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  • Facial Filler Injection with Oculoplastic Surgeon

    Anyone who is looking to undergo a non-surgical procedure that fills out hollowed areas of the face and improves the appearance of the fine lines, creases, lack of volume and wrinkles may benefit from facial filler injections. Facial filler treatment can produce natural-looking results and is often a better alternative to more invasive cosmetic procedures.

    What Facial Filler Injections Can Treat

    Hollow upper eyelids that create the appearance of having sunken eyes can often be treated with these injections. The loose upper eyelid skin that sometimes comes with aging can be tightened with a facial filler. Bags, dark circles and tear trough deformity around the eyes can be eliminated with treatment. Injectables also work great for filling out areas around the cheeks, brows and temples that are drooping due to fat loss. Patients in NYC can receive a consultation in advance so that Dr. Schwarcz, a prestigious oculoplastic surgeon, can perform a thorough examination and perform the best treatment.

    Facial Filler Options

    Some of the best synthetic injectable filler products that can also be used include:

    • Restylane
    • Radiesse
    • Voluma
    • Juvederm
    • Sculptra
    • Perlane

    Hyaluronic acid is a type of facial filler that maximizes moisture and collagen levels. For example, Restylane and Juvederm are comprised of hyaluronic acid.

    Ideal Candidates

    Facial fillers can be given to men and women of different ages who are not allergic to these injectables. This treatment is especially beneficial for premenopausal women and men under the age of 50. Excess and stretched facial skin normally do not develop in abundance before these ages. A patient who has droopy eyelids or severe lower eyelid bags caused by fat prolapse should consider having lower blepharoplasty with fat removal and repositioning for the best results.

    The Procedure

    Dr. Robert Schwarcz is a facial surgeon in New York who routinely performs facial fillers for his patients. The targeted area and the skin concern influence the type of filler that is selected. Each  area can take around 10 to 15 minutes to treat while the patient is comfortably seated. Once the procedure is complete, the patient can resume his or her normal activities.

    After Treatment

    Some bruising and/or swelling without much additional pain or discomfort should be expected for the first week after treatment. Results after the initial treatment may last up to two years, but subsequent treatments are known to maintain the results for longer periods of time.

  • A Restylane Silk Filler Specialist

    Restylane Silk is a revolutionary treatment that can aid in the war against aging. Approved by the FDA, this treatment is part of the Restylane product line that has been giving people great results since 2014. Lidocaine has been added to Restylane Silk so that patients can enjoy greater comfort while receiving treatment.

    Oculoplastic cosmetic surgeon Dr. Schwarcz has offices in Scarsdale and New York City which offer these safe and effective nonsurgical facial fillers to interested patients. Many people who undergo treatment notice positive changes quickly.

    How Restylane Silk Works

    With the use of minimally painful injections, board-certified oculoplastic cosmetic surgeon Dr. Robert Schwarcz restores facial volume that have been lost due to aging. This offers a less-invasive alternative to surgery and provides the same lifting results. Restylane Silk is a hyaluronic acid (HA) filler that is formulated with long sugar chains that mimic what the skin produces naturally. This restylane silk filler is able to enhance the lips and smoothen out lines around the mouth more effectively. Once the filler has been injected, it can be molded easily to create the perfect shape and volume levels.

    To prepare for injections, a numbing cream may be applied to a patient’s skin to lessen any pain or discomfort. An alcohol swab is used to disinfect the treatment areas before a sterilized needle makes the injections.

    Ideal Candidates for Restylane Silk

    This treatment can benefit men and women of various ages and lifestyles who want to have fuller lips and eliminate some of their facial lines and wrinkles. Restylane Silk is also ideal for patients who cannot or do not wish to undergo surgical procedures. Patients should be at least 22 years of age before receiving injections. Anyone who is taking blood thinners, has a bleeding disorder or is allergic to lidocaine should not try this therapy.

  • Cosmetic Orbital Decompression Surgery

    Proptosis is a condition that causes the eyes to appear large and disproportionate to the rest of the face. Bulging eyes receive too much air exposure and are susceptible to harm from foreign objects. Some people are born with proptosis, but people can also develop it later in life. This condition can affect one or both eyes and is more prevalent among certain ethnicities.

    What Causes Bulging Eyes?

    • An orbital tumor
    • Thyroid eye disease
    • Sunken cheekbones
    • Shallow eye sockets
    • Genetics

    How Do Doctors Treat Bulging Eyes?

    Most patients need to visit a board-certified oculofacial cosmetic surgeon to undergo orbital decompression surgery. Bulging eyes often cause irritation, redness and tearing. In addition, some patients are unable to close their eyes fully. To treat the problem, the surgeon must perform orbital eye socket surgery to set the eyeballs in a better position. The surgeon makes tiny incisions to remove bone or fat from behind the eyeballs during this outpatient procedure.

    Orbital decompression surgery can also improve a person’s cosmetic appearance. For example, the surgery can make the eyes look more proportional to the rest of the face. If a patient only has one bulging eye, the surgery can make his or her eyes appear more symmetrical. Orbital decompression surgery is especially beneficial for those who are unable to close their eyes fully.

    The Surgical and Recovery Process for Bulging Eyes

    Patients can visit Dr. Schwarcz, a reconstructive facial surgeon in the New York area to undergo an orbital CT scan. This scan will allow the surgeon to analyze if the patient is a good candidate for orbital decompression surgery. The surgery takes anywhere from 45 to 90 minutes to complete per eye. Surgeons perform the procedure while patients are under general anesthesia. To hide the incisions, the surgeon places them in discrete areas. For example, surgeons often place the incisions inside the eyelid.

    After surgery, patients can resume normal activities within 7 to 10 days. Any bruising and swelling that the patient experiences should subside within two weeks. Patients may experience some moderate pain after surgery, but they can manage the pain by taking oral pain medication. If the surgeon used non-absorbable sutures, then the patient can have the sutures removed after one week. Those who wear contact lenses may need to wait 7 to 10 days before using them again.

  • Droopy Eyelids and Revisional Eyelid Ptosis Surgery

    When droopy eyelids are caused by unsatisfactory results from a previous surgery, the patient can opt to undergo revisional ptosis reconstructive surgery. To tighten or move the levator muscle of the orbit, an oculoplastic surgeon can lift the upper eyelid. Depending on the condition’s severity and patient’s surgical history, the success rate of this procedure varies.

    However, if an experienced oculofacial plastic surgeon conducts a revisional ptosis surgery, the surgeon’s extensive background can improve the patient’s chances of a favorable outcome even with the presence of scar tissue. Dr. Robert Schwarcz is a board-certified oculoplastic surgeon who has performed numerous eyelid surgeries. He is a facial surgeon who has the ability to correct droopy eyelids caused by a brow lift, previous blepharoplasty, or canthoplasty. During the consultation, Dr. Schwarcz will recommend the best treatment option depending on the patient’s facial structure, concerns and goals.

    Revisional Eyelid Ptosis Candidates

    Scar tissue or other complications from a prior eyelid surgery can contribute to the complexity of a revisional ptosis procedure. However, patients with these issues may still be candidates for corrective surgery. Additionally, the surgical area after an eyelid surgery often takes 3 months to 6 months. As the healing progresses, some problems may resolve themselves. Therefore, patients should wait until they have fully recovered before consulting with an oculoplastic surgeon.

    Revisional Ptosis Surgery

    In order to repair the flaws created by a previous procedure, cosmetic surgeons utilizes a specialized revisional technique for the eyelids. This type of surgery is performed as an outpatient procedure in Dr. Schwarcz’s New York offices. Before starting the surgery, the patient is given local anesthesia. When the operation is finished, the patient can look forward to symmetrical, youthful eyelids.

    Revisional Ptosis Recovery Period

    After the procedure is completed, the patient may experience bruising, mild discomfort and swelling. The patient must keep the incision site clean at all times per the surgeon’s instructions. For the first few weeks, superficial healing will occur. However, the total recovery time takes up to several months.

    An Eyelid Specialist

    The results of a cosmetic eyelid surgery should look natural and preserve the eyelids’ function. Individuals who have an eyelid procedure performed by an inexperienced surgeon are at a higher risk of experiencing unwanted results such as an unnatural appearance, dry eyes. eyelid damage, visual problems and other issues. As a board-certified oculoplastic surgeon with a strong background in ophthalmology, reconstructive facial surgery and revisional eyelid surgery, Dr. Schwarcz has the experience to produce optimal results for his patients who suffer from droopy eyelids.

  • The Mid-Face Lift and Cheek Augmentation

    Age, gravity and sun damage can eventually cause fat deflation and facial descent. In the mid-face from the nasolabial folds to the lower eyelids, these issues are particularly noticeable. As a person grows older, the mid-face may deflate, flatten and fall, causing the face to prematurely age.

    To reverse these signs of aging, a cosmetic surgeon can lift the mid-face. In comparison, the surgeon can perform a full face-lift as well.The surgeon may also give the patient malar implants or fat injections during a mid-face lift procedure to make the area more convex and increase the mid-face’s fat volume, creating a more youthful appearance.

    As a board-certified oculoplastic surgeon, Dr. Schwarcz specializes in reconstructive and cosmetic procedures with a focus on the eyes and face. Dr. Schwarcz often performs cheek augmentations, face lifts and mid-face lifts for his patients in NYC and Scarsdale.

    Mid-Face Lift Techniques

    The patient may be an excellent candidate for one or more mid-face lift techniques, including a transconjunctival mid-face lift, transtemporal mid-face lift and endoscopic subperiosteal mid-face lift. Several factors will determine the ideal surgical approach, such as the patient’s aesthetic goals, facial structure and facial surgery history.

    Malar Augmentation

    Malar, or cheek, augmentation involves the surgical insertion of implants that create a fuller mid-face. These implants are constructed from solid materials that are designed to be permanent. An implant’s size and shape depend on the area the surgeon augments. To insert malar implants, the surgeon makes hidden incisions in the mouth, on the lower eyelid and along the temple. Once the area heals, the patient will typically feel like the implants are a natural part of their cheekbones.

    Mid-Face Lift and Malar Augmentation Benefits

    Two signs of beauty and youth in the face are round contours and cheek projection. With a mid-face lift, the patient can obtain a three-dimensional projection and youthful contour to the mid-face. The surgeon can also give the patient fat injections with or without malar implants to enhance the patient’s facial volume, projection and contour.

  • Thyroid Orbitopathy and Thyroid Eye Disease Surgical Treatment

    Thyroid orbitopathy is a type of eye disease that affects the eye socket and surrounding tissues. For example, the condition can affect a person’s eye muscles and eyelids. Some doctors refer to this autoimmune inflammatory condition as thyroid eye disease. Those who have this condition may also develop problems with their thyroid gland.

    What are the Symptoms of Thyroid Eye Disease?

    The symptoms from thyroid eye disease usually develop gradually. In fact, it can take nearly a year for the symptoms to become severe. Patients may experience dryness, redness, eye pressure and irritation. Some of the more severe symptoms include double vision, blurred vision, protruded eyes and loss of vision.

    As the symptoms worsen, patients usually experience a burned out phase. During this phase, a person may need to undergo rehabilitative surgery. For instance, the patient may need to visit an oculofacial plastic surgeon for orbital decompression surgery. Cosmetic and reconstructive surgery can help repair bulging eyes.

    How is Thyroid Eye Disease Treated?

    Most patients need a multidisciplinary form of treatment. For example, they may need the help of an endocrinologist, a thyroid surgeon and an oculoplastic surgeon. Simply treating the eyes will not fix the issue. Doctors must treat the underlying problem before more damage occurs. For example, the patient may need medication, radioactive iodine or thyroid surgery.

    During the inflammatory stage of thyroid eye disease, doctors treat patients by giving them eye lubrication and steroids. They must monitor their patients closely to ensure that no optic nerve damage occurs. Smoking can make thyroid eye disease worse, so doctors usually encourage their patients to kick the habit.

    Orbital Decompression Surgery

    Once the inflammation subsides, patients may need to visit a oculoplastic surgeon like Dr. Robert Schwarcz in New York, to have their eye abnormalities corrected. A surgeon can correct the patient’s bulging eyes so that he or she can see again. Orbital decompression surgery expands the eye socket, which allows the eyeball to move back into position. Besides correcting a person’s vision, this surgery also helps improve the patient’s cosmetic appearance.

    Click here to learn more about other types of reconstructive surgery including eye socket repair, eyelid ptosis repair and more.

  • Orbital Blowout Fracture Surgery

    Injuries to the eye socket and surrounding eye structures are a common occurrence. Blunt force trauma and sharp force trauma due to assaults, athletic activities and falls can lead to canalicular lacerations, eyelid lacerations, orbital fractures and orbital hemorrhages. An oculoplastic surgeon will examine and treat the eyeball in addition to the socket as the eyeball is an injury-prone area. During the consultation, New York oculoplastic surgeon Dr. Robert Schwarcz will examine the patient’s face and eyes and assess the patient’s orbital CT scan results to determine the injury’s severity.

    Orbital Blowout Fractures

    The fragile nature of the orbital bones and adjacent sinuses make it highly likely for eye and orbit trauma to result in an orbital blowout fracture. Often, the fracture occurs in the orbital floor or medial wall. While some orbital fractures do not require surgery, large fractures or fractures that cause enophthalmos or diplopia do necessitate a surgical procedure.

    Surgical Repair of an Orbital Blowout Fracture

    To prevent scarring and increase the procedure’s success rate, an orbital blowout fracture should be repaired no later than 2 weeks after the trauma occurred. In some cases, the surgeon may be unable to repair the site immediately. For example, a sunken eye may appear or become more severe over time; therefore, the patient will need enophthalmos surgery or a filler injection to improve the appearance of the sunken eye.

    Due to the small incisions that remain hidden inside of the eyelids, patients tend to recover quickly from orbital fracture surgery. Dr. Schwarcz performs this surgery while the patient is under general anesthesia. This outpatient procedure takes approximately 1 hour for the surgeon to complete, and the patient will have a follow-up appointment at Dr. Schwarcz’s New York office 1 week after the surgery.

    Select a Certified Oculofacial Plastic Surgeon

    Since the orbit and eyelid are complex structures, oculoplastic surgeons undergo specialized training to learn the nuances of eyelid and orbital treatments. Oculoplastic surgeons who are members of the American Society of Ophthalmic Plastic and Reconstructive Surgery are board-certified ophthalmologists who must complete a cosmetic and reconstructive surgery fellowship to receive training on treating issues that involve the eyelids, lacrimal system, orbits and nearby structures. Dr. Schwarcz is an oculoplastic cosmetic surgeon who is an American Board of Cosmetic Surgery diplomat and board certified by the ASOPRS as well as the American Academy of Ophthalmology.

  • Prosthetic Eye and Socket Reconstructive Surgery with an Oculoplastic Surgeon

    An anophthalmic socket is a term used to describe an eyeless orbit. Usually, anophthalmia is acquired, not congenital. The precipitating event that leads to the eye loss causes the patient emotional distress and insecurities. As an oculoplastic specialist in NYC, Dr. Schwarcz can reconstruct the eye socket and eyelid before an ocularist makes a prosthetic eye. The surgeon uses several techniques to restore function to these structures:

    Causes of Anophthalmia

    People of all ages can have an anophthalmic socket. Common causes of anophthalmia are blunt injuries, infections, genetic mutations and prenatal deformities. When an injury is to blame, the patient should visit an oculoplastic surgeon who will work with him or her to create a surgical plan. To determine the best course of treatment, the surgeon must first examine the site of injury at the surgeon’s office. Dr. Schwarcz has two practices where he routinely sees his patients in New York.

    Post-Operative Care

    Patients should expect a recuperation period of several weeks after their anophthalmic socket surgery. Hygiene is crucial during this time. Patients who are given a prosthetic eye must clean it with water and soap every day. Children who have an ocular prosthesis typically require several fittings since their facial structure changes as they grow.

    Choose a Certified Oculoplastic Surgeon

    People should seek a cosmetic surgeon who specializes in reconstructive facial surgery involving the tear drain system, orbit and eyelids. The surgeon should be an American Society of Ophthalmic Plastic and Reconstructive Surgery member, which demonstrates that the surgeon is a board-certified ophthalmologist trained in the areas of ophthalmic cosmetic and reconstructive surgery. Dr. Robert Schwarcz is a board-certified ophthalmologist and ASOPRS member who has a comprehensive background in socket surgery and knows the structure and anatomy of the orbit and eyelid. Those who want to find out what treatment options are available for their anophthalmic socket should contact Dr. Schwarcz’s office in New York City or Scarsdale.

  • Orbital Tumors and Cellulitis

    Orbital cellulitis is an infection that occurs behind the orbital septum. This infection usually develops when there are issues with the eyelids or sinuses, which are adjacent to the orbits. Orbital cellulitis is dangerous and life threatening, so immediate treatment is essential. Those who have this infection need antibiotics and may require surgery. Dr, Robert Schwarcz is an experienced oculoplastic surgeon in New York City who can treat the problem.

    Information about Orbital Tumors and Infections

    Orbital tumors are often congenital, but people can also acquire them later in life. The tumors can be either benign or malignant. In addition, they can also be either painful or painless. Both adults and children can suffer from an orbital tumor. Sometimes, orbital tumors are subtle and grow slowly. Unfortunately, they can also grow rapidly and interrupt a person’s life. For example, patients may experience pressure, eye irritation, swelling, double vision and proptosis.

    Why Do Eye Socket Tumors Occur?

    Most tumors arise from adjacent structures to the eye socket. If left untreated, the tumor can impair a person’s vision and cause his or her eyes to protrude. The most common orbital tumors that form in children are hemangiomas and dermoid cysts. Adults commonly develop orbital lymphomas, metastatic disease and cavernous hemangiomas. Sometimes, people may have another condition that mimics a tumor. Infections, inflammation and Graves’ disease can all lead to eye problems.

    What are the Symptoms?

    Those who have an orbital tumor or infection commonly develop exophthalmos, which is protrusion of the eye. Patients commonly experience vision loss, blurred vision or double vision. When the tumor is small, the two main symptoms are headaches and pressure feelings near the eye socket. Small tumors can also cause moderate vision issues.

    How do Doctors Detect Orbital Tumors?

    Those who are having problems with their eye socket should visit an oculoplastic specialist in New York City. The specialist can take CT or MRI scans of the orbits to detect a problem. If the doctor suspects that a tumor is present, then the patient may need to undergo a biopsy. A biopsy is necessary because it confirms the diagnosis and helps the doctor learn more about the tumor.

    Those who have an orbital tumor may require radiation, chemotherapy or surgery. Treatment options vary based on the tumor. For instance, radiation is the main treatment for eye socket lymphoma. Surgical removal is the primary way to treat a cavernous hemangioma. Cosmetic surgeon Dr. Schwarcz discusses all options beforehand so that his patients can make an informed decision.

  • Almond Eye Surgery

    Almond eyes are characterized by a slightly raised outer corner or canthus and a lower eyelid that sits at the lower edge of the iris. While all eye shapes can be beautiful, almond eyes create an attractive, youthful, and somewhat exotic appearance. Some individuals have almond eyes naturally because of genetics or their ethnicity. For those with a rounded outer canthus or a lower eyelid that is rounded or low allowing the sclera to show, surgery may help improve the shape and appearance of the eye.

    Who Is a Candidate for Almond Eye Surgery?

    Patients considering almond eye surgery should consult a board-certified oculoplastic surgeon to ensure that they have a clear understanding of the type of outcome that they can expect based on their current eye shape and anatomy. In some cases, a lateral canthoplasty is performed to tighten or reposition the outer canthus of the eye. In patients with a lower eyelid that is too low or that is retracted to expose part of the sclera, additional procedures may be necessary to adjust the position and tension of the lower eyelids. It is common for patients to combine almond eye surgery with a brow lift, blepharoplasty surgery, and other cosmetic procedures to achieve their desired result. Almond eye surgery is a very delicate procedure that can be even more complicated in patients who have had prior eyelid surgery or who have protruding eyes, so consulting a specialist in oculoplastic surgery is essential. Dr. Robert Schwarcz of New York is an oculoplastic surgeon and specialist in surgeries involving the eyes. His practices offer surgical services at both the Scarsdale and New York City locations.

    What to Expect:

    The procedure is performed under local anesthesia, and patients are released the same day. While conscious sedation may be used, the patient still needs to be able to open their eyes during the surgery. Mild discomfort is to be expected for the first day following surgery; however, this is normally easily managed with medication. Some bruising and swelling are normal for the first week to 10 days. While most patients return to their normal activities within a week, complete healing can take several weeks to months.