What cosmetic services are available at Dr. Klapper’s offices?
Dr. Klapper specializes in cosmetic and reconstructive services of the eyelids and face.
Cosmetic surgical services include: Blepharoplasty; Endoscopic Forehead Lifting; Botox Injections; and Dermal Filler Injections (Radiesse and Restylane & Perlane). Specialized Skin Care Products (Jan Marini and SkinCeuticals) for use around the eyes are available at Dr. Klapper's offices.
What is the difference between an eyelid lift, blepharoplasty and ptosis surgery?
Eyelid lifting typically refers to blepharoplasty surgery. Blepharoplasty surgery is performed to remove redundant tissue from the upper or lower eyelids. Cosmetic blepharoplasty is performed to provide a more youthful, rested eye appearance. Upper eyelid blepharoplasty, in some cases, may be covered by some insurance carriers or Medicare if significant visual field loss is caused by redundant upper eyelid skin.
Ptosis refers to a droopy upper eyelid where the upper eyelid margin is lower than normal and, in moderate to severe cases, may be covering part or all of the pupil. Ptosis repair may be covered by some insurance carriers or Medicare if significant visual field loss is caused by the abnormal upper eyelid position.
Will eyelid surgery correct my droopy eyebrow?
Blepharoplasty surgery and/or ptosis surgery are distinct eyelid operations to correct droopy eyelids. Eyelid surgery will not correct a droopy eyebrow (referred to as brow ptosis). Brow ptosis is corrected by lifting the eyebrow through incisions in the forehead. Endoscopic forehead lifting through small incisions at the edge of the hairline is an excellent cosmetic technique to elevate the forehead and eyebrow areas. Brow ptosis correction can also be corrected by removal of skin in the middle or top of the forehead.
What makes Radiesse® different from other Dermal Fillers?
Improving the appearance of facial wrinkles and furrows may be achieved by replenishing your skin's lost volume. RADIESSE® Volumizing Filler provides the volume needed to help with the signs of aging based on its calcium-derived microspheres and gel. RADIESSE®acts as a type of scaffold under the skin, providing structure and stimulating a patient's natural collagen. This process may extend the natural results of RADIESSE® to last a year or more in many patients.
Is Radiesse® Safe?
Radiesse® is approved by the United States Food and Drug Administration (U.S. F.D.A.) for the treatment of facial wrinkles and folds and is used by plastic surgeons worldwide. It is non-animal based and allergy testing is not required. Is has been shown to have a well-defined safety profile.
How is Radiesse® different from Botox®?
Radiesse® is a natural, cosmetic filler of skin folds. The nasolabial folds are commonly treated areas. In contrast, Botox® is a purified protein that weakens facial muscle contraction to reduce wrinkles in the overlying skin. Botox® is used most frequently around the eyes and in the forehead. Many patients benefit from facial rejuvenation with both Botox® and Radiesse®.
Which areas of my face might benefit from Radiesse®?
The nasolabial folds are a commonly treated area. Dr. Klapper will help assist you in deciding if other areas of the lower face may potentially benefit from Radiesse® volume enhancement.
How long does Radiesse® last?
Average treatment effects last about six months. Successful use of Radiesse® may require numerous treatments over several months and years. Following the initial injection, once or twice annual maintenance injections are typically necessary to achieve and maintain the desired volume correction. With repeated injections some patients may find that they do not need additional Radiesse® injections to the same areas. Touch-up treatments are occasionally indicated to correct irregularities. The duration of effect varies from patient to patient. Some patients may not retain the correction at all. Still others may only appreciate the results for less than six months.
What Should Patients do prior to Treatment?
Over-the-Counter medications including: Aspirin, non-steroidal anti-inflammatory medications (such as Ibuprofen), high doses of Vitamin E, fish oil, St. John's Wort, some red wines, and many herbal supplements may increase the risk of bleeding and bruising with injections. Avoidance of these medications and products the week prior to your injections may be helpful.
Prescription medications such as coumadin, Plavix, and other "blood thinners" also increase the risk of bleeding and bruising with treament. You should not stop any medication prescribed by your physician without consulting the prescribing doctor prior to holding the medication.
The Injection Procedure
Radiesse® is injected into the dermal layer of skin in very small amounts through a fine needle. Topical anesthetic cream applied 15 minutes prior to the procedure is helpful to limit the discomfort associated with injections of the nasolabial folds. Dr. Klapper also provides a topical cryo (freezing) spray to some of his patients that may be particularly sensitive to the injections. Dr. Klapper will help you determine which technique may be right for you.
There are certain expectations that can be associated with this injection procedure. These may include: bleeding, swelling and bruising of the injected areas, redness or itching of the skin, moderate discomfort at the time of injection, skin discoloration, nodule formation, and recurrence of local cold sores. These symptoms may last a few weeks.
What are potential complications?
Some of the rare but possible complications include: bleeding, infection, asymmetry of the injections sites, over or under correction of the injected areas, allergic reaction, and the need for further invasive or surgical procedures. Rarely, patients may experience hypersensitivity reactions that may result in swelling, redness, tenderness, and acne-like rashes in or around the injected areas. These symptoms may appear days to weeks after the injection.
What other things should patients know?
The calcium microspheres in Radiesse® can be seen in X-rays and CT Scans. It is important that you inform your doctor and other health care professionals that you have had Radiesse® injected in your face.
How much do Radiesse® Treatments Cost?
Costs will vary from patient to patient based on the amount of filler required to meet an individual patient’s specific needs. An average treatment session may cost approximately $700 (range $ 400-$1,200). You and Dr. Klapper can decide how much Radiesse® will be necessary to achieve your goals and determine all of your costs prior to your procedure.
Dr. Klapper’s Experience
Dr. Klapper has extensive experience with soft tissue fillers (such as collagen, Cymetra®, Restylane®, Perlane®, Radiesse®, and Juvederm®). Dr. Klapper has been performing cosmetic Radiesse® injections since its U.S. F.D.A. approval. While administering Radiesse®is not technically difficult, surgeon experience with Radiesse® is critical to limit the risks of unwanted effects and to achieve optimal results.
Why Consider Surgery to Elevate the Eyebrow and Forehead?
The downward positioning of the eyebrow can lead to full upper eyelids and contribute to excess skin in the upper eyelid area. This fullness may actually interfere with the superior visual field. Often times, downward descent of the eyebrow is the major contributor to upper eyelid skin redundancy and fullness and with surgical elevation of the eyebrow minimal eyelid skin may actually need to be removed. If significant eyebrow ptosis is present, eyelid surgery alone may not adequately improve eyelid fullness or expand the lateral or superior visual field (see Droopy Eyelids).
Elevation of the eyebrow and forehead can be an important procedure in reversing some of the aging changes of the upper face. An eyebrow or forehead lift can improve the “tired” look that may result from the degenerative changes of aging.
What is Blepharoplasty?
Eyelid surgery to remove or reposition redundant tissues in the upper or lower eyelid is referred to as “blepharoplasty”. Upper eyelid blepharoplasty involves removal skin, muscle, and/or fat and is one of the most common cosmetic surgical procedures performed in the United States today. Functional upper eyelid blepharoplasty is performed to help restore the field of vision that is impaired by the redundant upper eyelid tissues. Lower eyelid blepharoplasty is nearly always considered cosmetic and emphasizes removal and/or repositioning of the lower eyelid fat (“fat bags”). Blepharoplasty surgery is different than Ptosis surgery which is performed to raise a droopy eyelid.