and gaunt. Enhancing the cheeks through cosmetic surgery results in a strong, youthful look and rejuvenates the entire face. Although some patients achieve the facial contour that they want with a cheek implant alone, it is common to combine implants with cosmetic surgery including jaw or chin implants. If you are of age, consider a complete face rejuvenation procedure, a facelift.

    In addition to implants, which are permanent, there are also non-surgical methods of adding volume and contour to the cheeks. Dermal fillers like Perlane, Restylane, Sculptra, Juvederm, and Radiesse help define, contour, and plump the cheeks while eliminating lines, wrinkles and creases to create a more youthful look. The results of these dermal fillers are temporary but long-lasting and there is little to no downtime.

    Cheek Augmentation Surgery and Recovery

    Cheek implant surgery is performed by Dr. Schwarcz, a cosmetic plastic surgeon in New York, following a thorough consultation to determine the optimal implant placement. The incision is normally made on the inside of the mouth or under the eye. In rare cases, small incisions may be made in the cheekbone itself. Once the implant is properly situated, the area is sutured. Over time, the implant meshes with the natural bone and becomes structurally sound.

    Some temporary numbness, bruising, and swelling can result and is considered normal following the procedure. Any post-operative discomfort is typically well-managed with over-the-counter or prescription pain medications. Most patients fully recover within a week to 10 days. A return visit to the doctor may be required to remove the external sutures. Any sutures inside the mouth will eventually dissolve on their own.

  • Lip Augmentation: The Path to Plumper Lips with Dermal Fillers

    Lip augmentation using dermal fillers is a non-surgical treatment for creating full, voluminous lips. In the past, lip augmentation typically involved collagen injections. Today, the most popular dermal fillers contain hyaluronic acid, which is safer than collagen and produces longer-lasting results. Hyaluronic acid occurs in the body naturally and adds volume to the area where it is injected. Other cosmetic procedures to increase lip volume, including implants or fat injections, are rarely used today because of the risk of inconsistent results and side effects.

    Common Hyaluronic Acid Fillers

    The most frequently used dermal fillers for plumping of the lips include Juvederm, Restylane, and Restylane Silk. They work by adding structure, shape, and volume to the lips. Each of these fillers involves a similar procedure and produces comparable results. Some fillers also contain the local anesthetic lidocaine to help make the injections more comfortable. The effects of the injection typically start to lessen after approximately six months. Repeat injections are required to keep the lips plump.

    Benefits of Non-Surgical Lip Augmentation

    Hyaluronic fillers immediately start to support and reshape the lips. Fillers offer a number of benefits over other methods of lip augmentation.

    1. The doctor can control the amount of lip volume that is created by adjusting the amount of filler used.
    2. The treatments can be spread over multiple appointments in order to achieve the desired results.
    3. Bumps or lumps created by normal lip movement dissolve easily.
    4. Hyaluronic acid fillers tend to create less swelling and bruising than other types of fillers.
    5. Hyaluronic acid is a natural substance that is unlikely to result in an allergic reaction.

    What to Expect During Lip Augmentation

    A cosmetic surgeon can perform injectable lip augmentation using dermal fillers during a quick in-office procedure. The doctor will numb the area with a topical numbing agent or by injecting a local anesthetic. Dr. Schwarcz, a cosmetic and oculofacial reconstructive surgeon, will mark the areas to be treated before injecting the filler using a fine needle. The results of the cosmetic procedure should be noticeable right away.

    Potential Risks and Side Effects

    Complications following lip augmentation injections are rare and typically include:

    • tenderness and redness at the injection site,
    • bleeding at the injection site, and
    • minor bruising and swelling.

    It is normal to experience some minor discomfort and swelling, but these symptoms can usually be alleviated with ice.

  • ClearLift: A Breakthrough in Cosmetic Laser Treatment

    ClearLift is a non-invasive skin resurfacing procedure that can lift and tighten sagging skin, reduce the appearance of wrinkles, fine lines, vascular redness, and small spider veins. The procedure is gentle enough that it can be used on the neck and chest as well as around the eyes and mouth. This form of laser cosmetic treatment is gaining popularity because it produces dramatic results with no discomfort, pain, or downtime.

    Uses for ClearLift Treatment

    ClearLift is gentle and appropriate for all types of skin. Most patients opting for the procedure want to improve the appearance of fine lines and wrinkles around the mouth and eyes. Others want to tighten sagging skin on their neck, chest, or face. The ClearLift laser uses Q-Switched technology that is also effective in eliminating pigmented skin imperfections, vascular lesions and even tattoos.

    How Do the Treatments Work?

    The energy from the ClearLift laser strengthens the collagen structure that supports the skin. The laser heats the underlying layers of skin while leaving the outer epidermis untouched. This stimulates the development of new collagen, which helps to lift and tighten the skin and plump out lines and wrinkles.

    When the dermal layer of the skin is heated, the body’s natural healing reaction is stimulated. The body treats the heating as a wound and builds collagen in the area as a way of “repairing” the damage. The heating occurs several millimeters under the surface of the skin, so there is no visible damage to the skin.

    Since the upper layer of skin is not affected, a local anesthetic is not required. The procedure does not cause the swelling or redness associated with other laser therapies. The fact that the surface of the skin is not damaged also reduces the risk of infection.

    New York board-certified cosmetic oculoplastic surgeon Dr. Schwarcz can perform the ClearLift procedure in approximately 20 minutes. Some patients achieve visible results after just one treatment. The appearance of the skin continues to improve as the body builds new skin cells and collagen. In most cases, three to five treatments are performed several weeks apart.

    The ClearLift Difference

    While ablative laser treatments that vaporize the outer-most layer of skin produce results, they can be uncomfortable and require several weeks of downtime. ClearLift skin resurfacing works under the surface of the skin, which makes it possible to return to normal activities right away.

  • How A Chin Implant Can Contour Your Face

    A person’s face is seen as attractive, or otherwise appealing based upon our individual and cultural perceptions of beauty. Ultimately, this is rooted in the highly-evolved perception of specific traits, which people have developed over thousands of years. Facial implant surgery helps add definition, contour and symmetry to certain features of the face including the chin, cheeks, jaw and much more. It can also improve perception of a person’s appearance, boost self-confidence, and improve their overall social experience.

    The Shape of A Face

    Chin implants are highly effective in creating definition, tone and shape to the face. A person’s facial shape is primarily defined by their skull and overlying tissues beneath the skin, as evidenced by the increasing trend of historical individuals undergoing facial reconstruction — allowing present-day history enthusiasts to have a look at some of history’s most famous persons. Depending upon the structure of an individual’s facial features, different features may appear well balanced, unusually pronounced, or poorly defined.

    Many people may react in a negative way to poorly-defined features, which are themselves often referred to individually as “weak.” A person might be said to have a “weak chin” or a “poor jawline.” This affects the confidence of such individuals in social situations, when they themselves are in no way lacking any of the actual pertinent qualities required for their own social advancement.

    Within the overall discipline of oculofacial plastic surgery lies the practice of facial implantation, including chin implants. This type of surgical procedure addresses a common failing of cosmetic surgery: most surgery focuses solely on the malleable, or “plastic” tissues, creating temporary changes that fade over time. The use of implants focuses instead on bolstering the underlying solid structure, creating permanent changes in the shape of a person’s face.

    The Importance of Chin Implants

    Any cosmetic surgeon will tell you that chin implantation is one of the most popular facial implant surgeries available. By further developing a weak chin, chin implants work to dramatically improve many aspects of a patient’s overall appearance. They improve the profile of the entire face, but can also help to reshape the contours of a person’s neck, creating a more elegant curve that corresponds strongly to millennia-old ideas about human beauty. The wide range of implants available means that there is one available to suit the needs of any given patient, for all but the most extreme of circumstances.

    Chin implantation involves a small incision, which is made either under the chin or within the mouth. During the surgical procedure, which is frequently performed with only local anesthesia, the implant is slid into place, whereupon the existing facial tissues provide strong support to keep it in position. The recovery time for chin implantation is one of the shortest in cosmetic surgery, typically lasting for a few days.

    Afterward, the patient’s new facial shape will appear as natural as if they were born with it, allowing them to engage with other people on both the personal and professional levels with greater ease and confidence.

  • Reasons for Getting a Brow Lift

    As a person ages, their eyebrows often begin to sag, becoming flat and droopy. This creates a tired look, which can affect how a person sees themselves, as well as how other people interact with them. A brow lift is a simple cosmetic surgical procedure which works to correct this progressive condition, restoring confidence and self-esteem through a more youthful appearance.

    Why Get a Brow Lift

    Brow lifts help reduce visible signs of aging in the upper portion of the face. Where they are needed, they may stand alone, or they may be combined with other cosmetic procedures (such as a facelift) to rejuvenate more of an individual’s appearance at one time.

    Brow lifts are popular due to their longevity. Depending upon aging factors, lifestyle, and sun exposure, the effects of a brow lift typically last for many years. Botox injections, one of the major alternatives to this cosmetic surgical procedure, have a much shorter lifespan by comparison.

    Risk Factors

    This is a relatively simple cosmetic procedure, which can be performed by an oculoplastic cosmetic surgeon. A patient who smokes will most likely be advised against having the surgery, as will an individual who is in overall poor

    Types of Brow Lifts

    The brow lift is a form of cosmetic enhancement, which takes different forms depending upon the needs of the patient.

    • Endoscopic Forehead Lift: Five small incisions are made above the hairline, allowing the entire forehead and brow region to be lifted.
    • Pretrichial Eyebrow Lift: This procedure involves the removal of a strip of skin along the area of incision. The eyebrows are lifted, and the hairline is pulled down, reducing the appearance of a high forehead.
    • Direct Brow Lift: A section of tissue is removed adjacent to the eyebrows, raising the brow region without affecting the hairline. This procedure tightens the forehead without changing its overall dimensions.

    Recovery Time

    Most patients are able to resume light activity 3-5 days after a brow lift. Provided that one avoids strenuous or stressful activities, it is usually possible to return to work in a little more than a week (7-10 days).

    Comparatively rigorous activity, such as an exercise regimen, should be abstained from for at least 2-3 weeks following the surgery. Activities requiring alertness and high reaction time, like driving, may need to be postponed for two weeks or more. Your surgeon can better advise you on the particulars, based upon the specifics of your procedure.

    Side Effects

    Common side effects include bruising and swelling along any incisions, as well as across the affected area. This swelling often worsens gradually, then subsides, over the first 3-4 days following the procedure.

    Some patients experience bruising under the eyes as well. This should also fade after 3-4 days following the surgery.

  • How Rhinoplasty is Performed

    Rhinoplasty is a type of cosmetic procedure used to reshape the nose to improve its structure. Patients often have this procedure done to correct a deformity. For example, a person can have a nose job done to eliminate a bump on his or her nose, alter the size or shape, or to correct a birth defect. During a rhinoplasty procedure, a board-certified cosmetic surgeon can also alter a patient’s nasal shape so that he or she can breathe easier.

    Who are the Best Candidates for Nose Surgery?

    Those who are under the age of 16 should wait until their nose becomes more fully developed. In addition, this cosmetic surgery option is not ideal for those who smoke or drink. Both smoking and drinking reduces blood flow, which means that less oxygen reaches the skin. Necrosis can occur if the skin does not get enough oxygen during the wound-healing process.

    Open Rhinoplasty Technique vs. Closed Technique

    Board-certified cosmetic surgeons can choose from two different procedures. If the patient’s nose only needs minor alterations, then the surgeon can make incisions within the nose to reshape it. Patients who need more drastic reshaping will undergo open rhinoplasty. During this procedure, the surgeon must create a vertical strip between the nostrils so that he or she can see the entire nasal structure.

    During a Rhinoplasty Procedure

    The surgeon will start by placing incisions around the nose based on the alterations requested before the procedure. The surgeon will dissect the nasal skin, create a new structure and then drape the skin back over the area. During most rhinoplasties, the surgeon must use a nasal splint to help stabilize the nose’s anatomy.

    The purpose of rhinoplasty is to change facial features in a subtle way that blends in with the rest of the face both symmetrically and proportionally. After the procedure, patients must take care of their nose so that it can heal properly. The healing process occurs gradually, so patients may experience inflammation and minor bleeding after surgery. It can take up to one year for the healing process to finish.

    Those who plan to undergo additional facial procedures should ask their surgeon about having them done all at once. For example, a board-certified cosmetic surgeon can conduct a chin augmentation in conjunction with a nose procedure. Having multiple cosmetic surgeries done at once can help the surgeon maintain facial balance.