Archive for the ‘It’s All About Your Eyes’ Category

Is Blepharoplasty Right For You?

Thursday, May 30th, 2013

Lower blepharoplasty fat repostioning cropped 300x114 Is Blepharoplasty Right For You?We’ve all had someone come up to us and ask, “Are you OK? You look tired!” at some point or another. For some, though, that is a daily occurrence. For people suffering from loose, baggy skin around the eyes, it is nearly impossible to look well rested. If you always look tired and no amount of make-up and/or rest seem to make any difference, you may want to consider a blepharoplasty or eyelid lift in Charlotte.

What is blepharoplasty?

Simply put, blepharoplasty is a procedure aimed to rejuvenate your upper and lower eyelids. It is a minimally invasive outpatient procedure with a very high rate of satisfaction. Because our eyes often give away our age and can even make us look older than we are, undergoing a blepharoplasty surgery can take years off of a patient’s appearance. 

When I perform an eyelift surgery in Charlotte, incisions are made in the natural creases of the eye, right under the eyelashes, or inside the lower lid (depending on the type of blepharoplasty) to ensure scars are hidden. The recovery is fairly easy, with full results evident in 3-6 months. Undergoing a blepharoplasty is a very easy procedure for the patient and comes with a minimal recovery time. It’s quite normal for my patients to look and feel better just days after they’ve had their eyelid surgery in North Carolina.

What does blepharoplasty treat and could you be a candidate?

My patients, male and female alike, come to me with both functional and aesthetic reasons for seeking a blepharoplasty. Eyelift surgery can help treat symptoms such as the following: 

  • Loose skin, pouches, or bags under the eyes

  • Excess skin on the upper lid (that may or may not impede vision)

  • Droopy, tired-looking eyes

If you are in overall good health, but want more vibrant, youthful looking eyes, or if you wish to restore vision that is limited by excess skin, a blepharoplasty may be the procedure for you.

Contact Dr. Kulbersh for a Blepharoplasty Consultation

If you think blepharoplasty is right for you, and if you have any questions about the procedure, or would like to schedule a consultation, contact me today. As a board certified head and neck surgeon who specializes in facial plastic surgery, I am certain I can restore the vibrancy you have been longing for and put an end to “You look tired!”

For more information or to schedule a consultation, please contact Carolina Facial Plastics today by calling (704) 323-5090.

Next, read about forehead and brow lifts.

Bigger, Brighter Eyes With Botox

Tuesday, February 19th, 2013

 Bigger, Brighter Eyes With BotoxAre sagging upper eyelids causing your eyes to look much smaller than they actually are? Using Botox around the eyes can correct this problem. Injecting Botox into the muscles that pull the eyebrows down can actually lift the brows and upper eyelid to stop the drooping. Botox is also great for erasing the crow’s feet that also add to an aging appearance around your eyes. Additionally, some patients will also benefit from tear trough or temple filler injections to correct hollowness and result in beautiful, youthful eyes.

When serious eyelid drooping or sagging is occurring, I often recommend patients undergo a procedure called blepharoplasty, which is designed for individuals facing more prominent signs of eye aging. During blepharoplasty, I’m able to trim away excess skin and reposition fat in and near the eyelids to rejuvenate their appearance.

Whenever you’re considering undergoing an injectable treatment for the first time, it’s very important to seek the expertise of an experienced facial plastic surgeon. Though there are risks with any cosmetic procedure, they become greatly diminished when you’re able to trust your surgeon and have an understanding of their background. Because I’m a board certified head and neck surgeon, I not only have a keen knowledge of facial aesthetics, but also understand function of the face, meaning that I can provide both safe and effective treatments for my patients in Charlotte.

Contact Carolina Facial Plastics Today

If you’d like to learn about how you’re eyes can be bigger and brighter without surgery, I encourage you to contact my office in Charlotte today to schedule your initial consultation. To schedule your initial consultation today, please contact my office by calling (704) 323-5090, during which I’ll be able to address any questions and concerns you have about facial rejuvenation in greater depth. Using Botox to target aging skin around the eyes is extremely safe, and I make sure to take every precaution possible to make my patients feel comfortable and ready for their procedure.

For more information and to learn about which complimentary procedures may help you accomplish your goals in addition to Botox, contact Carolina Facial Plastics today.

Non-Surgical Eye Lift At Carolina Facial Plastics

Tuesday, January 15th, 2013

 Non Surgical Eye Lift At Carolina Facial PlasticsDid you know that one of the earliest areas on our face to show signs of aging is our eyes? Think of it this way—when we’re young, our face is round, full of volume and shaped like a smooth grape. As we age, our faces  lose volume that contribute to sagging skin, wrinkles, and hallows.  If a young face with volume is shaped like a grape, then an aged face that has lost volume will look more like a raisin. Because our face loses volume, it changes how light reflects around the eyes.  This is one of the main causes that contribute to the bags and dark areas underneath the eyes.

As an expert facial plastic surgeon in Charlotte, I often recommend the non-surgical eyelift for patients dealing with initial signs of eye area aging.

What Is A Non-Surgical Eye Lift?

At Carolina Facial Plastics in Charlotte, I perform non-surgical eye lifts by replacing the lost volume around the eye and cheek area.

By using facial fillers like Juvederm, Perlane, Restylane, or even Sculptra, I’m able to rebuild my patient’s cheek area to cover up the darkness and bags under the eyes, as well as correct drooping skin.  It is similar to inflating a balloon that has lost some air.  One of the best parts about undergoing a non-surgical eyelift in Charlotte is the fact that the procedure is performed in only a matter of minutes. I perform the procedure using a blunt tip micro-cannula, which replaces the old school technique of using a needle.  The micro-cannula is more comfortable and results in  less tissue damage and bruising.

Tell-Tale Signs of Eye Aging

Determining whether or not you might be a good candidate to undergo a non-surgical eyelid lift depends on several different factors. If you’re beginning to notice any of the following signs of eye area aging, you may benefit from an eyelift. Signs of eye aging include but are not limited to:

  • Dark under eye hollows
  • Droopy lower eyelids or under eye skin
  • Volume loss in cheeks
  • Eye Bags
  • Loss of cheeks or weak cheekbones

Patients further into the aging process with severe skin elasticity problems in the eye region may benefit from a procedure known as blepharoplasty, a minimally invasive upper and lower eyelid procedure that aims to remove excess skin or reposition fat.  Fine lines underneath the eyes can be improved by using medical grade skin care and a series of chemical peels.

Schedule Your Appointment Today

If you’ve been wondering about whether or not you’d be a good candidate to undergo a non-surgical eyelid lift in Charlotte, I encourage you to contact my practice today to learn more about the benefits of the procedure. As a board certified head and neck surgeon, I have a unique understanding in the performance of facial cosmetic surgeries that provide patients with both natural and youthful results.

To schedule your initial consultation today, please call (704) 323-5090.

Early Signs of Aging in African Americans

Friday, January 4th, 2013

Kulbersh WebBanner 12 12 12 4 Early Signs of Aging in African AmericansIt’s a well-known fact that Caucasian skin is more prone to wrinkles at an earlier age as opposed to African American skin. However, the same cannot be said for the skin around the eyes. In fact, according to new research, the fragile skin around the outer corners of the eyes in African American men and women tend to droop much sooner than in any other race. As a result, the lower eyelids can look much looser and under eye bags become more noticeable.

Though it isn’t completely understood as to why eye aging in African American’s is more eminent in this area, as an experienced facial plastic surgeon in Charlotte, I believe that the best way to overcome the aging process around the eyes is to undergo a minimally invasive procedure called blepharoplasty.

African American Blepharoplasty

Choosing to undergo blepharoplasty surgery is often a great idea for candidates experiencing under eye bags, hollows, loose lower eyelids, or droopy upper eyelids.  The ultimate goal of blepharoplasty is to rejuvenate the eye area by tightening skin that has lost volume as a result of the aging process, which can be easily trimmed away or re-positioned. When undergoing this procedure, fat grafting to the face is often used in conjunction with blepharoplasty to add volume back to the eye area, which combats the aging process further and results in a natural appearance.  For some patients, I may use a filler such as Juvederm or Restylane to add volume around the eyes.

Depending on the type of blepharoplasty surgery, a patient may choose to have the procedure in my office in Charlotte.  All patients are safe to return home the very same day. Because blepharoplasty is minimally invasive, it’s very common for patients to experience only minor swelling, discomfort, and bruising that heals in only a couple of short weeks.

When performing blepharoplasty on African American skin, it’s extremely important to select a knowledgeable facial plastic surgeon who has experience performing procedures on darker or ethnic skin. Because scars are much more noticeable on dark skin, I perform blepharopalsty surgery by making a hidden incision on the inside of the eyelid crease, which ensures that no one will be able to see the scar after the patient has fully healed and recovered.

Contact Carolina Facial Plastics Today

Overcoming the aging process can be done, and often times with minimally invasive procedures like upper and lower blepharoplasty. If you’d like to learn more about an eyelift in Charlotte at Carolina Facial Plastics, I encourage you to contact my office today to schedule your initial consultation, during which your every question and concern will be addressed. As a board certified head and neck surgeon with a unique knowledge in facial plastic surgery, I’m confident in my abilities to bring patients both natural and youthful eyelift results.

For additional information and to speak with an expert facial plastic surgeon today, please call (704) 323-5090.

Unique Considerations for an Upper Blepharoplasty or Eyelid Lift in Males

Tuesday, October 30th, 2012

The eyes are one of the first areas on the face that begin to show signs of aging.  The eyes are central in our non-verbal communication and tired aged eyes can create a discord on how we feel on the inside (young and energetic) and how we look on the outside (aged and tired).  As a male and as a facial plastic surgeon in Charlotte, I understand that there are unique considerations when performing an upper blepharoplasty or eyelid lift in males.  There are certain characteristics of the eye that create a masculine and a feminine appearance.  As an eye specialist, it is imperative that I keep the masculine appearance of the eye during the rejuvenating procedure in a man.

Lets look at what creates and attractive masculine and feminine upper eyelid.

A male upper eyelid should have a low lid crease 6-8 mm above the eyelashes.  The lid should have some excess skin, some skin crepe and some skin redundancy, but not the excess that forms during the aging process.  The goal during male upper blepharoplasty should be to remove a conservative amount of skin and possibly fat, to create a more refreshed appearance to the eye.

Attractive Young Male Eye 197x300 Unique Considerations for an Upper Blepharoplasty or Eyelid Lift in Males

Young Tom Cruise Attractive Male Eyes. Low lid crease and some excess skin.

A female upper eyelid should have a higher and deeper lid crease 8-10 mm above the eyelashes.  There should be minimal excess redundant or crepy skin.  During a female upper eyelid lift, typically the goal is to make a higher and deeper lid crease.  If this is performed on a man, this can feminize a male face and produce a poor result.

Young attractive female eye 300x240 Unique Considerations for an Upper Blepharoplasty or Eyelid Lift in Males

Young Katie Holmes with Higher Lid Crease with Minimal Excess Skin

Before undergoing an upper eyelift in Charlotte, I thoroughly discuss with all of my patients what their goals are concerning:

1)      The height of their eyelid crease

2)      The depth of their eyelid crease

3)      The possible locations of the incision

4)      The position of their eyebrows

After I understand these goals, I can formulate the best surgical upper blepharoplasty plan to create the most optimal outcomes for my patients undergoing eyelid surgery in Charlotte.

 

How Does a Charlotte Facial Cosmetic Surgeon Make the Eyes Look Better After an Upper Blepharoplasty (Eyelift)

Monday, August 20th, 2012

The eyes are typically the first area to show signs of aging, but this can be dramatically improved by an upper blepharoplasty (eyelift).  As a Charlotte facial cosmetic surgeon, I have had many patients seeking upper eyelid rejuvenation, but they do not understand what the procedure entails.

I believe the appearance of the eyes are the single greatest factor in how others judge our mood, feelings, and level of consciousness.  People with open, bright, and beautiful eyes are considered energetic, intelligent, and attractive.  As we age, the upper eyelid begins to droop and develops wrinkles and hollowness.   A beautiful upper lid should gently overlap the colored part of the eye and have 3-6 mm of skin showing below the upper lid crease.

Charlotte Beautiful Eye 300x276 How Does a Charlotte Facial Cosmetic Surgeon Make the Eyes Look Better After an Upper Blepharoplasty (Eyelift)

A Beautiful Eye Has 3-6 mm of Skin Before Eye Crease

Picture used from permission from Master Techniques of Blepharoplasty and Periobital Rejuvenation, Springer Science and Business Media PLLC, 2011

 

As we age, the skin begins to sag onto the eyelashes, and we lose the 3-6mm of the skin below the upper lid crease.  The smoothness of the skin above the crease either becomes hallow or fat begins to bulge in this area.  Bulging fat in this area creates fullness over the eye and contributes to upper eyelid bags.

Aging Eye That Need Blepharoplasty in Charlotte How Does a Charlotte Facial Cosmetic Surgeon Make the Eyes Look Better After an Upper Blepharoplasty (Eyelift)

The Aging Upper Lid Loses the Crease of the Upper Lid

Picture used from permission from Master Techniques of Blepharoplasty and Periobital Rejuvenation, Springer Science and Business Media PLLC, 2011

 

During an upper blepharoplasty excess skin and sometimes fat is either removed or moved to a better position.  If the upper eyelid has lost fat, then fat should not be removed.  In this situation, I may move excess fat from a full area to the hallow area.  During an upper eyelid lift different amounts of skin will be removed depending on the patient.  The typical amount and location of skin that is removed is seen in the photo below:

Upper Blepharoplasty incisions Charlotte How Does a Charlotte Facial Cosmetic Surgeon Make the Eyes Look Better After an Upper Blepharoplasty (Eyelift)

Typical Amount of Skin Removed In Upper Eyelid lift

After the skin is removed, the 2 fat pockets, nasal and pre-aponeurotic, and the lacrimal gland, are inspected.  The fat pads are then removed or moved as needed, and the lacrimal gland is re-suspended if it is sagging.  The incisions are then closed with sutures.  Sutures are removed 1 week post surgery and bruising and swelling resolves over 7-14 days.

The outpatient surgery procedure takes about 1 hour to complete and it is a wonderful procedure to bring back youthful and more expressive eyes.   As a facial cosmetic surgeon, I believe an upper eyelift  is one of the best procedures to get my patients looking on the outside how they feel on the inside.

Thin Skin

Thursday, May 31st, 2012

The skin around the eyes is extremely delicate. Thinner than other areas, such as the cheeks and chin, it is also subject to stretching in various directions when you rub your eyes, wink, smile or carelessly smear on moisturizer. Perhaps its thinness, combined with these daily “assaults,” contributes to the periorbital skin (skin around the eyes) showing signs of aging more quickly than other areas of the face. Wrinkles, crows feet, bags and drooping eyelids are common occurrences as time marches on.

Eyes Need a Lift?

In this day and age it’s actually possible to reverse the signs of aging around your eyes with an eyelift surgery, or blepharoplasty. An eyelift isn’t just one procedure, it’s actually two — upper and lower eyelid blepharoplasty — that can be customized for your particular case.

Eyelift Surgery

Generally an upper eyelid blepharoplasty involves correcting drooping eyelids. Incisions are made in the natural eye creases and excess skin is removed. At times, an upper eyelid surgery can be medically necessary. Eyelids that sag so much they obstruct vision are often covered by medical insurance. Your Charlotte eyelift specialist may also recommend a brow lift to better improve your vision.

Lower eyelid blepharoplasty differs slightly. Your Charlotte eyelift surgeon can help fix bags under the eyes by removing the excess fat deposits and repositioning them elsewhere. These deposits might be moved into the cheeks to create a smooth transition between the eyes and the cheekbones. Should you need fat underneath your eyes to improve appearance, it can be taken from another area of the body and deposited in the tear trough or lower eyelid bag.

Eyelift Specialists

If you live in Charlotte, NC, you are in luck. One of the best facial plastic surgeons available is based in your city, and he specializes in rejuvenating the face. Eyelift procedures are part of Dr. Kulbersh’s forte. He spent years studying facial reconstruction surgery among the top plastic surgeons in Beverly Hills. By honing in on one area of the body, Charlotte’s Dr. Kulbersh can perform eyelifts, rhinoplasties and other face-specific surgeries with greater skill than surgeons who don’t specialize.

Men Need Work, Too

Men can also benefit from eyelift surgery, especially if it’s performed by Dr. Kulbersh. His philosophy is to fix droopy eyelids and puffiness without producing a “plastic” result. In his hands, you will appear more youthful without looking like you’ve had surgery.

Video Blog of Dr. Kulbersh Discussing Insurance Coverage of Blepharoplasty in Charlotte

Wednesday, May 23rd, 2012

I am frequently asked if blepharoplasty (eyelid lift) in Charlotte is covered by insurance.  The answer is…  maybe. See video below for the answer:

 

http://www.youtube.com/watch?v=WdckGKpuPNI

 

Enjoy!

Ouch, Eyelid Surgery?

Thursday, May 10th, 2012

The eyelids are delicate structures that protect your eye from dirt, debris, sunlight and other potentially harmful substances. They are thin layers of skin with highly tuned, fast muscles that react involuntarily. So thinking about trimming them during an eyelid surgery seems painful! Perhaps, but sometimes a little pain is well worth the results.

The Eyes Are the Windows to the Soul

If the eyes are the windows to the soul, being able to see them clearly is important. Eye contact is a big part of the culture in the U.S., providing people you meet with an indication of your personality and confidence. Unfortunately, as we age our eyelids can droop, becoming weighed down with fatty deposits and wrinkled skin. This phenomenon not only detracts from your appearance, but it can also obstruct your vision. Fortunately, there are corrective procedures that can help improve your range of sight as well as boost your appearance.

Blepharoplasty

Blepharoplasty, the technical term for eyelid surgery, is performed on the upper and/or lower eyelids. The eyes are one of the first places to show signs of aging, as the muscles and skin lose tone and weaken. Typically these eyelid surgery procedures are performed in Charlotte and elsewhere for aesthetic reasons; however, upper blepharoplasty can also be performed when the upper eyelid impairs vision.

About the Procedure

During upper eyelid surgery, the incision is made in the natural crease of the eye. Your Charlotte-based surgeon will remove excess skin, making your eyelids appear smoother and more open. Lower eyelid surgery is mostly used to reduce puffiness or bags under the eyes. These bags are due to excess fat deposits, which your surgeon in Charlotte will remove. To hide the incision site, your surgeon will place it inside the lower eyelid or under the eyelashes.

Eyelid Surgery Recovery

Because your eyelids will swell, you will not be able to do much during the first few days of recovery after surgery. Make sure you take at least two weeks off from work. Resting, drinking plenty of fluids and keeping your head elevated are essential components to your comfort. Stitches are usually removed five to seven days after surgery, at which point your doctor may clear you to wear make-up or shower. Seventy percent of the swelling is gone after about three weeks, but each case is different. It’s important to listen to your doctor, waiting until you are given the OK to start exercising or doing anything strenuous.

Innovative Technique for Eye Support in Patients with Facial Paralysis

Wednesday, April 4th, 2012

I have a special interest and passion for treating patients diagnosed with facial paralysis. These patients normally have many functional, aesthetic, and emotional concerns.  During my training in Beverly Hills, I worked with a team of facial plastic, oculoplastic (eye plastic surgery specialist), and head and neck surgeons rehabilitating and reconstructing patients at the Facial Paralysis Institute.  During my training, in cooperation with two of my mentors, Dr. Babak Azizzadeh and Dr. Guy Massry, we developed anew minimally invasive technique to help support the lower lid, known as the MIOS procedure.

Patients that have facial paralysis lose all muscle tone in the face.  With the loss of the facial tone, there is a loss of support for the lower lid.  This can cause the lower lid to droop, possibly causing an aesthetic issue and also contributing to eye dryness. (Please see picture on link)

The new procedure uses two incisions, one hidden inside the eyelid and the other in the crease of the upper lid.  After releasing tissue that pulls the eyelid down, the eyelid is pulled up with a suture through the incision in the upper eyelid crease.  This works well on patients that have mild to moderate sagging of the lower lid.  It also has a lower complication rate when compared to other techniques.  I feel so fortunate to have worked and learned innovative techniques from the skilled surgeons in Beverly Hills, and I am glad to be able to offer them to the my patients in the Carolinas.