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Hi @pnevlud, In your other comment you describe the line as due to filler. If you don't know the exact cause, then I hope you understand that I can't speculate without a physical examination to diagnose what it is. I would have to see you in consultation to diagnose the cause, then recommend treatment if needed. I hope this clarifies things for you.

I understand the confusion. One is a line of old filler running from the bottom of the eye onto the cheek area and the other is on the under eye area that appears on and off when I smile I’m wondering if the old filler which has been dissolved twice now is pushing upwards into the under eye. It’s not always apparent

Hi@@pnevlud, You can refer to these videos about skin bunching, and muscle contraction in the lower eyelids when smiling: ruclips.net/video/k-c4V1Fqh2Q/видео.html ruclips.net/video/CQ3OMnNsPt4/видео.html

Hi @DikshaKaushik-bd7sw, Facial asymmetry is natural and normal, and everyone has it, including actors and models. Natural facial asymmetry is most often caused by bone structure, since the two halves of the face are formed separately from each other. Differences in buccal fat from one side of the face compared to the other are also normal. Natural facial asymmetry is usually unnoticeable by others. I only advise treatment for facial volume changes due to aging, or if there is a genetic volume deficiency. You can refer to this video about it - ruclips.net/video/DpTPMpi_t3s/видео.html

Hi @samdung5630, The important aspects of lip filler treatment are looking natural; looking proportionate in both the lips, and in context with the whole face. It is safe to be conservative with the amount of filler used initially, as more can be added later on if initial results are undesirable. Remember that it is better for you and the doctor to be conservative at first, and add more later if needed, rather than to add too much at once, then have to dissolve it and start again. I hope this clarifies things for you.

Hi, Sorry to hear about your problem. As I don't normally treat hypothyroidism directly, but rather treat the effects of inflammation on the eyelids, I suggest you continue with treatment with your endocrinologist for the inflammation. I can help you with treating your eye area after the inflammation is managed by your endocrinologist. I hope this clarifies things for you.

Thank you, @elvis4428. I'm glad you found the video informative.

Hi @tarunsagar07, The added glow to the skin can be seen immediately after PRP treatment. Skin quality improvement can be seen in the succeeding weeks after treatment as the PRP works from within the skin. Improvement to skin quality can also be built upon with subsequent treatments. I hope this clarifies things foryou.

@@AmiyaPrasadMD sir kitne session lene padenge jisse acha result dekhne ko mile

Hi@@tarunsagar07, Number of treatment sessions depend on how you respond to treatment, and the issue you're trying to treat. I hope this clarifies things for you.

@@AmiyaPrasadMD thankyou so much 👍

You're welcome,@@tarunsagar07

Hi @pnevlud, Sorry to hear about your problem. I suggest you get a proper second opinion by having this area examined by another doctor. Sometimes it does take a different technique, and experience working in the delicate eye area, to fully dissolve filler. You can refer to this more recent video about it - ruclips.net/video/-xepTFX83Lc/видео.html

Hi @pnevlud, Sorry to hear about your problem. I suggest you get a proper second opinion by having this area examined by another doctor. Sometimes it does take a different technique, and experience working in the delicate eye area, to fully dissolve filler. You can refer to this more recent video about it - ruclips.net/video/-xepTFX83Lc/видео.html

Hi @spritualquest108, Sorry to hear about your problem. You do need to see an oculoplastic/ oculofacial plastic surgeon like myself for a proper physical examination, plus an examination of the medical records of your previous procedures with your eyes. Further treatment/ reconstruction can be determined based on the physical examination, and your medical records. I hope this clarifies things for you.

@@AmiyaPrasadMD sir can you have any centre in india i want to meet you for this .

Hi@@spritualquest108, Sorry, I only practice medicine in the East Coast of the US.

Hi @CricAnshu30, Sorry to hear about your problem. A ptosis exam by an oculofacial/ oculoplastic surgeon, or an ophthalmologist if one is not available, is needed to confirm if you have ptosis. The appropriate procedure is recommended based on the exam. Surgical correction is the only way to treat ptosis. You can refer to these videos on what is involved in diagnosing eyelid ptosis, and how milder cases can be treated with less extensive surgery: ruclips.net/video/7gWSjQce3DQ/видео.html ruclips.net/video/dcNtfX4bQ64/видео.html

@@AmiyaPrasadMD Thanks for your time dr🙏❤

You're welcome,@@CricAnshu30

Hi @nazaninmazkoori5462, Sorry to hear about your problem. I hope you understand that a physical examination for a proper diagnosis is needed before I can recommend specific treatments, especially if your allergies and sinus issues are causing the appearance. If you can't see us for an examination, I suggest you see a local doctor for a diagnosis so they can recommend treatment. I hope this helps you.

Hi @raymorrow1491, You can refer to some of the other videos I did for otoplasty, as well as my website with other images and videos: ruclips.net/video/SvIvTWQLud8/видео.html ruclips.net/video/doOoIHm13A0/видео.html prasadcosmeticsurgery.com/ear-surgery-otoplasty/

@@AmiyaPrasadMD the reason I was asking is because the after photos don't seem to show it frontal view

Hi@@raymorrow1491, Permission from patients is needed to show their full face, so the reason for not having a front view is their privacy. I hope you understand.

Hi @yarasily8900, Sorry to hear about your problem. The cause of your thinning needs a proper diagnosis, especially since you are very young, and it's not clear if you are male or female. You can refer to this video about the different potential causes of hair thinning - ruclips.net/video/rGCPm2tR9bc/видео.html

⁠​⁠@@AmiyaPrasadMDthank you dr for your reply. I’m a girl and im turning 21 soon. I’m losing my hair a lot in the shower and i can definitely see a lot of my scalp in the middle of my head

Hi@@yarasily8900, Hair falling out in the shower is not hair loss as shed hair grows back. Hair growing back thinner is the problem, which is why a proper diagnosis of the cause of hair thinning is important. There are several potential causes of hair thinning featured in the video I sent you, so you need to see an experienced doctor to diagnose which of those causes applies to your case. I hope this clarifies things for you.

Hi @geemanz7806, I actually don't treat third nerve palsy as it's a neurological condition, so you can seek a local neurologist for treatment. As a specialty eyelid surgeon, I treat people with eyelid ptosis due to stretched, detached, o weakened muscles of the upper eyelids. I hope this clarifies things for you.

Hi @singhatiit, We don't currently offer the treatment in Texas, but we do have many patients coming to New York or Virginia from around the country and around the world for the TrichoStem Hair Regeneration treatment. Since it is a non-surgical treatment with little to no recovery time, and in many cases no additional treatment, you don't need an extended stay in New York or Virginia. Many patients actually get back on the plane or train, or drive back home the same day as treatment, but to be sure you could do this for a flight, I would assess your general health condition first. Some patients with advanced hair loss may get a second treatment 15-24 months after the first, which is done at no additional charge, and results for out of state patients are monitored through Skype, FaceTime, or email follow up. I hope this clarifies things for you.

Hi @Random-xd7yo, The outcome of ptosis correction surgery depend on the surgeon performing it, so results can't be generalized based on the results of one person you know. 1. my patients can close their eyes during sleep after surgery 2. ptosis surgery done with insurance is only for eyelid function. I don't accept insurance in my practice, and I perform blepharoplasty (cosmetic eyelid surgery) with ptosis correction when needed 3. your eyelids blink thousands of times a day, every day, so to expect permanent correction is unreasonable 4. whether you are a candidate for ptosis surgery, and the type of procedure needed are determined with a physical examination. Cost is also determined after a physical examination. I hope this clarifies things for you.

Hi @user-vq7zz8jx8b, Sorry to hear about your problem. Hollow upper eyelids can be treated without surgery. You can refer to this more recent video about it - ruclips.net/video/dCDRBngaq60/видео.html

Hi @Blosomawesome, Liquid minoxidil contains propylene glycol to break down the skin barrier for better absorption, but it can also be a skin irritant in many users. Minoxidil doesn't actually thicken thinning hair, but rather delays the natural hair shedding cycle so the scalp looks more full, but if you stop using you are likely to have a sudden and severe hair shed, and lose your gains. You can refer to these videos about the limitations of minoxidil, while finasteride is a better treatment for men, and why our TrichoStem Hair Regeneration patients don't need to use minoxidil after our injection treatment: ruclips.net/video/sv82XSpQfnI/видео.html ruclips.net/video/cpBqm03zFVg/видео.html ruclips.net/video/T5iPdCfZ2Ng/видео.html

Hi @Cendeyu, There are some studies that say minoxidil affects newly synthesized collagen, and others say they are inconclusive. The specifics about minoxidil side effects are not as relevant in my practice as I generally don't treat beard hair growth as I specialize in treating genetic pattern hair loss, and our TrichoStem Hair Regeneration patients can stop using minoxidil after our injection treatment. You can discuss with doctors who recommend minoxidil for beard growth. I hope this helps you.

Hi @chenjr1410, Puffy under eyes only when smiling can be due to the contraction of the muscle behind the lower eyelid called the orbicularis oculi, or due to skin bunching in the lower eyelids. While this can be treated non-surgically, the results are quite subtle. You can refer to these videos about it: ruclips.net/video/CQ3OMnNsPt4/видео.html ruclips.net/video/k-c4V1Fqh2Q/видео.html

Hi @AGHORI_, Grafted hair follicles should be firmly in place by now, so even if the hair shaft sheds, the grafted follicles can still grow hair again. Any loose grafts by this time didn't take to the scalp, and wouldn't have grown hair anyway. If you are worried about your results, you can follow up with your surgeon who knows details of your transplant surgery, and can physically examine your scalp for any issues. I hope this helps you.

Hi @tamaka8364, Since minoxidil appears to delay normal hair shedding so you have more hair on your head, if you stop using it you will likely have a sudden hair shed and lose some density. Finasteride works differently by slowing hair thinning in men, but it's a prescription medication so it should only be used with a prescription from your doctor. You can refer to these videos about comparing finasteride to minoxidil, the limitations of minoxidil, and how our TrichoStem Hair Regeneration patients don't need to use minoxidil after our treatment: ruclips.net/video/cpBqm03zFVg/видео.html ruclips.net/video/sv82XSpQfnI/видео.html ruclips.net/video/T5iPdCfZ2Ng/видео.html

That's great, @janeannewalicki962. I hope everything is going well for you. While you should be following your surgeon's advice for recovery, this video may help you with your healing process - ruclips.net/video/dMq7UNewiQI/видео.html

Hi @skapuska, Sorry to hear about your problem. You should be able to blink after ptosis surgery. I actually have my patients blink right after surgery while they are still in the operating room, so further adjustments can be made if needed. Since eyelid ptosis surgery so precise, any surgeon experienced in it knows that further enhancement for overcorrection, or undercorrection are sometimes needed. I suggest you follow up with your surgeon about out your results. I hope this helps you.

Hi @skapuska, Sorry to hear about your problem. You should be able to blink after ptosis surgery. I actually have my patients blink right after surgery while they are still in the operating room, so further adjustments can be made if needed. Since eyelid ptosis surgery so precise, any surgeon experienced in it knows that further enhancement for overcorrection, or undercorrection are sometimes needed. I suggest you follow up with your surgeon about out your results. I hope this helps you.

Hi @trentlaststand4574, As explained in the video, this is why I don't recommend fat grafting under the eyes: - the shape and texture of grafted fat can be irregular and lumpy once removed from its original blood supply - thin lower eyelid skin (0.5mm thick) can show the lumpy texture of grafted fat - as an eyelid specialist, I often surgically remove grafted fat under the eyes because the patient experienced the above. Doctors who place grafted fat under the eyes often can't remove it if complications occur. Hyaluornic acid filler under the eye is more predictable as it doesn't require a blood supply, the shape and texture are customizable, and if migration does occur, it doesn't migrate far from the original position. Hyaluronic acid filler can be dissolved if needed, while grafted fat requires complex surgery to be removed when complications occur. Incidence of complications are much higher with grafted fat in the lower eyelids than with hyaluronic acid filler. I hope this clarifies things for you.

@@AmiyaPrasadMD i went to consult plastic surgeon today and he does not recommend dissolving filler as it could potentially destroy the skin, I was gonna dissolve it to get fat grafting. Why does filler always migrate around the temple or near the tear trough but not the cheeks? This is the only reason why I considered fat grafting. I never had trouble with fillers near the cheeks it stays and doesn’t really migrate. My thin lower eyelid is actually very thin genetically i can see the blood vessel, is there a way to thicken skin here without grafting?

Hi@@trentlaststand4574, I don't think that dissolving filler affects the skin significantly, and made several videos about it for your reference: ruclips.net/video/P2a23JIrf6w/видео.html ruclips.net/video/-xepTFX83Lc/видео.html ruclips.net/video/a3YicyDoTZU/видео.html

Hi @tamikajennings4062, Lasers are generally not recommended for darker skin types, although some can have settings adjusted for dark skin, but this is also dependent on the doctor's experience, and expertise in treating darker skin. You can refer to this video about alternatives for darker skin, including radiofrequency, and platelet-rich plasma (PRP) - ruclips.net/video/8kTve_tEBaI/видео.html

Hi @jasminkleiner-bf4fo, Sorry to hear about your problem. Complications from lower eyelid skin removal are very common, so I only recommend surgery in the rare cases that eyelid skin is folding over itself. Non-surgical skin tightening treatments such as lasers usually require more than one treatment session to avoid overexposure, and overheating. You can refer to this other video about why surgery for under eye wrinkles is only done in relatively rare cases - ruclips.net/video/AAH37kjfyK8/видео.html

Hi @lashannawilliams5707, Any filler material with particles has the potential to cause vascular occlusion, including poly-D-lactic acid in Aesthefill, so it's important to have treatment done by an experienced doctor who can address the situation immediately if it arises. You can refer to this more recent video about the risks, and safety of under eye filler treatment - ruclips.net/video/lA6ietCvZf8/видео.html

@@AmiyaPrasadMD thank you very much

You're welcome,@@lashannawilliams5707

Hi @lashannawilliams5707, It's not clear if the filler is still there. PRF/EZ Gel only provides short-term volume. If the volume from filler is still there, it would be better to have regular PRP instead to improve skin quality, and skin thickness, without having the appearance of too much volume. I hope this clarifies things for you.

@@AmiyaPrasadMD Thank you doctor

You're welcome, @@lashannawilliams5707

Hi @NirmalaKatageri, Facial asymmetry is natural and normal, and everyone has it, including actors and models. Natural facial asymmetry is most often caused by bone structure, since the two halves of the face are formed separately from each other. Natural facial asymmetry is usually unnoticeable by others. I only advise treatment for facial volume changes due to aging, or if there is a genetic volume deficiency. You can refer to this video about it; as well as this other video about when eyelid asymmetry is normal, and when it needs treatment: ruclips.net/video/DpTPMpi_t3s/видео.html ruclips.net/video/1WvlL2djMZU/видео.html

@@AmiyaPrasadMD But also I feel insecure after seeing my pics with back camera but everyone else doesn't notices it and tells what's wrong in this pic everything is correct only so what abt that...

Hi@@NirmalaKatageri, As said in my previous reply, I don't recommend treatment for normal, natural facial asymmetry that is not noticeable to others. If it really bothers you, you can see a doctor for a proper facial examination. I hope this helps you.

Hi @LenGreenblat, There are variations of blepharoplasty to enhance the appearance of the eyes, but it isn't clear what exactly you are looking to treat. Accessing the fat pockets below the eyes that causes eye bags would be limited with an incision at the outer corners alone. I hope this clarifies things for you.

@@AmiyaPrasadMD Thank you Dr. Prasad. I'm looking to have the fat removed to treat my under eye bags. I asked her if she makes the incisions on the outside or on the inside of the lower eyes. She told me she makes incisions from the outer corners of the eyes. I can't understand how she can access the fat pads from the outer corners of the eyes. It is farther away from the under eyes. Have you ever heard of this technique? I can't find one medical article on blepharoplasty that mentions this technique. I am skeptical and considering another surgeon. Thank you again, Dr. Prasad.

Hi@@LenGreenblat, The transconjunctival blepharoplasty technique is my preferred approach to treating eye bags, where I leave a little fat behind to prevent a hollow appearance, and maintain a continuous contour between the lower eyelid, and the upper cheek, with no external incision, and no scar. It is a more proven technique. You can refer to this video about why I think it is the best approach to treat eye bags - ruclips.net/video/46Kp6ayfyzg/видео.html

@@AmiyaPrasadMD Thank you very much for informing me about this very important decision. I've been gathering information on this and you are the first surgeon I've heard mention leaving a little fat behind to prevent hollowness. I am also now in favor of the incisions behind the eyelids. Thank you very much for lending your expertise, Dr. Prasad. You are a gentleman and a scholar. I wish I lived in New York. You would be my first choice.

You're welcome,@@LenGreenblat. And thank you for your kind words. I hope everything goes well for you.

Hi @LenGreenblat, There are variations of blepharoplasty to enhance the appearance of the eyes, but it isn't clear what exactly you are looking to treat. Accessing the fat pockets below the eyes that causes eye bags would be limited with an incision at the outer corners alone. I hope this clarifies things for you.

Hi @TheEvashop, While it may be possible, you should be asking your eyelid surgeon who knows the details of how your surgery is done, and they can also examine your eyelids for any issues prior to having a laser procedure. I hope this helps you.

Hi @monaasmr2936, As explained in the video, PRP is not a volume treatment, but rather a skin quality treatment. Sagging cheeks that are due to age-related volume loss can have volume enhancement done with filler placed at the bone level. You can watch this video more closely for details, or this more recent video about it - ruclips.net/video/o5WRIwrVeVI/видео.html

Thank you for your kind words, @singhisking7477!

Hi @marangelmarangel1834 , If you are asking about how long hyaluronic acid fillers to enhance volume last, they are expected to last 1-2 years, depending on the viscosity of the filler. I hope this clarifies things for you.

Hi @antttaraa, Sorry to hear about your problem. Your exact cause of hair loss needs to be determined as it's not clear if your doctors diagnosed it based on your message. You can refer to these videos on the different causes of hair thinning, and how we diagnose, and treat female hair loss: ruclips.net/video/rGCPm2tR9bc/видео.html ruclips.net/video/2WhELyekG4A/видео.html

Hi @muhammedfaiyaz2460, Wearing a wig this long after hair transplant surgery should not affect your results. If you are worried about the results of your transplant, you should follow up with your surgeon who knows details of how your surgery was performed, and can examine your scalp for any issues. I hope this clarifies things for you.

Hi @akki5495, Sorry to hear about your problem. I hope you understand that without physically examining your skin myself, I can't make recommendations for treatment, and will have to defer to your doctor's judgment. A physical examination of your skin is needed to give you a proper second opinion. I hope this helps you.

Hi @athiraanoop2109, Minoxidil doesn't thicken thinning hair at all. What minoxidil appears to do is delay the natural hair shedding cycle, and extend the growth cycle so you have more hair on your scalp, but this effect can be lost with time, or if you stop using it. You can refer to these videos about it: ruclips.net/video/sv82XSpQfnI/видео.html ruclips.net/video/T5iPdCfZ2Ng/видео.html

Hi @numberzzzzz1, PRP and PRF are lasting treatments because they improve the quality, texture, and thickness of eyelid skin, but they don't actually have a lasting effect on volume., as explained in the video. Collagen-induction does have a limited effect on facial volume in general. Sculptra creates volume with a biological reaction, so it is less predictable than fillers which are far more precise, and customizable. I hope this clarifies things for you.

Hi @Nelufare80, You can refer to these videos about how eyelid surgery can be done on people with dry eyes by a surgeon experienced in performing blepharoplasty with the condition, and how lower eyelid surgery can be done more safely and predictably: ruclips.net/video/g0z5DmORXo4/видео.html ruclips.net/video/wT9mSBvAlno/видео.html

Hi @jacobelavanal5880, Your face will still be growing and maturing until your early 20s, so there is still time for issues like these to resolve on their own while your face continues to grow. Dermastamping generally does not create volume under the skin, and I only recommend these treatments are done by professionals trained to do it. At-home microneedling is most often done too aggressively, and without adequate time between sessions for skin to heal. I hope this clarifies things for you.

Hi @sojitabraham4414, Sorry to hear about your son's problem. Eyelid ptosis is diagnosed by measuring the function of the muscle that lifts the eyelid called the levator muscle. Monolids are caused by a weak to no connection between the levator muscle, and the eyelid skin, so there is no eyelid crease. Monolids are more of a cosmetic issue, while eyelid ptosis is cosmetic, functional, and also important for vision. Without a physical examination, I would have to defer to your surgeon's judgment. It is important to correct eyelid ptosis in children before age 6 for proper visual development. I hope this clarifies things for you.