Trust An Oculoplastic Surgeon With Eyelid Surgery Blepharoplasty, or eyelid surgery, is performed to expand the area of view that the eye is capable of seeing. In addition, it is a cosmetic enhancement procedure performed. This procedure has the potential to improve the patient’s quality of life, bringing many benefits with refreshed and rejuvenated eyelids. There are also some side-effects the patient should be aware of before making the decision to undergo blepharoplasty. The Benefits of Blepharoplasty One of the primary changes that a patient may notice is an increase in peripheral vision. This is because the procedure reduces excess skin and fat around the eyes. The benefits of expanded vision are many-fold and can positively affect all areas of life. Among its aesthetic benefits, eyelid cosmetic surgery will smooth the area around the eye, making the patient look younger, less tired and more refreshed. Even the forehead muscles can benefit, since after the surgery they will have to expend less energy to hold the eyes open. Much as with expanded vision, having a more youthful appearance can offer many subtle advantages to the patient. The Healing Process As with all surgeries, cosmetic or otherwise, there are some potential side-effects that may occur. Following the instructions of the blepharoplasty surgeon can reduce the chances of this risk, so the patient should be sure to discuss it with Dr. Schwarcz before and after the surgery. Infection around the incision of the eyelid is a possibility, as is bleeding, and so care must be taken with this incision to make sure it stays closed and dressed. Scarring is also a risk, but one of the advantages of this surgery is that the scar tends to stay hidden in the crease of the eyelid. REQUEST AN APPOINTMENT

Potential Side-Effects of Eyelid Surgery Eyelid blepharoplasty surgery can greatly help enhance and revive a youthful appearance by tightening loose, sagging skin around your eyes . However, there will be a temporary period of discomfort while you recover from the surgery. With natural-looking results, the discomfort should subside during the recovery period. Your cosmetic oculoplastic surgeon Dr. Robert Schwarcz will explain more about what you can expect after the surgery for a swift recovery. Below are some potential side effects of eyelid blepharoplasty that patients should be aware of in preparation of this cosmetic procedure. Pain, bruising, and swelling. A certain level of pain is inevitable after any surgery. Follow your surgeon’s recommendations for pain-relieving medication. Some surgeons recommend the use of cold compresses to help with post-surgical pain and swelling, but others say the cold may damage the delicate skin around the eyes. If you do use cold compresses, be careful to use them only briefly. Bruising and swelling around the eyes should clear up in a week, although some minor swelling may persist for longer. Excessive swelling, or swelling that becomes hot and inflamed, can be a sign of infection. Call your doctor immediately if this happens. Dry or itchy eyes. Even after the pain from cosmetic blepharoplasty has subsided, you may still experience temporary itching and dryness in your eyes. This can be treated with anti-itch cream on the eyelids and lubricating drops in the eyes. Light sensitivity. Your eyes will probably be sensitive to light for a few days after eyelid blepharoplasty. If you have to go out in the sun, wear dark sunglasses and preferably a wide-brimmed hat to help protect your eyes. This will also help hide the incisions. Scarring. Surgical incisions always produce scars, but properly performed eyelid blepharoplasty surgery should not result in obvious, visible scarring. The incisions are very small and made in places where they will be hidden by the natural features of the eyes, such as along the upper fold of the eyelid and beneath the lower lashes. Your cosmetic surgeon will make every effort to minimize and hide any scars that result from the surgery. Be sure to ask your doctor any questions that you may have about your cosmetic blepharoplasty. Attend all scheduled follow-up visits so you can be sure of getting the best results from your surgery. After the healing process is over, you can enjoy your beautiful, bold new eyelids. REQUEST AN APPOINTMENT

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. REQUEST AN APPOINTMENT

Myths and Facts About Fillers If you’re seeking a more radiant, youthful look without surgery, you may want to consider fillers. Also known as facial fillers or dermal fillers, this injectable treatment to address fine lines, wrinkles, or creases on your face is quick and usually well tolerated. In fact, you can likely fit your filler treatment into a lunch break and get back to your usual activities right afterward — taking your prompt results along with you. Board-certified oculofacial plastic surgeon Robert M. Schwarcz, MD , is pleased to offer patients in Manhattan and Scarsdale, New York, a variety of quality fillers to help you achieve the look you desire. Take a few moments to learn more about fillers here, including several myths set straight. Myth: You’ll look like you “had work done” When you work with an experienced professional, your filler results look natural. You may appear as though you’ve had an excellent night’s sleep or like a younger, more vibrant version of you. A responsible provider like Dr. Schwarcz recommends just the right amount of filler versus upselling excessive quantities that could look artificial. Lip fillers often look the best, for example, with a ratio of 1:1 between the bottom and top of your lips and the outer corners. Your provider will also suggest the ideal type of filler to achieve those natural-looking results. Restylane® Kysse is especially popular for enhanced lips, for example. Other products in the Restylane line are useful for undereye wrinkles, laugh lines, and sunken cheeks. Myth: Fillers are excruciatingly painful Yes, dermal fillers involve needle injections. But the treatment isn’t as painful as you might think. Many fillers contain lidocaine , which provides a temporary numbing sensation for increased comfort. The needles themselves are quite tiny and are only injected briefly. For added ease, you can also request a topical numbing cream or ice pack to apply beforehand. Myth: Botox® and Dysport® are types of filler Like fillers, Dysport and Botox are injectable treatments that smooth fine lines and wrinkles, but in different ways than filler. While fillers are solutions that add volume in areas of your face to create a more youthful look, Dysport and Botox work on your facial muscles, temporarily paralyzing them to address wrinkles caused by facial expressions. Dysport and fillers also vary in the timing and longevity of results. Dysport results are noticeable within a week or so, and filler results are immediately visible. And while Dysport results may fade within 3-4 months , filler results may last for 6-12 months . Because Dysport and fillers work differently, they may also compliment each other. Your provider can help determine whether one or both treatments is best for you. Get a smoother, younger, fuller-looking face To learn more about nonsurgical facial fillers or to get started with your desired treatment, call one of our offices to book an appointment with Dr. Schwarcz today. You can also request an appointment through this website using our online scheduling tool. REQUEST AN APPOINTMENT

Why Are My Eyebrows Sagging? If you’re bothered by a droopy appearance in your forehead or eyebrows, you’re not alone. Popularity of surgical and nonsurgical procedures that address forehead lines, sagginess, and wrinkles have been on the rise in recent years. And numerous factors can lead to those common complaints. Board-certified oculofacial plastic surgeon Robert M. Schwarcz, MD , is pleased to offer patients in Manhattan and Scarsdale, New York, brow lift procedures and other nonsurgical options to help create the look you desire. Take a few minutes to learn more about eyebrow sagging, including why it happens and ways our team can help. Why eyebrows sag Your eyebrows may drop lower, providing a sagging look, for several different reasons. You may have a naturally saggy forehead because of genetic factors. Or aging might be having an unappealing effect on your brows. As you age, your face naturally changes its shape and appearance due to reduced amounts of fat and less elasticity. Diminished production of collagen, a protein that gives your skin a plump look, also contributes. While your brows themselves may not shift much , these factors create a sagged appearance. And if you’ve spent a good deal of time in the sun without UV protection, you may have excessive amounts of wrinkles in your forehead, which can create a slumped brow look. How a brow lift can help A brow lift aims to raise your forehead in the brow area, leading to a well-rested or youthful look. You may opt to have the procedure on its own or along with a facelift or eyelid blepharoplasty . While the specifics of your procedure depend on the state of your face and your goals, an eyebrow lift, also known as a forehead lift, is generally performed in these steps: Once you’re under anesthesia, Dr. Schwarcz makes incisions behind or under your hairline. He inserts an endoscope and camera to observe the tissues beneath your skin. He then lifts the skin on your forehead and may remove some amount of excess tissue to create your desired look. Sutures hold your eyebrows in place until you’ve healed. Within about 2 to 3 weeks the swelling should be down, and you should have a good idea of what the final result will look like. Total recovery happens at the 6 month point. Injections for sagging brows If you’re looking for a less invasive option to address sagging eyebrows, Dr. Schwarcz may recommend an injectable treatment, such as Botox® . Botox temporarily paralyzes muscles in the treatment area to reduce fine lines and wrinkles. If the drooping you’re bothered by derives from forehead wrinkling, Botox may be your best bet. Each treatment takes place during a short in-office visit and results can last for up to 3-6 months . To learn more about sagging eyebrows or to get started with your desired treatment, call one of our offices to book an appointment with Dr. Schwarcz today. You can also request an appointment through this website using our online scheduling tool. REQUEST AN APPOINTMENT

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. REQUEST AN APPOINTMENT

Treat Thyroid Eye Disease With TEPEZZA® Your thyroid is a small gland that plays a big role in your health. As part of your endocrine system, it produces and releases hormones that help control a range of important functions, from your body temperature to the rate at which your body converts food into energy.When your thyroid gland isn’t functioning properly, you can develop a broad range of health problems — including issues that negatively affect your eyes. Thyroid eye disease (TED), also known as Graves' ophthalmopathy, is one such complication. If you’ve developed TED, you may want to consider TEPEZZA®. infusions . At our offices in Rye and the Upper East Side of Manhattan, New York, board-certified oculofacial plastic surgeon Robert M. Schwarcz, MD , offers TEPEZZA to improve your eye health and appearance and correct or prevent thyroid-related vision problems. Thyroid eye disease basics When you have thyroid eye disease, muscles in your eyes, eyelids, tear glands, and fatty tissue behind your eyes become inflamed. As a result, your eyes may appear red and swollen, creating a bulging look. These symptoms can be quite uncomfortable physically and fuel self-consciousness about your appearance. Other eye-related issues that may stem from TED include: Blurred or double vision Difficulty moving your eyes Eyes that no longer move in line with each other Bags or swelling under your eyes Light sensitivity Inability to fully close your eyes, due to nerve pressure or ulcers Potentially severe eye pain Watery eyes Vision loss TED symptoms usually unfold as part of the autoimmune disorder called Graves’ disease. Your immune system perceives healthy tissues around your eyes as harmful and attacks them, bringing on inflammation. How TEPEZZA helps TED is a progressive eye disease, meaning your symptoms worsen over time without treatment. That’s where TEPEZZA comes in. A prescription medication given as an IV infusion, TEPEZZA has been shown to reduce thyroid eye disease symptoms by over 80% within 24 weeks . During each treatment — you undergo an eight-infusion series — you relax comfortably in a chair while Dr. Schwarcz injects the medication into one of your veins through a needle. While your first two infusions may take around 90 minutes, the remaining six take closer to 60 minutes. TEPEZZA infusions aren’t painful and you should be able to get back to your daily activities immediately after your treatment. This remarkable approach treats the cause of TED, not just the symptoms. Results vary, but we find that many people experience less eye-bulging and improved vision in as few as two treatments. From there, your condition continues to improve over the course of your treatment. To learn more about TEPEZZA for thyroid eye disease and to find out if you’re a candidate for this treatment, call one of our offices to book an appointment with Dr. Schwarcz today. You can also request an appointment online . REQUEST AN APPOINTMENT

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. REQUEST AN APPOINTMENT

Neck Lift Surgery: Your Complete Guide to an Optimal Recovery Each year in the United States, more than 160,000 people opt for a neck lift , a cosmetic surgery that addresses signs of aging on your neck and jawline. And as with most surgeries, a recovery period follows the procedure. At our offices in the Upper East Side of Manhattan, and Rye, New York, board-certified cosmetic and oculofacial plastic surgeon Robert Schwarcz, MD , and his team offer neck lift surgeries to help you feel more confident about your appearance. Here’s a look at this popular procedure, including how to make the most of your recovery. How a neck lift works During neck lift surgery, Dr. Schwarcz makes incisions in the crease under your chin or, potentially, behind your ears. Through those cuts, he removes excess and unwanted fat or skin and contours the muscles to diminish jowls and create a firmer and sleeker neckline. The specifics of your procedure depend on the state of your neck, your overall health, and your desired results. If you’re bothered by a particularly fatty neck, he may recommend liposuction . If you have saggy areas, folds, or deep wrinkles, he can surgically tighten the area using specialized techniques. Regardless of what’s needed, Dr. Schwarcz places incisions strategically to keep them well hidden and avoid any prominent scars. From start to finish, this outpatient procedure takes about 3 hours, during which you’re under sedation anesthesia. What to expect after your neck lift surgery After your procedure, a loved one can drive you home to rest and recover. If you’ve had stitches, you can expect to return to our office for removal in 7-10 days. For about two weeks, you wear an elastic head wrap at night. To make the most of your neck lift recovery, consider these steps as well: Don’t use alcohol and aspirin Avoid fully turning your neck Don’t use an ice pack on your neck, which could compromise blood flow Avoid heavy lifting for several weeks Keep your head elevated, including while you sleep Follow all provided aftercare instructions Alert our office if unusual symptoms, such as a fever, arise Many people can return to work within 1-2 weeks of a neck lift procedure. Any bruising, pain, or swelling should fade within that time as well. And your results should last for years. To learn more about neck lift surgery or find out if you’re a good candidate for the procedure, book a consultation with Dr. Schwarcz today. Call the office nearest to you or request an appointment online anytime. REQUEST AN APPOINTMENT

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! REQUEST AN APPOINTMENT