Tear Trough Treatment

tear troughs 1

BEFORE

tear troughs 2

AFTER

Are you bothered by dark circles under your eyes?  This is a common complaint from patients and the good news is, you can do something about it!

If volume loss in the tear troughs is a contributing factor to the darkness you are perceiving, a dermal filler can help to replace the lost volume.  The above patient received 1 ml of Juvederm® Vollure, a half syringe per side.  The amount of filler in this area varies depending on the amount of volume loss.  Less can be more as an overfilled tear trough can have an aesthetically unnatural appearance.   I utilized a cannula for this treatment to minimize bruising and risk of intravascular product placement.  The product was placed below the muscle.  A small amount of product was put in the upper medial cheek as well to create a buttress of support.  Frequently, as we age, the tear trough extends in to the cheek (nasojugal groove) which can also be corrected with the filler.

In this case,  the patient left the office with two tiny dots on her cheeks where a needle was used to create an entry point for the cannula. (full disclosure, even with a cannula there can be bruising)  Otherwise, she was thrilled and felt she looked rested and rejuvenated after an easy 30 minute appointment!

There are scenarios in which the shadowing is due to the pigment in the skin as well as volume loss in this area.  In those cases topical products can help lighten the skin slightly.  Darkness under the eyes can be difficult to address due to the fact that the tissues here are quite a bit thinner than other areas of the face.  Right under these tissues is muscle, which is slightly blue, and this can show through these thinner tissues.  Vascular bodies in this area can also create shadowing.  You can evaluate with your provider what can be addressed and what realistic expectations would be in your situation.

If you opt for filler under the eyes avoid medications and supplements that may thin your blood for 1-2 weeks before your appointment. (ibuprofen, aleve,  aspirin, fish oil, vitamin E, etc)  We use HA fillers only for tear trough volume as it has the highest safety profile for this area.  HA (hyaluronic acid) can be dissolved if needed with an enzyme.

Lastly, the good news is,  we find filler lasts quite a while in the tear troughs compared to other areas of the face.  I have had patients who still look corrected at two years.

 

 

 

 

AVYA SKINCARE

AVYA SKINCARE

We are now offering the Avya Skincare line at TOC Medical Spa.  This line is close to us as one of the creators of the line, Dr. Tanuj Nakra, is one of our physicians.

Avya, “first rays of sun”, in Sanskrit, is a skin care line combining beneficial botanical extracts with medical grade active ingredients.  The line is specifically formulated to help manage pigment and melanin production.  It is appropriate and can be efficacious for all skin tones/types.

Avya contains antioxidants and anti-inflammatories from Peony, Turmeric and Neem.  The Curcumin in the Turmeric is colorless and odorless. (rather than the dark yellow we associate with this extract)

The Avya Skincare line has 5 products: a cleanser, day moisture, night moisture, eye cream, and serum.  The line utilizes Qusome™ technology, which allows the active ingredients to slowly release over time once it has been applied to the skin.

Gentle Cleanser (non foaming)

  • cleanses without stripping skin of natural oils
  • contains Peony essential oil which has a lovely fragrance
  • contains salicylic acid to minimize skin congestion

Day Moisture SPF 20

  • contains chemical free sun protection (zinc) for broad spectrum protection
  • snow mushroom extract for hydration
  • niacinamide (B3) to help brighten and clarify skin
  • Peptides for collagen stimulation and support
  • anti inflammatories from botanical extracts
  • Peony, Turmeric, Neem

Night Moisture (with Vit A)

  • Retinyl Palmitate (Vit A), increasing cellular turnover and collagen support
  • decreases inflammation utilizing botanical extracts
  • Vitamin C
  • Vitamin E
  • Peony, Turmeric, Neem
  • Niacinamide
  • Beta Carotene

Anti-Aging Power Serum (with Vitamin C)

  • Antioxidants
  • anti-inflammatory properties from botanical extracts
  • Antibacterial and antimicrobial effects from Neem
  • Turmeric/Curcumin which  is a potent anti inflammatory and stimulates bodies own antioxidant enzymes
  • Vitamin C in Qusome technology, protecting the fragile antioxidant molecule until application
  • Retinyl
  • Peony, Turmeric, Neem
  • Peptides

Eye Bright Cream- with caffeine

  • minimizes under eye puffiness
  • minimizes under eye dark circles
  • Cassava matrix technology which works like “shrink wrap” for the under eye
  • Retinyl
  • Peony, Turmeric, Neem
  • hydration
  • recognized by Allure® Magazine as a favorite new product May 2018!

This line is efficacious while being cosmetically elegant.  The products have a pleasant smell and lovely texure.  This line does not test on animals, is Dermatologist and Ophthalmologist tested, and does not contain a lot of the ingredients consumers tend to want to avoid.  (for example, parabens)