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.

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.

Injectable Treatments

Who Is a Candidate for Facial Injectables?

There are numerous surgical and non-surgical methods available to those living in the New York area to reverse the signs of facial aging. Injectable fillers accounted for approximately 56 percent of all facial rejuvenation procedures performed in 2016. Injectables are a minimally invasive treatment option to achieve a more youthful appearance and are suitable for most patients. Individuals considering injectable cosmetic treatments should consult a board certified cosmetic surgeon to determine if injectables are the right choice to help them achieve their aesthetic and cosmetic goals and treat certain concerns such as fine lines and wrinkles.

How Do the Various Cosmetic Injectables Work?

Facial injectables fall into two basic categories. Dysport and Botox are known as neuromodulators. They work by blocking nerve impulses to the targeted muscles, which temporarily stops the muscle movement that causes the wrinkles to form. Restylane, Juvederm, and Perlane are facial fillers that restore volume to selected areas of the face to plump and smooth the skin. They create a fuller, more rounded appearance by using a natural substance called hyaluronic acid, which is present in young skin.

Are the Results of Injectable Facial Rejuvenation Treatments Permanent?

Surgical and non-surgical cosmetic procedures temporarily reverse the tell-tale signs of aging; however, they do not stop the aging process. As a general rule, the benefits of Botox injections last anywhere from three to six months. Hyaluronic acid fillers can last as long as two years. Most patients choose to undergo periodic maintenance treatments to preserve their enhanced appearance.

Is There Downtime Associated with Cosmetic Injectable Treatments?

The injection procedure itself is performed on an outpatient basis and does not require anesthesia. Depending on the number of injections, the procedure can be completed in under half an hour. It is possible to go back to your normal activities immediately following the procedure; however, there may be some bruising, redness, or swelling at the injection site. It can also take a couple of days for the full results of the procedure to become apparent, so patients should plan accordingly if they have an upcoming special event.

Can Anyone Perform Cosmetic Injectable Treatments?

Although injectables are less invasive and risky than surgery, there is still the possibility of side effects. To ensure the best possible results, patients should look to New York cosmetic surgeon Dr. Robert Schwarcz, who has the qualifications and experience to perform the procedure safely and who will take the time to develop a personalized treatment plan to achieve the desired results.

The Best Techniques to Shape and Plump Your Lips

For individuals looking for a simple enhancement treatment for the size and shape of your lips, hyaluronic acid fillers such as Juvederm®, Restylane®, and Restylane Silk® are effective methods to achieve full, natural-looking lips.  Hyaluronic acid is a protein that occurs naturally in the skin. When injected into the lips, these fillers add volume and definition while not altering the soft, natural feel of the lips.

Non-Surgical Lip Plumping and Shaping

If the lips are over injected with filler, it can result in overly plump “duck lips.” When considering a non-surgical procedure to add shape and definition to the lips, it is important to consult a cosmetic plastic surgeon with a specialty in lip augmentation. To achieve the most natural-looking results, the doctor must take the proportions of the entire face into consideration to determine the most aesthetically pleasing lip volume and shape. This is something Dr. Robert Schwarcz is keen on doing before performing even the simplest of cosmetic procedures. Hyaluronic acid fillers can be used to lift the mouth at the corners to reduce the appearance of frowning and create a more defined “cupid’s bow” in the center of the top lip. Restylane Silk is increasingly popular for lip augmentation and is especially effective, with patients reporting noticeable improvement within two weeks of treatment.

To determine the amount of filler to be used and the placement of the injections, Dr. Schwarcz, a board-certified cosmetic surgeon, will consider the current shape and size of the lips as well as other facial features, including the angle of the tip of the nose, the space between the nose and upper lip, the size and shape of the philtrum, and the angles of the corners of the mouth.

The injections are performed on an out-patient basis. It is natural to expect some swelling and bruising immediately after the procedure, but this typically subsides quickly. The effects of the injections normally last up to a year. It is recommended that patients begin with a small amount of filler since additional injections can always be performed once the swelling subsides if the desired fullness is not achieved.

Contact our practices in New York, both in NYC and Scarsdale to learn more or schedule your first consultation!

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.

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.