Our Blog

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

Why Facial Implants are Increasing in Popularity

Facial implants are used by cosmetic plastic surgeons to create a defined or prominent accentuation of certain features of the face such as the jaw, cheeks, or chin. Depending on the individual’s desired goal, almost any aesthetic can be accomplished. Facial implants are more popular as a less invasive alternative to full blown facial surgery such as a facelift. With celebrities and more women and men opting for facial implants in their 20s and 30s, they are increasingly more common and popular.

Dr. Schwarcz is a facial plastic surgeon who can perform malar and submalar implants, cheekbone implants, chin implants, and jaw implants. Each implant targets a different area to create definition and enhance the implant area.

How We Treat Keloid, Acne and Hypertrophic Scars

Undesirable and uncomfortable scars can be removed. Hypertrophic scars are unsightly, flat and cosmetically not pretty which is why many of our patients seek to remove them. In the case of hypertrophic scars which are caused by excessive collagen production when the skin is healing after a trauma or injury, the scar is raised and wide. Hypertrophic scars can be treated or removed by laser therapy, corticosteroid injections, cryotherapy which freezes the scar tissue, or surgical removal.

Keloid scars occur when the scar tissue grows to excess outside of the skin. Approximately three million patients are affected by keloid scars annually. They are typically raised, itchy, lumpy and flesh colored. These are cosmetically undesirable scars and for that reason alone many patients opt for medical intervention and treatment. Cryosurgery and laser treatment are the recommended procedures to treat keloid scars.

Dr. Robert Schwarcz is a cosmetic plastic and reconstructive surgeon who treats keloid, hypertrophic and acne scars for his patients. Click here to learn more about scar revision and removal treatments in our New York City and Scarsdale practices.

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.

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.

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.

Tear Trough Treatment and Sunken Eye Treatment

Tear trough deformities often occur in those who have certain genes or thin faces. This hollow area under the eyes gives the appearance of dark circles, making the eyes look tired or sunken. Some people may also have bags under the eyes, which worsens the appearance of dark circles.

People who have mild tear trough hollowness can cover the area with makeup or temporary plumping moisturizer, but these approaches do not provide an effective, long-lasting solution. Luckily, patients in New York have other options. Dr. Schwarcz, a board-certified oculoplastic surgeon, can treat sunken eyes and tear trough hollowness with surgery and cosmetic treatments of the eyes, such as hyaluronic acid gel filler injections, fat transfer injections, tear trough implants and lower blepharoplasty procedures.

Hyaluronic Acid Fillers

A cosmetic surgeon can safely inject hyaluronic acid fillers to treat sunken eyes and tear troughs. This non-invasive, reliable procedure only takes several minutes. To prevent discoloration and maintain a natural look, the surgeon will inject a conservative amount of filler into the area below the patient’s lower eyelid. The pain is minimal, and the results can last up to two years. After receiving a hyaluronic acid gel injection, swelling and bruising may last for a couple of days.

Fat Transfer Injections

Another sunken eye and tear trough treatment approach is a fat transfer injection. By manually suctioning a minimal amount of fat from the medial thighs or stomach and transferring the fat to the eyelid via an injection, the surgeon can fill the hollow under-eye area. Bruising and swelling may last up to 10 days; however, the recovery process is painless. The effects of a fat transfer injection are often permanent. Residual hollowness may occur; however, the surgeon can inject a touch-up filler if necessary.

Tear Trough Implants

A tear trough implant is a safe, effective, permanent way to correct tear trough deformities and sunken eyes. While under conscious sedation, the surgeon makes an incision inside the patient’s lower eyelid. Then, the surgeon places the silicone implant. Although tear trough implant procedures are more invasive than other surgery and cosmetic treatments of the eyes, the results create a natural appearance.

Lower Blepharoplasty Procedures

Patients who have excess fat bags may benefit from a lower blepharoplasty with fat repositioning. This procedure involves redistributing the fat bags to make the under-eye area look smooth. To reposition the prolapsed fat without causing a scar, the surgeon will make a transconjunctival incision.

What Is Asian Blepharoplasty?

The crease, shape and eye-fold corners of Asian people’s eyelids differ from those of Caucasian people’s eyelids. In those who are of Asian descent, the orbital fat of the upper eyelids is more prominent, and the upper lids have either lower or non-existent creases. Approximately one-half of Asians have single eyelids, which are eyelids without a crease. The other one-half of Asians do have upper eyelid creases, or double eyelids. These creases may be broken, continuous, complete, parallel, partial or tapered. In contrast, Caucasians usually have semi-lunar creases. Many Asian patients also have a Mongolian fold, or epicanthic fold. A Mongolian fold is a common term used to describe upper eyelid skin that covers the eye’s inner corner.

To alter the appearance of the patient’s eyelids, a board-certified oculoplastic surgeon like Dr. Robert Schwarcz who specializes in eyelid blepharoplasty can perform double eyelid surgery to alter the eyelids’ appearance. During the double eyelid surgery, the surgeon may also perform an epicanthoplasty, which is designed to change the appearance of a Mongolian fold.

The Eyelid Blepharoplasty Procedure

Dr. Schwarcz is a New York oculoplastic surgeon who specializes in blepharoplasty and is skilled in creating the appearance of double eyelids in patients who have asymmetric creases or non-defined creases by using a non-incisional procedure or incisional surgical technique. The incisional surgical technique produces more long-lasting and predictable results than the non-incisional technique. However, those who undergo the non-incisional surgical procedure recover faster. Regardless of the type of surgery performed, the surgeon gives the patient local anesthesia. In some cases, the patient will need to be sedated. Most patients experience bruising and swelling during the 10-day recovery period.

The ideal goal of blepharoplasty is to give the patient’s eyes a symmetrical look while preserving the characteristics of their top eye skin, so the patient’s eye creases still appear naturally Asian. Our practices are located in New York City and Scarsdale, New York. To schedule a blepharoplasty consultation with Dr. Schwarcz, contact one of our offices today.