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Nonsurgical Technique Can Take Years Off the Appearance of Aging Eyes
Date:8/17/2009

the injected fat may actually grow as the patient ages or gains weight, resulting in unevenness in the brow area.

Hyaluronic acid has been used to treat the brow and upper lid since its introduction in 2005, using a technique similar to that of fat injections. Dr. Lambros prefers HA to fat for brow volumizing because he says contouring is easier, and HA is less subject to variability than biologic fillers.    In the brow area, HA has been shown to produce long-lasting results, extending beyond two years. In addition, the effects of HA can be reversed immediately, using hyaluronidase (an enzyme that degrades hyaluronic acid), should the patient be displeased with the volumization effect.    

When it comes to the eyes, a little can go a long way. "Brow volume procedures should not be overdone; more is not always better," adds Dr. Lambros. "Most candidates for brow improvement with HA elect to begin treatment with small amounts of product, and are very satisfied with the results."

Dr. Lambros gives patients the opportunity to preview their final look, a benefit not available to patients undergoing surgery. He creates temporary volume by injecting diluted local anesthetic which is threaded into the brow and molded into shape. If desired, the patient can choose to undergo the procedure immediately following the preview, since the brow is already anesthetized.    

The use of injectable fillers in the brow is a complicated process and requires great skill and experience. "Because of its dependency on technique, only qualified injectors and board-certified plastic surgeons should be performing this procedure," states Renato Saltz, MD, president of the Aesthetic Society. "When performed properly and by appropriate medical professionals, the use of HA fillers is safe, effective, and produces long-lasting results."

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