Eyesthetica Blog

When a Drooping Eyelid Is Serious

When a Drooping Eyelid Is Serious

Eyelid ptosis refers to the drooping or sagging of the upper eyelid. In some cases, eyelid drooping is harmless and only creates a cosmetic problem in the form of a tired or older-looking appearance. In other cases, however, ptosis can be a sign of something serious. The Los Angeles oculoplastic surgeons at Eyesthetica explain more in this blog post. When Is Eyelid Drooping Serious? As discussed in one of our previous blog posts, there are several types of eyelid ptosis. Mechanical ptosis occurs when excess skin and tissue weigh down the eyelid. This form of ptosis is only considered to be a medical issue if the excess skin and tissue block the line of sight. Mechanical ptosis typically occurs gradually over time, due to the effects of the natural aging process. Neurogenic ptosis is a result of a problem with the nerve pathways that control eyelid muscle movement. Conditions that can cause neurogenic ptosis include Horner syndrome and myasthenia gravis. Horner syndrome is a neurological disorder that can be caused by an underlying, sometimes more serious condition such as a stroke or brain tumor. Myasthenia gravis is a disorder that affects how the muscles respond to nerves, causing progressive drooping in the eyelids, arms, legs and other body areas. Neurogenic ptosis caused by one of these conditions occurs suddenly, with symptoms worsening in a matter of days or even hours. Patients who experience sudden eyelid drooping should seek medical attention immediately to determine whether the underlying cause is a serious one. Treating Eyelid Drooping Treatment for droopy eyelids depends on the cause and severity of the condition. Mild to...
Will Insurance Cover My Eyelid Surgery?

Will Insurance Cover My Eyelid Surgery?

Eyelid surgery is one of the popular plastic surgery procedures performed in the United States and at the Los Angeles cosmetic eye and facial surgery practice of Eyesthetica. One of the most common questions we hear from our eyelid surgery patients is, “Will insurance cover my surgery?” Here, we answer that question in detail. What Is Functional Eyelid Surgery? Eyelid surgery is commonly performed to enhance the facial appearance. The procedure trims excess skin and fat on the upper eyelids to create a younger-looking appearance. Eyelid surgery can also remove loose skin and tissue on the lower eyelids that create puffy bags under the eyes. When performed solely for cosmetic reasons, eyelid surgery is considered to be elective and therefore cannot be covered by medical insurance. Eyelid surgery can be covered by medical insurance if it is deemed medically necessary. Functional eyelid surgery removes heavy skin that hangs over the eyelash line, interfering with the line of sight. Impaired vision caused by excess, hanging upper eyelid skin can make everyday activities such as driving, reading and sending text messages difficult. Most insurance companies require proof in the form of a visual test in order to determine coverage for eyelid surgery. The vision test needs to be performed by a board-certified eye doctor, such as an oculoplastic surgeon. If the vision test determines there is visual impairment, the surgeon takes pictures of the condition and sends them to the patient’s insurance provider. Whether the insurance company covers all or a part of the cost for eyelid surgery depends on the patient’s specific coverage plan. Learn More about Functional Eyelid Surgery...
Top Things Patients Wish They Knew before Eyelid Surgery

Top Things Patients Wish They Knew before Eyelid Surgery

Are you interested in eyelid surgery in Los Angeles to repair drooping eyelids or puffy undereye bags, but hesitating to move forward with scheduling your surgery? It may help to have a good understanding of what the surgical experience entails. Here is what other eyelid surgery patients told the patient portal RealSelf.com that they wish they knew before surgery. The Success of Surgery Hinges on the Surgeon For the best outcomes possible, it is crucial to find a qualified and experienced surgeon to perform your procedure. Look for an oculofacial plastic surgeon that is a member of the American Society of Ophthalmic Plastic and Reconstructive Surgery — these surgeons have completed extensive training in treating the delicate eye area and are considered to be eyelid experts. The eyelid surgeon’s demeanor is just as important as his or her credentials. Find someone that puts you at ease and instills confidence in you. You can get an idea of a surgeon’s approach to patient care by reading testimonials and online reviews. Setting the Right Expectations Is Key Knowing what eyelid surgery can and cannot achieve is key. Eyelid surgery is designed to freshen and rejuvenate the eyelids, which can brighten up your face and help you look more approachable. Eyelid surgery cannot transform your entire appearance or make you look like someone else. It can help you look like a younger and more attractive version of yourself. Nerves Are Natural It’s common to experience some nerves as you anticipate your surgery. However, the right surgeon and his or her surgical team should make you feel very confident about the procedure. Having...
Study: Most People Don’t Apply Sunscreen to the Eyelids

Study: Most People Don’t Apply Sunscreen to the Eyelids

As we discussed back in July, one of the best ways to protect yourself from the harmful effects of the sun — i.e., premature signs of aging and skin cancer — is to wear sunscreen religiously on nearly every part of your body. At Eyesthetica, an oculoplastic and cosmetic surgery group in Los Angeles, we are especially concerned about sun damage and skin cancer on your face. We encourage everyone to be diligent about applying sunscreen to the face, which is the area of the body most likely to develop skin cancer. That’s why we are concerned about a recent study that found most people miss about 10 percent of their face when applying sunscreen. The eyelids are one of the most vulnerable areas — as much as 10 percent of skin cancers occur on the lids. Many of these cases could be prevented with the proper protection. The Eyelids Are Commonly Missed During Sunscreen Application The University of Liverpool enlisted a team of nearly 60 people to apply sunscreen to their faces. Photos were taken with a special UV-sensitive light to identify the areas of the face that had been covered in sunscreen. The team found that study participants missed 9.5 percent of the face, including the eyelids, the inner corner of the eye and the bridge of the nose. It makes sense to assume that people miss the eyelids because they don’t want to get sunscreen in their eyes; however, the eyelids are still at risk if left unprotected. According to the Skin Cancer Foundation, five to 10 percent of all skin cancers develop on the eyelids....
Does Getting Botox Hurt?

Does Getting Botox Hurt?

Botox is a great procedure to soften noticeable lines and wrinkles, but some people are reluctant to have the injectable treatment because they worry about pain and discomfort. The team at Eyesthetica, a group of cosmetic eye and facial surgeons in Los Angeles, can tell you that Botox treatment is not a significantly painful experience. It is almost universally well tolerated by patients, most of whom visit us every few months for regular treatment. Here, we break down what you can expect during and after Botox treatment. During Botox Treatment As long as Botox is administered by a qualified and experienced injector, the injections should not hurt. Ideally, the injector should be someone that performs Botox treatment every day because their technique is more refined and they are used to working with many kinds of patients with different pain thresholds. The treatment process is very quick and simple. Most people don’t even notice the injections because the needles used during treatment are so tiny. The physicians at Eyesthetica usually use a 32 gauge needle, similar in size to the painless needles used in acupuncture. Patients might feel a minuscule prick or pinch, but pain is unlikely. Holding a stress ball can help distract anxious patients from the sensation. If you are worried about pain, ask your injector to apply a numbing cream to the treatment area about 10 minutes prior to the injections. This cream can minimize the sting or pinch and make you more comfortable. After Botox Treatment When injected properly, Botox should not cause any post-treatment pain or issues besides mild redness, bruising and swelling. Qualified injectors...
July is UV Safety Month: How You Can Protect Your Eyes from the Sun

July is UV Safety Month: How You Can Protect Your Eyes from the Sun

The U.S. Department of Health and Human Services, along with the American Academy of Ophthalmology, has designated July as UV Safety Month. To observe UV Safety Month, our team of cosmetic eye & facial surgeons in Los Angeles would like to remind our patients about the importance of protecting the eyes from the sun. It is well documented that long-term exposure to the sun can raise the risk of serious eye problems, including cataracts, macular degeneration, cancer and growths on the eye (i.e., pterygium). UV rays can penetrate the eyes’ structures and cause damage at a cellular level. UVA rays cause premature aging and wrinkling of the skin, and UVB rays cause sunburn and the formation of skin cancer. Tips to Protect Your Eyes Here are some things that our patients can do to reduce their risk of eye damage from the sun: Wear sunglasses with 100 percent UV protection whenever going outdoors. (They may be labeled “UV400.”) Wrap-around glasses are best because they prevent the sun from entering the eyes from the side. Wear sunscreen with an SPF of at least 15 that protects you from UVA and UVB rays. Re-apply every two hours or after getting wet. Slip on a wide-brimmed hat to shade your face and eyes. Stay out of direct sunlight during the middle of the day. Seek out shade instead. Be mindful even in cloudy weather; the sun’s rays can penetrate the haze and clouds to cause damage. Be careful in higher altitudes, where the sunlight is strongest, and around water because the sun can reflect off of it. Never look directly into the...
What Can I Do About Under-Eye Bags?

What Can I Do About Under-Eye Bags?

Are under-eye bags giving your face a tired or frazzled-looking appearance? Does it frustrate you to spend money on high-end concealers that camouflage little (if any) of your bags? It might be time to see our oculoplastic and cosmetic surgery group to explore your treatment options. What Causes Under-Eye Bags? The area beneath the lower lids naturally has small pads of fat. With age, the skin in that area can start to thin and the fat pads can start to sag and bulge outward. This creates the appearance of puffy bags, or what some people describe as tiny half-moons under the eyes. Eating foods high in sodium, drinking, smoking and lack of quality sleep can exacerbate the bags. Sometimes hormonal imbalances or genetic factors are to blame. No matter what causes the under-eye bags, there are a few ways to fix the problem. Injectable Fillers Injectable fillers are a minimally invasive, non-surgical way to smooth out bags so they are less noticeable. Our doctors can inject small amounts of products like Restylane or Juvederm along the borders of the bags to smooth out the transition between upper cheek and lower eyelid. These products are formulated with hyaluronic acid, a naturally occurring substance that adds volume and fullness to the treated area. Think of Juvederm or Restylane as a cushioning agent that plumps and nourishes the area beneath the eyes. Dermal fillers may not completely eliminate the appearance of the bags, but they should look much fainter. Applying a good concealer product can make the bags nearly invisible. The results of dermal filler treatment last about 9 to 12 months....
What Causes Excessive Tearing?

What Causes Excessive Tearing?

Tears keep the surface of the eyes healthy and lubricated. However, excessive tearing in one or both eyes (a condition known as epiphora) can make it difficult to see. Sometimes excessive tearing can be accompanied by pain around the eyes, a foreign body sensation in the eyes or having to constantly dry tears that roll down one’s cheek. At that point, it is essential to seek the expertise of an eye doctor to diagnose and treat the problem. In order to effectively treat excessive tearing, the Eyesthetica team must evaluate the problem and correctly identify its cause. Once our oculofacial specialist doctors understand the source of the tearing, we can recommend the safest treatment option. Narrow or Blocked Tear Ducts Imagine a storm drain carrying away rainwater so it doesn’t build up on the roads, and you can understand the mechanics of the tear ducts. Tear ducts don’t produce tears, but they carry the tears away from the eyes. If the tear ducts become blocked, the tears cannot properly drain out of the eyes. Instead, the liquid builds up in the tear sac. Our eye doctors can perform a procedure called dacryocystorhinostomy (or DCR) to clear the obstruction and create a new opening for the tear drainage. They can also place a small stent or plug in the opening to keep it clear. Some babies are born with underdeveloped tear ducts or ducts that fail to open into the nose to drain the tears. When this happens, babies can experience constant tearing. However, this generally resolves itself as the tear ducts develop naturally. If it does not, doctors may...
Can Your Sleep Position Cause Wrinkles?

Can Your Sleep Position Cause Wrinkles?

Getting enough quality sleep is crucial to looking and feeling good — it’s called “beauty sleep” for a reason — but sleep has recently come under fire for possibly contributing to wrinkles. Here, Los Angeles eye surgeons at Eyesthetica discusses the claim that certain sleep positions lead to more wrinkles, shares our thoughts and explains what to do about pesky lines. The Claim: Sleeping On Your Side Causes More Wrinkles There has been some concern lately that sleeping in a position that pushes the face against the pillow (i.e., laying in the fetal position) continually creases the skin and leads to more wrinkles. This has many people worried because, according to a British sleep study, 41 percent of people sleep on their sides. The concern is that repeatedly pleating the skin leaves behind permanent marks. The Truth behind Wrinkles The cause of the wrinkles depends on what kind of wrinkle it is. Static wrinkles occur due to factors like genetics, sun damage and (most notably) the natural effects of the aging process that cause the skin to lose elasticity. Dynamic wrinkles are caused by repeatedly making facial expressions, like smiling and frowning, where the skin creases. While there are some doctors that believe sleeping in a position that continually folds the skin (like scrunching the face against a coarse pillow) leads to wrinkles, the consensus is that sleep position won’t significantly contribute to wrinkles, and changing sleep position won’t prevent wrinkles. Because of aging, sun exposure and natural facial expressions, wrinkles and lines are virtually unavoidable. What Can Be Done about Wrinkles? Just because wrinkles are unavoidable does not...
When Is It Time to Switch from Injectables to Surgery?

When Is It Time to Switch from Injectables to Surgery?

Injectable products like Botox, Juvederm and Restylane are excellent anti-aging products for people in their 30s and 40s. But at a certain point, these products no longer deliver the desired results and surgical intervention becomes necessary. Cosmetic eye surgeons of Eyesthetica explain some signs that it might be time for you to switch from injectables to surgery. You’re Bothered by Sagging Skin Over time, the body’s supply of collagen and elastin — two products necessary for firm, elastic skin — starts to dwindle. This causes the skin to loosen and sag. While injectables can smooth wrinkled or creased skin, unfortunately they cannot tighten or firm the skin. Surgical treatment, such as facelift, eyelid surgery or laser skin resurfacing, is needed to address skin laxity. You’ve Noticed Jowls and Lack of Definition in the Lower Face and Neck If you have noticeable jowls and lack of definition in the lower face and neck, injectables won’t help. Injectables cannot lift fallen tissue or remove excess fat and skin. Only surgery can effectively address these issues to create a more youthful and rejuvenated appearance. You Have Trouble Fitting Follow-Up Treatments into Your Schedule The results of injectable treatment are temporary and last several months, depending on the specific product. This means you need regular follow-up treatments to maintain your results long-term. If regularly scheduling follow-up treatments has become a problem, and it is difficult to carve time out of your schedule for appointments, surgery may be a good option. Surgical treatment offers long-lasting results that don’t require follow-up treatment. The Cost Required to Maintain Treatment Is a Financial Burden The repeated costs...