Alexander Z. Rivkin M.D. is a Yale trained facial cosmetic surgeon and UCLA faculty member who has focused his practice exclusively on providing his patients with the latest in non-invasive, non-ablative cosmetic treatments in Southern California. He understands that no one relishes the thought of “going under the knife,” and believes modern medical technology can provide today's patients with superior alternatives to invasive, painful surgery that requires a long recovery time.

Sunday, January 6, 2008

Juvederm in the Under Eye Area

I'm considering having Juvederm injections in my Tear Troughs. Can you recommend a good surgeon in the Boston area?
Also, do you think Juvederm is the best filler for the Tear Trough area?

hi,
yes, i think that juvederm is the best filler for the tear trough area. it is the smoothest, longest lasting filler on the market for this area. juvederm will last for over a year and a half there. interestingly, it only lasts for 6 or 7 months everywhere else. i can only think that there is more collagen stimulation under the eyes than in other areas, due to specific anatomic singularities there.
one thing about juvederm is that it is reversible with an enzyme called hyaluronidase. so, if the results do not look good, your doctor can always adjust them by injecting a little enzyme.
the most important thing is that you choose someone who has alot of experience injecting filler into that area. it is a tricky procedure and a plastic surgeon is not necessarily the best person to do it. the criteria to choose a provider of a particular cosmetic procedure is how experienced they are in that specific procedure. a plastic surgeon may be very good at it, but not always. it may be that a dermatologist or an oculoplastics specialist is better (i'm not biased - my training is facial plastics, but i do injections exclusively).
i would suggest asking colleagues or friends and reading internet information to determine who is good in your area. its tough, but the information is out there.
cheers,

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