Surgery with Symmetry

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Top to Bottom Facial Analysis for Fillers

Last week a woman in our Beverly Hills office asked me if I could make her look better without surgery. She was in her forties. She was already attractive, so I asked her what exactly bothered her. Like many women (and men), she focused on one specific region, below her eyes. This is a common area people tend to appreciate when age sets in. For one, eyes are the staring point in conversation. They often are the heart and soul of our emotions. They reflect many emotions, and they can make a well rested person look tired.

In her case, this was her concern. And she was right. But two things should be addressed at this point. One, can this be improved without surgery? And two, are there other areas of the face that could be improved to balance a restored, more youthful periorbital area? Yes, and yes.

With a few simple maneuvers in the office, I can tell if someone would benefit from a non-surgical procedure such as Juvederm, Restylane, or Perlane under the eyes. In addition, I always break the face into upper, middle, and lower thirds and address each region to educate the patient on areas of aging, how this is manifested, how it can be corrected, and what it’s going to look like in 5 years. After a thorough evaluation, we developed a plan to treat upper, middle, and lower thirds of the face that was well within her budget. And she never even had to go under the knife.

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