Achieving superior results when addressing patients' aging eyes requires an extensive algorithm. The process includes identifying patient concerns, offering the best approaches to address those concerns and understanding the indications for the myriad of procedures that are available, according to Andrew Jacono, M.D., a Manhattan, N.Y., based facial plastic surgeon.
Dr. Jacono, Assistant Clinical Professor of facial plastic surgery at the New York Eye and Ear Infirmary and the Albert Einstein College of Medicine, says doctors need to think strategically. For example, recommending fillers to patients who have loose skin, in addition to lost volume, could result in an unhappy patient. Or relying on the traditional approach to blepharoplasty might result in a more sunken, aged appearance to the eyes.
"It's still common practice to remove the fat pad from around the eyes with traditional blepharoplasty," he says. "With or without fat grafting, it still de-volumizes the eyes."
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