Aesthetic Center - Bascom Palmer Eye Institute

Bascom Palmer Eye Institute
Aesthetic Center
Ophthalmic
Plastic Surgery
Complete eye health includes having healthy
eyes and healthy eyelids. Common eyelid
problems include excess skin and droopy
eyes. They cause eye discomfort and can limit
vision and affect appearance. Fortunately, such
eyelid problems can be corrected with surgery.
As we age our skin begins to lose its elasticity
and facial lines or wrinkles become more
predominant. We may appear older than we
actually are. The oculoplastic surgeons at
Bascom Palmer offer a variety of cosmetic
surgeries and non-surgical aesthetic
enhancements which may correct these
problems.
Cosmetic surgery is generally
perceived as an “aesthetic” procedure
rather than the repair of a physical
flaw. Bascom Palmer’s ophthalmic plastic
and reconstructive surgeons successfully
strike a balance between the surgical
science and the study of beauty.
Bascom Palmer Eye Institute’s physicians, with
combined training in ophthalmic plastic surgery
and ophthalmology, have the unique ability to
perform a variety of delicate procedures
around the eyes and face while taking
advantage of opportunities to cosmetically
enhance a patient’s appearance.
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Surgical Cosmetic
Enhancements
The eyes and eyebrows are the aesthetic
centers of the face. As aging occurs, the
skin loses its elasticity resulting in a
downward gravitational pull on the facial
structures. Consequently, the position of the
eyelids and eyebrows can dramatically
change and alter the characteristics of mood
and emotion.
Excess skin of the upper eyelids may
produce a ‘heavy feeling’ and may hide the
natural skin crease creating a false sense of
aging. Excess skin and bulging fat of the
lower eyelids produce ‘bags’ underneath the
eyes and give the impression of fatigue.
Poor position of the eyebrows may be
misinterpreted as an angry expression,
whereas a more arched, higher set brow
tends to be associated with a sense of
awareness and energy.
Ptosis (pronounced “toe-sis”) is a condition
in which the upper eyelid droops. Ptosis
may limit your peripheral or central vision.
If ptosis occurs in one eye, it may create an
uneven appearance. Surgery restores the
upper eyelid to its normal position and will
often lead to better vision and improved
appearance.
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Before blepharoplasty
After blepharoplasty
Excess Eyelid Skin is quite common and
develops in many people as they get older.
Because eyelid skin is the thinnest skin of
the body, it tends to stretch with age. In the
upper eyelid, this skin may limit your side or
upper vision and create a heavy sensation
in the eyes. The excess skin also causes
“bags” to form in the lower eyelids.
The excess skin in the eyelids can be
removed surgically by a procedure called
blepharoplasty. Through this procedure the
excess skin, muscle and fat of the upper
and/or lower eyelids are removed.
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The procedure in the upper lids results in a
more apparent lid crease and a more open
appearance of the eyes. In the lower eyelid,
the presence of ‘bags’ is minimized and a
more energetic appearance is restored. If
excess fatty tissue is present, it may be
removed at the same time, with or without
the removal of excess skin.
Eyelid plastic surgery is almost always
performed on an outpatient basis using local
anesthesia. The improvement in your vision,
comfort and appearance can be extremely
gratifying.
Brow and Forehead Lift
A forehead or brow lift is a procedure that
restores a more youthful, refreshed look to
the area above the eyes. This lift improves
the horizontal lines in the forehead that
make a person appear older, angry or tired.
Several approaches to lifting the brows and
forehead are offered at Bascom Palmer,
including the small incision endoscopic
technique, which requires only a few small
incisions hidden behind the hairline, and the
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transblepharoplasty technique using the
endotine, an absorbable implant. Another
approach is the coronal brow lift, a more
invasive yet effective procedure to lift the
forehead with a large incision behind the
hairline. These brow lift procedures aim to
lift the eyebrows to a higher position,
allowing the surgeon to tailor the arch and
shape of the brow to fit the patient’s desires.
Certain approaches also work to smooth out
the entire forehead and can be combined
with Botox
treatments to
minimize the
appearance
of wrinkles,
resulting in
a more
refreshed
appearance
or positive
expression.
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Non-Surgical Cosmetic
Enhancements
older they become deeper and more
noticeable. The most common areas where
we develop dynamic wrinkles are around the
lips, the corners of the eyelids (“crows’ feet”),
between the eyebrows and the forehead.
These wrinkles often make people look older
and more tired than they actually are. Botox
can be used to treat these dynamic wrinkles
and make them less noticeable.
The first signs of aging can often appear
as wrinkles around the eyes, forehead,
cheeks and lips. While wrinkles are
normal defining features of the human
face, they can sometimes falsely portray
a tired or more aged appearance.
We are born with “dynamic” wrinkles
which are associated with the muscles
we use for our facial expression. We
continuously use our facial muscles to
smile, laugh and squint and as a result
wrinkles appear. When a person is young
wrinkles appear mild, but as we grow
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Botox ® Cosmetic
Botox works to reduce or
eliminate wrinkles on the
face. By temporarily
relaxing the muscles,
Botox reduces the
appearance of fine lines
around the lips, across
the forehead, around the
corners of the eyes and between the
eyebrows. It can also provide a small
amount of lift to the lateral brows, providing
a non-surgical option of brow lifting.
Only FDA-approved Botox manufactured
by Allergan, Inc. is used at Bascom Palmer.
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Laser Skin Resurfacing
In laser skin resurfacing a laser is used to
remove areas of damaged or wrinkled skin.
The procedure is most often used to
minimize the appearance of fine lines around
the eyes and the mouth, and can also be
used to smooth wrinkles, remove brown
spots and other pigmentation, and treat facial
or acne scars. Additionally, laser resurfacing
may be performed on the hands, neck and
chest, as well as, stretch marks and nonfacial scars. This treatment works by
stimulating collagen regeneration.
Laser skin resurfacing is often done in
conjunction with another cosmetic procedure.
When combined with a blepharoplasty, even
more pronounced results can be achieved.
It is also a non-invasive alternative method of
facial rejuvenation for those patients who opt
for non-surgical treatment. A series of
treatments results in decreased wrinkling of
the eyelid skin, thickening and tightening of
the tissues, and a reduced appearance of
dark circles around the eyes. The surgeon
can tailor each treatment according to the
extent of skin damage, skin type and
individual desires.
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Dermal Fillers
Another effect of aging is the loss of volume in
the face. A dermal filler, or substance injected
into the skin, may restore volume and fullness
to the skin to correct facial wrinkles and folds.
There are many types of dermal fillers offered
as an injection to replace this volume loss,
many of which are used at Bascom Palmer.
These include Restylane ®, Juvederm® and
Radiesse®.
Before Dermal Filler
After Dermal Filler
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Not only do the dermal fillers enhance
volume, especially in the lips and lower
face, but they in turn decrease the
appearance of lines and wrinkles and can
also be used to ‘fill in’ acne scars,
producing a smoother appearance of the
skin. In addition to enhancing the
appearance of the lip border, fillers can also
be used to correct hollowness around
the eyes and decrease the appearance of
‘bags’ under the eyes, again offering a nonsurgical alternative to a blepharoplasty.
More recently, the dermal fillers have been
used to non- surgically lift the lateral brows.
In conjunction with Botox, dermal fillers
may further enhance the aesthetic
outcome.
Intense Pulsed Light ™
Age spots and sun damage can be treated
non-invasively with a new treatment using
the process called photorejuvenation. Light
is delivered to the skin surface in precise
pulses that stimulates the formation of new
collagen. It is effective on red blemishes
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that originate
from blood
vessels, brown
pigmentation,
birthmarks, suninduced freckles,
age spots, acne
scars, and
redness due to
rosacea. This
treatment may be applied to the face, neck,
chest, arms and hands, where sun damage is
often most visible.
Another benefit of the Intense Pulsed Light
(IPL) is permanent hair removal. IPL
eliminates hair follicles in the active growth
phase. This reduces the density of hair
present on the skin. Intense Pulsed Light
treatments provide gradual, natural
improvement with little discomfort and an
immediate return to work or social activities.
This treatment may be applied to the face,
neck, chest, arms and hands where sun
damage is often most visible.
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To Schedule
An Appointment
To schedule an appointment with an
aesthetic surgeon at Bascom Palmer Eye
Institute, please call 305-482-4888 or
800-329-7000.
Appointments may also be requested
online at: www.bascompalmer.org
Eyelash Extender
The FDA recently approved Latisse, a new
treatment to lengthen, thicken, and darken
eyelashes. With nightly application of the
Latisse to the upper lash line, studies report
a 106% increase in lash thickness, a 25%
increase in eyelash length, and an 18%
increase in eyelash darkness. Results may
be seen in as little as eight weeks with
maximum effect achieved by 16 weeks. As
Latisse is available by prescription only and
is not appropriate for all patients, a thorough
eye exam and initial close follow-up are
recommended prior to first use.
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Bascom Palmer Eye
Institute of the University
of Miami Miller School of
Medicine is proud to be
America’s best eye
hospital according to
U.S.News & World Report.
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Bascom Palmer Eye Institute
(800) 329-7000
www.bascompalmer.org
Miami
900 N.W. 17th Street, Miami, FL 33136
(305) 326-6000
Palm Beach Gardens
7101 Fairway Drive, Palm Beach Gardens, FL 33418
(561) 515 -1500
Naples
311 9th Street North, Naples, FL 34102
(239) 659-3937
Plantation
1000 South Pine Island Road, Plantation, FL 33324
(954) 465-2700
aes 06/10