An Oculoplastic Surgeon Says People in Their Mid-Twenties Are Requesting Eyelid Surgery Now More Than Ever

Interest in beauty eye procedures has grown considerably since March of 2020: According to the American Society of Plastic Surgeons, it was the second most-popular process final yr, due to extra time spent at residence and what docs and sufferers deem because the “Zoom Boom.” Even because the yr ends, Woodbury, NY oculoplastic surgeon David A. Schlessinger, MD says his affected person rely continues to be on the rise, however with a tiny tweak: The demographic is now trending youthful and youthful, with the common age shifting from the early forties all the way down to the mid-twenties.

Has demand for eyelid surgical procedure gone up for the reason that pandemic began?

“In general, demand for eyelid surgery has gone up since the pandemic, mainly because everyone is working from home and staring at their cameras more. What’s most interesting is that the average age for eyelid surgery is getting younger. Regarding the lower lids, patients are now concerned about puffiness, bags, dark circles and things that make them look less alert and more tired. For the upper eyelids, patients are wanting to fix the hooded look.”

What process are sufferers most in?

“When it came to performing cosmetic eyelid surgery 20 or 30 years ago, the general goal was to try to take out as much skin and fat as possible. Although that technique will successfully get rid of the bags and the hooded look, it can make you look older, and the demand is now for a more youthful look. When I do upper eyelid surgery, we’re doing more fat-preserving surgeries where we’re not removing a lot of fat. This mostly entails skin removal and very little fat removal, and sometimes we’re transferring some of the fat from a full area to a hollower area to give it a more even contour. For lower eyelid surgery, we’re also trying to avoid that hollow look underneath the eyelids, so we’re doing less-invasive surgery with minimal fat removal. This can eliminate that ‘bulge,’ yet still give a smoother look, minus any hollow.”

Are you doing extra higher or decrease eyelid surgical procedure?

“We’re doing a lot of both. I think it’s accurate to say that lower-only is more common in younger people and upper and lower is more common in older people—mainly because a lot of the bags underneath the eyes can be congenital in nature and are not necessarily a sign of aging.”

What is the preferred eye surgical procedure since COVID hit?

“The actual surgical requests are not different, but they are becoming more common. Most frequently, I have younger people coming in for lower lid surgery; I also have more men coming in for business purposes. When you’re on Zoom, you start noticing these aging changes and people are now figuring out that there’s something they can do about it. Another big trend we’re seeing is that more patients are getting surgical procedures done because they have the option of recovering at home—they aren’t required to attend social events and live meetings like they were when they were working in the office.”

Are injectables for the under-eye are additionally on the rise at your observe?

“My injectable business has gotten much busier. I do a lot of lower and upper eyelid fillers, in general, but it’s important to note that the younger demographic is usually better suited for lower eyelid filler than the older patient. I use a cannula when I fill the lower eyelids, so, typically, there’s much less swelling and bruising. Patients can have lower lid fillers done and all they have to do is apply some concealer and get back to work within a day.”

Are there any new applied sciences for eye aesthetics you’ve been particularly impressed by?

“We’ve just lately included FaceTite and Morpheus into the observe, so I’m doing quite a lot of Morpheus microneedling and radiofrequency remedies for candidates who want face tightening. I’ve quite a lot of sufferers who would solely be capable of do away with their extra pores and skin by way of surgical procedure earlier than, and now we’re capable of do it with Morpheus or laser. The benefit of Morpheus remedies is that there’s solely a few day of downtime and the enhancements are dramatic. It takes as much as a yr to see the ultimate outcome, however you proceed to enhance for that yr—so it’s been a mainstay. I’m doing three to 5 Morpheus remedies day-after-day. I would want one other machine to maintain up with the demand!

For youthful individuals who need to have a brighter look to their eyes, I’ve been combining neurotoxin injections with Ultherapy. I take advantage of Botox Cosmetic in the crow’s ft and glabella space to open the eyes and I mix that with Ulthera to present a little bit tightening. That raises the forehead and might tighten the decrease lids a bit. It’s not as sturdy of an enchancment to the pores and skin as Morpheus, nevertheless it does give a elevate. We’re doing much more with the brows each surgically and non-surgically—particularly for the older affected person. We’ll do a forehead elevate with higher eyelid surgical procedure, or we will do a minimally-invasive endoscopic forehead elevate.”

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