Our Blog

A blog about cosmetic and reconstructive surgery of the face, including non-surgical procedures and skin cancer.

Treatment Options for Under Eye Dark Circles

Dark circles under the eyes are increasingly common. Both men and women alike seek cosmetic treatments for their dark circles with a cosmetic plastic surgeon. Dr. Robert Schwarcz is a New York oculoplastic facial surgeon and board-certified cosmetic surgeon who regularly treats patients without the need for surgery for dark circles under the eyes.

Of course, with surgery, results are more permanent. Click here to learn about cosmetic surgical procedures available to you. While without surgery, there is no recovery or downtime.

How To Choose the Right Treatment Option For Your Dark Circles

Facial Dermal Fillers

Facial fillers can eliminate the darkness of under eye circles while filling in lost volume. Restylane is a specific and popular facial dermal filler used to eliminate and treat under eye dark circles and can fill in the hollow crevices beneath the eyes.

Chemical Peels

When the discoloration and darkness under the eyes are caused by sun exposure or genetics, the treatment may include a chemical peel. The peel can vary in intensity and strength but because of the delicate nature of the skin beneath the eyes, your plastic surgeon may recommend a mild chemical peel.

The World of Laser Treatment

Our practice offers cosmetic procedures utilizing the following lasers: The Clear and Brilliant Laser, Intense Pulsed Light Laser, the ClearLift Laser Skin Resurfacing Laser, and the Total FX C02 Laser.

The benefits of the Intense Pulsed Light laser include lightening dark spots on the skin, broken blood vessels and Rosacea. The Total FX C02 Laser is a skin resurfacing procedure similar to a chemical peel, with different levels of intensity requiring anesthetics.

The ClearLift laser treats fine lines, wrinkles, redness, age spots and unwanted veins. The Clear and Brilliant laser works to treat the early signs of aging.

Contact our office to learn more today.

Treatment Options for Facial Volume Loss

Facial Implants: The Surgical Treatment Option for Lost Facial Volume

Facial implants are designed to augment and enhance the contours and cosmetic appearance of the face. The type of implants varies and include chin implants, cheek, malar and jaw implants. For instance, a chin implant can add lost facial volume while enhancing the proportionality and symmetry of the face. The size and location site of each implant really depends on the individual qualities of the patient’s face. A cheek implant, for example, can create fuller, plumper cheeks and allow for greater visibility of the cheekbones which become well-defined as a result of this procedure. Cheek implants are commonly composed of silicone.

Since an implant is a foreign device to the body, it is critical that a facial implant surgery is performed by a qualified cosmetic and plastic surgeon. Each implant can be professionally inserted during an out-patient procedure with Dr. Robert Schwarcz, a cosmetic and reconstructive plastic surgeon in New York City.

Facial Fillers: The Non-Surgical Procedure for Lack of Volume in the Face

Facial fillers like Sculptra and Radiesse are commonly used injectables that enhance facial volume. In addition, to creating volume and definition where it is absent, these fillers can also improve skin elasticity, sagging skin, and firmness. Other facial fillers exist for particular areas of concern and targeted areas of the face. In addition to treating under eye wrinkles and thinned out lips, Juvederm also fills in sunken cheeks.

Facial fillers are a non-surgical procedure usually performed at the same time as Botox on other areas of the face.

New York plastic and oculoplastic surgeon Dr. Schwarcz has two offices conveniently located in New York City and Scarsdale.

How To Treat Post-Pregnancy Skin Discoloration and Pigmentation

Skin discoloration is a common consequence of hormonal changes that may come from pregnancy. It can come in the form of hyperpigmentation, freckles, brown spots, age spots and more. At Dr. Schwarcz’s practice, we utilize laser treatment to treat such skin discoloration for our patients. Mothers after delivery and labor often find this treatment helpful in regaining their pre-pregnancy cosmetic skin tone without the discoloration and freckles.

Uneven skin tone and pigmentation can be treated by the intense pulsed light laser which targets and heats up the discolored cells to decrease their pigment. Contact our practice today to learn more about your options. You can have the skin you used to love prior to pregnancy and hormonal changes. The laser treatment is simple, painless and easy.

We do not recommend undergoing this treatment during pregnancy for obvious safety reasons. It would be better to wait until after birth and delivery is complete to undergo cosmetic laser treatment.

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.