Lower eyelid bags can make you look older and more tired than you actually are.  These bags and shadows are usually caused by lower eyelid fat pouches that are bulging in combination with hollowing of the upper cheek in an area called the "tear trough". 

There is a surgical option to correct these bags that removes and/or shifts the fat pouch.  The surgery may also involve fat injections and laser resurfacing to smooth the surrounding areas.  Surgery gives the most long-lasting benefit, but it also involves some downtime, usually a week (or a few) of swelling, bruising, and redness.

The non-surgical correction for eye bags involves filler injections to plump the hollow, sunken areas that create shadows under the eyes.  The fillers can last a year or more and have little downtime.  Most people can return to work after the treatment that takes about 15 minutes. 

The patient above (who generously allowed us to use his photos) had Juvederm Ultra placed by Dr. Brett Kotlus in the tear trough and upper cheek.  He was totally thrilled with the result.  Dr. Kotlus is one of the most experienced under-eye filler injectors in the state of Michigan and uses special techniques including blunt microcannula delivery systems to prevent bruising and reconstituted hyaluronic acid to ensure a smoother, more natural contour. He performs these treatments in the Macomb county office at Allure Medical Spa. 

Non-surgical nose shaping generally refers to filler injections that reshape the nose.  Fillers add volume underneath the skin and are most commonly used to treat wrinkles, but can also be used to inflate the lips or to change the appearance of the nose.  

Fillers to the nose can not actually make the nose smaller, but they can make the nose appear more narrow in cases where there is a flat bridge.  Fillers are also useful in certain cases to disguise a hump by filling around the hump, making it less obvious.  Irregularities or asymmetries after previous surgical rhinoplasty can also often be improved with non-surgical fillers.

There are several options when it comes to fillers that are used for nose shaping.  The most popular are made of gel consisting of hyaluronic acid, a substance that is naturally found in our skin.  These usually last about a year when injected around the nose, and they are fully reversible and non-permanent.  Restylane, Perlane, and Juvederm are all hyaluronic acid gel fillers and are the most frequently used dermal fillers in our cosmetic practice here in Michigan.  Other fillers including Artefill and Radiesse have also been used as non-surgical nose shaping methods.  

The treatment usually takes about 15 minutes and there is often zero downtime. To see if you are a candidate, call us for a free consultation. You can read more about non-surgical nose shaping on our website, here.