At Armstrong George Cohen Will Ophthalmology, we are dedicated to helping you see – and look – your best. Oculoplastic Surgeon Blair Armstrong MD specializes in cosmetic and medical procedures in eye and facial areas. Eyelid surgeries can help you regain a more youthful appearance. Injectables and cosmetic treatments improve the appearance of facial and eye areas. The most common procedures are described below.
Make an appointment for a consultation to learn about options for improving your facial and eye areas. Click here to view Dr. Blair Armstrong’s biography.
Upper Blepharoplasty (Upper Eyelid Lift)
With time and gravity, the thin skin around the eyes can become loose and may sag. Sometimes the excess tissue droops over the eye, blocking vision. Excess skin and fatty tissue can be removed through a surgery called blepharoplasty. Surgery may be done in the operating room or in the office.
Ptosis (Droopy Eyelid Surgery)
The upper eyelid is opened by two muscles. In some patients, these muscles become weak or the attachment becomes loosened. The eyelid can droop and block the vision. Ptosis can be corrected by surgery to tighten these muscles. This may be performed through an incision on the front surface of the eyelid or through the underside of the eyelid for a “scarless” surgery. Your surgeon will evaluate which procedure is right for you.
Lower Blepharoplasty (Eyelid bag surgery)
Noticeable lower eye bags are often caused when fat pockets from behind the eye pushes it forward. This can contribute to a tired appearance. A lower blepharoplasty can be performed through the inner side of the eyelid, called the transconjunctival approach. If done through the eyelid skin, surgery involves removal or repositioning of the fat pockets and sometimes removal of extra eyelid skin.
Injectables and Fillers
Injectables and fillers are non-surgical methods that improve the appearance of facial skin and treat eye-area muscular problems. Cosmetic and medical neurotoxin and dermal filler injections are performed by Blair Armstrong MD. Eric George MD injects neurotoxins to treat medical conditions around the eyes.
Neurotoxins are popular and generally safe treatments for maintaining or regaining a more youthful facial appearance. After a consultation appointment, your injections are performed only by a Board-Certified physician.
Botox is a neurotoxin that is injected into select facial muscles. It is FDA approved to temporarily reduce the appearance of frown lines, crow’s feet and forehead lines in adults. It can also be used therapeutically in conditions such as blepharospasm.
Dysport, like Botox, is a type of neurotoxin that is used for the treatment and prevention of fine lines and wrinkles. It is most commonly used to treat glabella lines (forehead “11s”) and crow’s feet.
Prior to any injection, you will have a consultation appointment to assess your aesthetic goals. Dr. Blair Armstrong uses either a small needle or a cannula, depending on an individual patient’s needs and desires. A topical numbing cream is applied to the face to help minimize discomfort.
Restylane is made of hyaluronic acid, a naturally-occurring substance in the skin. Restylane can be used to restore volume and fullness and smooth out wrinkles and fine lines. It is commonly used to fill the lines between the corner of the nose and the lip (nasolabial folds), the corner of the mouth (marionette lines) and the tear trough.
Juvederm is an injectable hyaluronic acid gel that is used to restore volume and reduce the appearance of fine lines and wrinkles. Juvederm Voluma is used for deep injection into the cheeks or other areas of the face to correct age-related volume loss.
Hyaluronidase is an enzyme that can break down hyaluronic acid, the component which makes up many dermal fillers. Prior filler that is causing a problem or is not aesthetically pleasing can be dissolved by hyaluronidase injection.
Kybella is deoxycholic acid, an enzyme that can help break down fat. Kybella is FDA approved for injection into the fat pad underneath the chin. Usually multiple treatments are required to see a result.
Cosmetic Chemical Peels
Chemical peels remove the top layers of skin to reduce the appearance of fine lines, scarring or pigmentation.