MedEsthetics magazines offers business education and in-depth coverage of the latest noninvasive cosmetic procedures for physicians and practice managers working in the medical aesthetics industry.
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UNDEREYE SOLUTIONS Lasers are usually the preferred method for treating excess vascularization under the eye. "I recommend a 532nm laser to reduce the size of veins and capillaries under the eye," says Dr. Ourian. "Some doctors use sclerotherapy, but I think there is more chance of adverse side effects with that approach." Lightening Hyperpigmentation Sun damage can cause both wrinkles and excess pigmentation around the eyes. "Wrinkles alone are best treated by laser resurfacing," says Dr. Ourian. "I use fractional CO2… to treat most wrinkles in the eye area. The laser stimulates collagen production that firms the skin over a period of two to three months. If dynamic wrinkles are involved, I will recommend Botox Cosmetic (Allergan, botoxcosmetic.com), with the caveat that Botox injections in the lower lid area must be done by an experienced doctor, especially in patients older than 60. The looseness of skin in older patients makes it more difficult to place the Botox precisely and improper placement can cause eyelid ptosis." "My two favorite devices for treating fine lines under the eyes are Ulthera, with the l.5mm transducer, for patients who want less downtime or a fractional CO2 laser like the Fraxel Repair (Solta Medical, fraxel.com) for older patients with more skin laxity or those who can tolerate more downtime," says Dr. Chasin. "If photodamage is the main concern, I'll use the Fraxel Dual for patients who want less downtime. If the problem is just congestion and hyperpigmentation, a Q-switched Nd:YAG such as the Revlite (Cynosure/ConBio, conbio.com) will do the trick." Dr. Kornstein is also a proponent of the Ulthera System, which gained FDA approval for focused ultrasound brow lifts in 2009 and approval for treating skin on the neck in 2012. "Ulthera is an invaluable adjunct to facial-shaping and antiaging for most patients who are unwilling or unable to go through facial surgery," he says. "The results are not only consistent, but remarkable, with no bruising, no swelling, and no redness in the vast majority of cases." Dr. Coleman follows many fat grafting sessions with an intense pulsed light (IPL) or broadband light (BBL) treatment (Sciton, sciton.com). "These work well to lighten discolored skin and also help with the bruising," he says. Dr. Zdinak doesn't use lasers on the delicate undereye area. "For hyperpigmentation, I generally give the patient a plantbased bleaching agent rather than hydroquinone for home use. If the pigmentation is severe, a series of light AHA peels can be helpful to kick-start the home regimen," she says. Linda W. Lewis is a contributing editor to MedEsthetics. Large scale exhibition featuring 120 companies International attendance including: Surgeons I Clinics I Hospitals I Cosmetic Doctors and Nurses I Dermatologists 14 days of content at a two day event 3 high level conferences: Cosmetic Surgery I Reconstructive Surgery I Non-Surgical The great live debates Live demonstrations 3 educational workshops Surgical I Non-Surgical I The Business Hub ONE MAJOR-SCALE EVENT from scalpel to syringe… Networking reception W W W. C C R - E X P O . C O M SURGICAL CONTENT Accredited by the Royal College of Surgeons of England #CCR2013 Contact us today on + 44 (0) 208 947 9177 | email: info@ccr-expo.com Sponsors 54 SEPTEMBER/OCTOBER 2013 | MedEsthetics Supporters Ofcial Charity