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Treating Hollowness Under the Eyes Must be Done Carefully Due to Thinness of Eyelid Skin
Treating Hollowness Under the Eyes Must be Done Carefully Due to Thinness of Eyelid Skin

A 25-year-old woman has dark deep hollow eyes. She feels her right side is worse. She wants to know the best procedure for her to correct the hollowness.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, explains that hollowing under the eyes with someone who is young is not attributed to aging but rather to genetics. This relative hollowing particularly in some distinct areas such as in the tear trough and the eyelid to cheek junction is referred to as the V-deformity. This is at the junction where the bone of the eye socket meets the cheek. Dr. Prasad deals with this issue a lot, and he performs corrective procedures that are predictable, consistent, and allow for quick recovery.

Hollowing essentially means volume loss. Dr. Prasad restores this area with some kind of volume. In his practice, he restores volume with a hyaluronic acid filler such as Restylane. However, in contrast to the nasolabial folds at the mouth where the skin is thicker, the eyelid skin is very thin. It is a challenge to place Restylane because it might produce lumps and irregularities. Patients should choose someone who has a lot of experience in this area. In addition, when someone starts doing some filler, there is some maintenance involved. Some people need to come every 3 months, every 6 months or even every year. There is a lot of variability in every individual in the way they metabolize hyaluronic acid.

Hollowing involves shadows and darkness in the under eye area, and even fine lines and wrinkles. In Dr. Prasad’s practice, he found a very synergistic benefit with a material called platelet-rich plasma (PRP) combined with a hyaluronic acid filler. Platelet-rich plasma is derived from someone’s own blood. He does a typical blood draw like in a doctor’s office or lab then it is put in a tube and spun to concentrates the growth factors that are responsible for wound healing. This combination results in volume and skin quality improvement. There is some type of benefit in the combination of PRP and hyaluronic acid as opposed to each one being used individually. Dr. Prasad follows his patients very closely so that he can make sure that there are no irregularities. And if there is a needed enhancement or touchups, he can do that as well to make sure that the contour is just as desired and looks natural.

Dr. Prasad suggests that she look for physicians or cosmetic surgeons who work at this area a lot. He also advises that she don’t always follow the hype of the toys or the materials. Sometimes doctors promote little instruments like blunt cannulas other devices. Dr. Prasad says that it’s more about technique than is about a particular instrument; the hands of the surgeon make the difference and how it’s applied. It’s a very meticulous and sensitive area so it has to be done with great care and artistry. She should meet with doctors and find someone she is comfortable with and give it a try. What’s really nice about this option is that hyaluronic acid can be dissolved. If she doesn’t like it, she can use hyaluronidase to get rid of it.

For more information about our combination procedures, please visit our website:

http://prasadcosmeticsurgery.com/

To learn more about platelet-rich plasma, please visit:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/platelet-rich-plasma/

To know about the injectables, please visit:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/

Restylane:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/restylane-perlane/

Male Pattern Baldness at the Crown can be Treated without a Risky Hair Transplant
Male Pattern Baldness at the Crown can be Treated without a Risky Hair Transplant

A 31-year-old man thinks that he lost the hair in his crown area. He wants to know if it can be restored with a hair transplant.

Dr. Amiya Prasad, a hair restoration specialist, explains that male pattern hair loss affects the whole scalp but it is often expressed variably. Sometimes it is frontal recession or temporal peaks then of course, the crown area thinning out. However, when someone looks closely, they notice that they didn’t really lose a lot of hair. The problem is that the hair has been progressively thinning. In every growth cycle, as the hair sheds, the hair comes back thinner.

The challenge is the area that needs to be covered. There’s only a limited amount of hair available from the donor area. The donor area is the band of hair that is genetically resistant to hair loss and this is where the hair transplants are harvested from. With the popularity of follicular unit extractions (FUEs), hair is harvested from outside of that donor area, meaning those hairs are at risk of being lost. Reality is, there’s a mismatch as someone needs thousands of grafts in order to be able to fill the crown area, but the average hair transplant is no more than about 2000 grafts.

Some hair transplant doctors generally don’t talk about collateral loss. To take the hairs that are to be transplanted, the surgeon has to make multiple incisions or stabs. Whether they use a tiny needle or blade, they’re by design traumatizing existing hair that can cause them to shed out and disappear. To achieve density, one needs more than one transplant.

To deal with hair loss progression, Dr. Prasad suggests that he first explore medical options. The medical options for hair loss treatment include minoxidil which is topically applied. Minoxidil doesn’t really stop hair thinning progression; it stops the shedding of hair or prolongs the growth cycle of thinning hair so it looks like someone has more hair than they have. The other drug is finasteride which is well known because it has been a significant treatment for hair loss since the late 90s. Finasteride inhibits the enzyme responsible for the conversion of testosterone to dihydrotestosterone or DHT. Certain people with male pattern hair loss have DHT-sensitive hair follicles. If they reduce the DHT, they can get reversal of that thinning process and the hairs can come back thicker. Unfortunately, some men are not taking finasteride because of the risk of long-term sexual side effects.

In Dr. Prasad’s practice, he has developed an alternative called Hair Regeneration. Hair Regeneration is a method of using a material called extracellular matrix (ECM)combined with platelet-rich plasma (PRP). Platelet-rich plasma is derived from the patient’s own blood. He has developed a formulation and a method of delivery that is customized to every patient. Through the use of ECM which is an advanced stem cell-based wound healing material, he has been able to successfully reverse hair thinning and it has been extremely effective in the crown area. When people have existing thinning hair, he gets really excited because he doesn’t talk about transplants, but about medical therapy and Hair Regeneration. With this treatment, he has 3-5 years of data and has been able to help close to 100% of male pattern hair loss patients who come from all over the world.

Dr. Prasad would advise against transplantation in the crown area. He is advocating very aggressively that people come when they still have existing hair. There is certainly a lot of proven benefit from the hundreds to thousands of patients that he has treated from all over the world. The earlier he gets somebody when they are thinning, the more volume they are able to get back. This treatment has been stable and doesn’t require re-injection at least for the 3-years in the majority of patients. Dr. Prasad has been doing some secondary injections to try to enhance people with more advanced hair loss. It has become such a great option that it even exceeds the results of any hair transplant.

For more information about hair loss, please visit our website: http://nyhairloss.com/

To learn more about Hair Regeneration, please visit: http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

Getting Rid of Eye Bags and Improving the Under Eye Skin that Can't be Hidden by Makeup
Getting Rid of Eye Bags and Improving the Under Eye Skin that Can't be Hidden by Makeup

A 32-year-old woman has bad under eye bags which her makeup doesn’t hide. She wonders what the best treatment there is to get rid of her under eye bags.

Dr. Amiya Prasad, an oculofacial plastic surgeon, explains that makeup's intention is to try to blend and hide something, but will often accentuate something that someone is trying to hide. Under eye bags are lower eyelid fat prolapse, meaning that fat pockets that are normally around the eyes have pushed forward and create a bulge that creams can't treat. However, this doesn’t mean that the only solution is limited to the under eye area. Someone may need more than one type of treatment to achieve a certain goal.

In Dr. Prasad’s practice, he would address the fat pockets and also the skin quality. He typically performs a procedure called transconjunctival blepharoplasty to address the fat pockets from the inside of the eyelid. Through this, the skin looks refreshed. He’ll combine the procedure with fractional CO2 laser and platelet-rich plasma (PRP). Platelet-rich plasma is derived from the patient's own blood. It’s a concentration of the healing growth factors for wound healing. Fractional CO2 laser is a way to improve the fine lines and wrinkles that are on the superficial layer of the skin. The synergy of this combination results in no more bags as well as improvement in skin quality and texture.

This woman may also want to consider something for volume in the cheek area. As people get older, they lose volume in the mid face and this area can really look like someone is tired. Addressing the fat prolapse and the lower eyelid skin may take her where she wants to be, and she may want to stop there, but she can also entertain the idea of volume improvement in the eyelid-cheek area.

In Dr. Prasad’s practice, not only does he do the cosmetic procedures, he has also become the primary care doctor for beauty for his patients. They have this ongoing relationship beyond the surgical procedure to provide solutions for the different things. This makes the patient feel they don’t have a segmented approach where they have to see a doctor in one location and somebody else in four different areas. Integrating all this with one doctor is a really good approach to helping people achieve a certain type of result that they are looking for.

Dr. Prasad suggests that she meet with qualified experienced cosmetic surgeons. If they share the same perspective about the primary care for beauty approach, then she must find someone with whom she thinks she can have an ongoing relationship. Practicing for over 20 years, Dr. Prasad’s patients and he have all grow old together and find things they can improve.

For more information about eye bag surgery, please visit:
http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/transconjunctival-blepharoplasty/

To know more about our injectables, please visit:
http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/

To know more about platelet-rich plasma:
http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/platelet-rich-plasma/

For information about fractional CO2 laser, please visit:
http://prasadcosmeticsurgery.com/dr-amiya-prasad-medi-spa-nyc-new-york/laser-light-treatments/microfractional-co2/

How Asian Double Eyelid Surgery can Look Natural without Additional Risks of Epicanthoplasty
How Asian Double Eyelid Surgery can Look Natural without Additional Risks of Epicanthoplasty

A woman is looking to enhance but not change her eyes. She wants to know if epicanthoplasty is necessary for an Asian blepharoplasty.

Dr. Amiya Prasad, an oculofacial plastic surgeon, explains that in Asian eyelid surgery, there are some variability in the doctors, their particular style, and what they see as optimal Asian eyelid surgery. He has a good number of colleagues who believe strongly in epicanthoplasty and that’s fine.

Dr. Prasad always explains to his patients that 50% of people of Asian descent will have a crease and 50% will not. So when he does his surgery, he makes a crease as if it was naturally made. In evaluating patients, he takes a Q-tip to roll the skin in to see where their physical skin would give permission to create a crease. Generally, for someone with a strong epicanthal fold, the crease flows into it. In someone with a subtle epicanthal fold, it just goes parallel or it tapers in more softly. However, epicanthoplasty changes the whole dynamic of the eyelids so that the crease goes in further and more of the inner corner of the eye is seen. From his perspective, if nature were to create a natural fold, there shouldn’t be a difference in the epicanthus and the area where it is basically the inner corner of the eye. That said, he generally doesn’t do epicanthoplasties because it doesn’t give a natural appearance.

In Dr. Prasad’s practice, he uses a lot of advanced technology for scarring. For over 20 years, he has his own surgical technique. However, predicting someone’s healing sometimes can be a challenge. When dealing with the epicanthal area, there are risks for more obvious scars and the appearance of something that shows someone had surgery. The goal from his perspective is staying in line with a natural look. It should look like someone was born with the crease which is his aesthetic.

It is possible not to do the epicanthoplasty as long as the patient understands what the anticipated outcome would be. They should be pleased with the results and it’s consistent with what they want to see as an outcome. Dr. Prasad suggests meeting with additional doctors and getting some more opinions about how to do this without the epicanthoplasty. They should look at what they would look like, take pictures, and see what the crease would look like in anticipating the scenario.

For more information about Asian eyelid surgery, please visit our website:
http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/asian-eyelid-surgery/

Limits of Hair Transplants in Receding Hairlines with Short Hairstyles - Non-Surgical Alternative
Limits of Hair Transplants in Receding Hairlines with Short Hairstyles - Non-Surgical Alternative

A gentleman has a receding hair line. He is wants to know about a hair transplant to lower his hairline.

Dr. Amiya Prasad, a hair restoration specialist, explains that a receding hairline is an ongoing process. No one knows the rate of how the hairline recedes so they have to think about what will happen after they have hair transplant. Someone can’t continue transplanting hair because of the limited donor area or the permanent zone where hair doesn't thin so only a small amount of grafts can be harvested. In addition, people of African descent that wear short hair may have scars on the donor area regardless of the technique whether through follicular unit extraction (FUE) or follicular unit transplant (FUT).

There are medical options that stabilize the progression of hair loss. There are two drugs that are currently FDA approved in the United States for hair loss: finasteride which is a pill that is taken daily, and the other is minoxidil which is a topical that is applied daily. Finasteride works by inhibiting an enzyme called 5-alpha reductase. This is an enzyme that converts testosterone to dihydrotestosterone (DHT) which is responsible for hair loss in people sensitive to DHT. Unfortunately, finasteride can have long-term sexual side effects even after the drug is no longer taken.

In Dr. Prasad’s practice, he has developed a treatment called Hair Regeneration. This is a real change in the approach to the treatment of hair loss and is an alternative to surgery and daily medications. Hair Regeneration is a treatment which involves a series of injections of a material called extracellular matrix (ECM) combined with platelet-rich plasma (PRP). Many people confuse platelet-rich plasma as a standalone treatment. From Dr. Prasad’s experience, platelet-rich plasma does not stop hair loss on its own. PRP is used in a way to enhance the process, but the key to the treatment is the extracellular matrix - a wound healing material that has remarkable abilities. Dr. Prasad uses it every day in his full body cosmetic surgeries in addition to hair loss. He even helped rebuild cartilage outside of the body for a man who lost part of his ear from melanoma. This represents the next level of medical care which involves stem cell therapy. These are the adult stems that already live in the body that are recruited as part of wound healing.

Through Hair Regeneration, it is able to treat close to a 100% of patients who come for male pattern hair loss. Dr. Prasad gets significant results that, depending on the time they come, exceed the results of hair transplant surgery. Timing is important so the earlier someone has the treatment, the better it is for them. If someone has thinning hair or receding hair, then Dr. Prasad treats first with hair regeneration and wait 12-18 months to see what type of results before even discussing hair transplant surgery. The challenge that he sees constantly are people who are desperate because they had a hair transplant 5-10 years ago and they have hair plugs - this is because the existing hair at the time disappeared and the patient only has the hair grafts left. They then end up with less donor hairs available for further transplantation.

Dr. Prasad suggests that this man learn more about his alternative options. He may want to consider trying medical therapy first and then consider Hair Regeneration as an option.

For more information about hair loss, please visit our website: http://nyhairloss.com/

To learn more about Hair Regeneration, please visit:

http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

Traumatic Ptosis (Drooping Eyelid from Injury) can be Repaired by an Oculoplastic Surgeon
Traumatic Ptosis (Drooping Eyelid from Injury) can be Repaired by an Oculoplastic Surgeon

A woman had an injury in her childhood. As she aged, the asymmetry of her eyelids became more visible. She wants to know the best treatment for her.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, sees from this woman’s photo that her right upper eyelid is lower than the left. This condition is called ptosis which basically means drooping. It is usually caused by trauma where the eyelid swells tremendously and causes the stretching of a muscle called levator palpebris superioris muscle. The part of the muscle that stretches is typically the levator aponeurosis which is responsible for lifting the eyelid.

In addition, traumatic ptosis can sometimes mean stretching or dehiscence (separating). It is possible that this woman can benefit from a cosmetic procedure to correct the eyelid so that it looks more like the other eye. Ptosis surgery deals with the muscle and placing it in a way that it elevates the lid. It also creates a contour so that the eyelids look more symmetric.

As a cosmetic oculofacial plastic surgeon, Dr. Prasad does a lot of ptosis surgery. During the surgery, he lets the patient sit up to let them open their eyes to look up or down. This will enable him to get the right height and contour of the eyelid. The muscle is a very sensitive muscle in terms of how it responds and sometimes the eyelid will turn out to be too low or too high, commonly referred to as under correction or over correction. In his practice, he does this procedure under local anesthesia with LITE™ IV sedation which means that the patient won’t feel anything. They have no awareness or any discomfort. Through this, he can really customize and adjust appropriately and it results in a pretty high rate of success and satisfaction. This is a specialized procedure and is generally performed mostly by oculofacial plastic surgeons who undergo fellowship training.

At this point, Dr. Prasad suggests that she should go and meet with qualified, experienced cosmeticsurgeons, most likely oculofacial plastic surgeons. She really needs a specialist for this type of surgery. There are other surgeons who do this, but for most people, the majority of ptosis surgery is still performed by cosmetic or reconstructive oculoplastic or oculofacial plastic surgeons. She must meet with some doctors and know their method of surgery. There are a couple of different options but essentially it involves the levator muscle. Some people do a Mueller’s muscle resection or shortening which is an option but it depends on the physical exam. The photo is helpful in coming up with some kind of diagnosis, but a physical exam is also necessary to determine muscle function, height and variability and also to come up with a treatment strategy that makes sense and will result in a desirable outcome.

For more information about ptosis surgery, please visit our website:

http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/eyelid-ptosis-surgery/

To know more about LITE™ anesthesia, please visit:
http://prasadcosmeticsurgery.com/dr-amiya-prasad-nyc-new-york/lite-anesthesia-for-cosmetic-surgery/

Natural-Looking Treatment for Wrinkles in Forehead and Lips Using Botox, Fillers, and PRP
Natural-Looking Treatment for Wrinkles in Forehead and Lips Using Botox, Fillers, and PRP

A 45-year-old woman has number 11s and lines on the sides of her lips. She wants to know the best procedure to give her a natural look.

Oculoplastic surgeons were among the first to use Botox® long before it became used for cosmetic reasons. Dr. Amiya Prasad has been using Botox® for patients since 1993. He is also trained in facial cosmetic surgery boarded by the American Board of Cosmetic Surgery so he does a lot of facial work as well. From his perspective, one of the best areas to treat in the forehead is the number 11s because it has such an impact. This set of muscles are composed of the corrugator and procerus muscles which affect overall facial appearance. If someone always thinks critically and looks at something and frowns, then the number 11s treated with Botox®, Dysport® or any other neurotoxins can be tremendously effective. This woman can certainly do that in isolation without doing the rest of the forehead to avoid the overly smooth look as she described it. She can just do the number 11s first and try the forehead another time.

In Dr. Prasad’s practice, he generally treats the lip lines with hyaluronic acid filler whether it’s Restylane or Juvederm. The lip lines can be tricky because they can be deep lines, fine lines or even crisscross superficial lines, so options should be looked into. Besides using fillers to restore volume for deeper lines as well as to create a nice contour of the lip border, Dr. Prasad also uses fractional CO2 laser or some type of resurfacing modality. He has also used microneedling as well as platelet-rich plasma. Platelet-rich plasma uses someone’s own growth factors derived from their own blood as a concentration of the necessary wound healing factors. PRP is taken in a simple blood draw and can be used to build up collagen.

There are a lot of different options and it all depends on what defines a satisfactory outcome for a patient. In Dr. Prasad’s practice in Manhattan and Long Island, people come to him with a long list of things they want to do. He figures out based on priorities what they can afford and what they are able to do at that time. He’ll give them the most value based on what’s most important to them.

Dr. Prasad suggests that this woman discuss this with the oculoplastic surgeon and her doctor. Most people trained in oculoplastic surgery are trained in facial cosmetic surgery and it is for common oculoplastic surgeons to perform facelifts and other things beyond the limited area of the eye. This woman can be able to get everything in one stop and learn about her options at one place.

For more information about Face surgery, please visit our website:
http://prasadcosmeticsurgery.com

To learn more about facial implants please visit:

http://prasadcosmeticsurgery.com/prasad-face-eyes/facial-surgery/facial-implants/

How Eye Bag Removal can be Done with No Signs of Surgery and Minimal Downtime
How Eye Bag Removal can be Done with No Signs of Surgery and Minimal Downtime

A 34-year-old woman has had under eye bags since childhood. She wants to know if she is a candidate for lower blepharoplasty.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, says that it is clear that this woman has lower eyelid fat prolapse. He explains that lower eyelid fat prolapse can happen since childhood. A lot of his patients remember that they had their bags even when they were little kids and teenagers. These bags under the eyes clearly won’t go away on their own.

Dr. Prasad explains that it is critical that the character of the face remain the same. For most of his patients her age, he performs transconjunctival lower eyelid blepharoplasty. This is an approach of addressing the fat pockets from the inside of the eyelid. He gets into the fat pockets, reduces and repositions them so that the appearance externally is she never had the bags to begin with. The procedure is done under local anesthesia with LITE™ sedation in his facility. He is able to get people back to work usually in less than a week. He is always impressed how quickly people recover and how minimal the amount of bruising and swelling that majority of his patients have. That basically has to do with the protocols that he has developed over time. He has been a practicing oculofacial plastic surgeon for over 20 years and he’s been always focused on natural results and quick recovery.

Dr. Prasad suggests that she have this performed as a transconjunctival approach which is inside of the eyelid as opposed to a transcutaneous approach or external where there is an incision under the eyelashes. For most young people, there’s no reason to do a transcutaneous approach as they don’t have extra skin so why create an incision on the outside. He further advises that she meet with experienced surgeons who focus a lot on eyelid surgery. He is a firm believer, as a specialist, in specialization. Once she is comfortable with him, move forward. This procedure will make a real impact on her appearance.

For more information about eye bag surgery, please visit:

http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/transconjunctival-blepharoplasty/

Eye Bags (Puffy Eyes) Removal Surgery Needs to Include Lower Eyelid Support
Eye Bags (Puffy Eyes) Removal Surgery Needs to Include Lower Eyelid Support

A woman is wondering if eye bags and fat deposits are the same thing. After seeing 3 doctors, she is not sure what to do.

Dr. Amiya Prasad, an oculofacial plastic surgeon, observed that she has lower eyelid fat prolapse. Lower eyelid fat prolapse means that the fat pockets normally around her eyes have pushed forward. Eye bags and fat deposits are indeed the same because eye bags are caused by fat deposits. In MRI studies, there is an increase in volume and this called herniated fat which create the bags under the eyes.

The concerns about how to approach this and its consequences are becoming more confusing these days. There are a lot of options being suggested by different doctors as treatments for under eye bags. There are people like Dr. Prasad who tend to advocate more definitive solutions like surgery. However, eyelid surgery is not a generic procedure. There are two types of approaches: one is transcutaneous which is from outside of the eyelid and the other is transconjunctival. In a case like this woman’s, Dr. Prasad would typically do transconjunctival blepharoplasty. This is a technique where he works at the fat pockets from the inside of the eyelids so no external incision is made, and no trace of surgery is visible. This is performed under local anesthesia with LITE™ sedation. This reduces and repositions as is appropriate so it looks like someone never had fat pockets there.

With this procedure, the concern about hollowing becomes an issue. Hollowing is often perceived when someone’s eyelids are pulled downward that scare people away from surgery. This situation is called lower eyelid retraction. As a specialist in this area, Dr. Prasad sees a lot of patients from all over the world to correct lower eyelid retraction and to help them look as if they are not as hollowed. In addition, with facial aging, there is volume loss in the cheek area. The cheeks below the bags look flat. The solution for that are Radiesse, Restylane, fat, or cheek implants. Dr. Prasad suggests not to put so much volume to camouflage the fat pockets. People who come from him got over puffed from another practice,and they look unrecognizable or unnatural. He ends up using an enzyme like hyaluronidase to dissolve the fillers.

Dr. Prasad suggests that she narrow her decision and try to figure out which doctor resonates with her and who she feels comfortable with. Otherwise, she should meet with the additional doctors. From his perspective as a 20-year cosmetic oculofacial plastic surgeon, transconjunctival blepharoplasty most likely would be starting point for her to at least address the dominant feature on her face.

For more information about eye bag surgery, please visit:

http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/transconjunctival-blepharoplasty/

To learn more about the different injectables, please visit:
http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/

Radiesse:
http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/radiesse/

Restylane:
http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/restylane-perlane/

Can a Receding Hairline be Stopped?
Can a Receding Hairline be Stopped?

Receding hairlines in men can manifest as thinning on the frontal areas of the scalp or thinning at the crown area. The important thing to remember regarding this is that male pattern hair loss affects the entire scalp, and manifests in different ways depending on a genetic pattern that is unique to you. In Dr. Amiya Prasad’s practice, patients that are diagnosed with male pattern hair loss are advised to stop the progression of hair loss first. Options to help with this usually include medication like oral finasteride or topical minoxidil. However, with the limitations and unfortunate side effects, such as long-term sexual side effects in men and daily application of minoxidil, many male patients are hesitant to use the said drugs, especially finasteride. An alternative that Dr. Prasad offers is his Hair Regeneration treatment, which is a treatment that is made up of a combination of extracellular matrix (ECM) and platelet-rich plasma (PRP) derived from the patient’s own blood. This non-surgical approach involves a single session of injections and has seen success in restoring hair growth in almost 100% of male patients and over 80% in female patients. Treating your hair thinning early can stop progressive hair loss, and even reverse hairline recession to a certain level.

To learn more about the Hair Regeneration non-surgical treatment to stop hair loss, please visit our website http://nyhairloss.com/

To learn more about Propecia/finasteride, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/finasteride-propecia-hair-thinning-hair-loss-oral-medication/

To learn more about Rogaine/minoxidil, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/minoxidil-rogaine/

Can I Prevent My Hairline from Receding Before it Starts?
Can I Prevent My Hairline from Receding Before it Starts?

It is unlikely for one to prevent hairline recession before it starts because this implies that one has knowledge of when the recession will take place. One can, however, address hairline recession once the early signs of thinning become more apparent, which is ideally a better way to go about it. In Dr. Amiya Prasad’s practice, numerous hair loss solutions will be discussed with the patient so that they may make an informed decision. Included among these options are surgical and non-surgical procedures, including hair loss drugs such as oral finasteride and topical minoxidil, though many male patients steer clear from oral finasteride due to the long-term sexual side effects it may cause in men. One especially effective and convenient treatment for hair loss is Dr. Prasad’s Hair Regeneration. Hair Regeneration is made up of an advanced stem cell-based wound-healing material called extracellular matrix (ECM) and platelet-rich plasma (PRP) derived from the patient’s own blood that contains concentrated healing factors. Hair Regeneration works on existing hairs by reversing hair thinning and stopping progressive hair loss. This is why it is more ideal to have the treatment on the onset of hair thinning, rather than too early or too late. Hair Regeneration has worked on almost 100% of patients suffering from male pattern hair loss.

To learn more about the Hair Regeneration non-surgical treatment to stop hair loss, please visit our website http://nyhairloss.com/

To learn more about Propecia/finasteride, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/finasteride-propecia-hair-thinning-hair-loss-oral-medication/

To learn more about Rogaine/minoxidil, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/minoxidil-rogaine/

I Still have Hair, but Less than Before. Can Hair be Brought Back?
I Still have Hair, but Less than Before. Can Hair be Brought Back?

Much of Dr. Amiya Prasad’s work has been geared towards helping people fight the early signs of hair loss. In his experience, the important thing is seeking treatment for hair thinning before it reaches the point that the area where hair thinning is prominent becomes bald. When a patient comes in to see him, Dr. Prasad always begins with a thorough examination of the patient’s scalp so as to determine the extent of the hair loss. When this has been determined, and the patient so desires it, then this is where Dr. Prasad’s Hair Regeneration treatment comes in. The treatment, made from a combination of an advanced stem cell-based wound-healing material called extracellular matrix (ECM) and platelet-rich plasma (PRP) derived from the patient’s own blood, is designed to work on existing hairs that have thinned out. So far, almost 100% of Dr. Prasad’s male patients and over 80% of his female patients have shown dramatic improvement, and the treatment has been successful in stopping the progression of hair loss and hair thinning. In fact, the Hair Regeneration treatment has been able to restore even more density, volume and coverage in comparison to any hair transplant regardless of transplantation technique.

To learn more about the Hair Regeneration non-surgical treatment to stop hair loss, please visit our website http://nyhairloss.com/

I'm Scared of Going Bald. Can I Stop Baldness Before it Starts?
I'm Scared of Going Bald. Can I Stop Baldness Before it Starts?

It’s normal to fear going bald, but you can take comfort in knowing that there are steps you can take to address it. Before anything, it must be said that if you aren’t experiencing any type of hair thinning, it is unwise to start any type of hair loss treatment right away. Oftentimes, Dr. Amiya Prasad will receive inquiries from young men desiring a hair transplant right away, in order to hide the early signs of temporal recession. This is not advisable for the following reasons: (1) the pattern of their hair loss has not yet been determined; (2) hair thinning will continue, rendering the hair transplant ineffective; and (3) hair loss has not yet been stabilized.

When it comes to hair thinning, there are two types of medication that men can take to address it—oral finasteride and topical minoxidil. However, because of the limitations of medical therapy, such as long-term sexual side effects in men for finasteride and irritation of minoxidil, Dr. Prasad has opted to use a more effective solution which he himself has developed—Hair Regeneration. This treatment, which is backed by 3-5 years’ worth of clinical study, stops and reverses hair loss and hair thinning at various stages without the need for additional medication or surgery. The treatment is so effective that almost 100% of male patients see dramatic results and stop progressive hair thinning and hair loss after only one treatment session.

To learn more about the Hair Regeneration non-surgical treatment to stop hair loss, please visit our website http://nyhairloss.com/

To learn more about Propecia/finasteride, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/finasteride-propecia-hair-thinning-hair-loss-oral-medication/

To learn more about Rogaine/minoxidil, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/minoxidil-rogaine/

After a Hair Transplant, Does Hair Grow Back in Stages?
After a Hair Transplant, Does Hair Grow Back in Stages?

Yes. Hair growth can occur anywhere between 12-18 months after a hair transplant. Based on Dr. Amiya Prasad’s observations, using his Hair Regeneration treatment on patients appears to accelerate the healing process, improve the way the donor area heals, and significantly lessen the redness that is normally seen on newly transplanted graft sites. The Hair Regeneration treatment is made up of a combination of an advanced stem cell-based wound-healing technology and platelet rich plasma derived from the patient’s own blood. The treatment is so effective that patients who come to see Dr. Prasad 1-2 months after having a hair transplant done elsewhere also see an improvement in the way their scars and grafts heal. The treatment has even improved the quality of their hair in terms of thickness and the quantity of regrowth, resulting in a more density and a more natural appearance.

To learn more about hair transplants and how they can by improved with Hair Regeneration, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/hair-transplantation/

To learn more about the hair growth cycle, go to:

http://nyhairloss.com/hair-loss-info-dr-amiya-prasad/healthy-hair-function/hair-growth-cycle/

Do You Treat Hair Restoration Patients Who are from Outside the United States?
Do You Treat Hair Restoration Patients Who are from Outside the United States?

Dr. Amiya Prasad’s Hair Regeneration treatment is actually one of the reasons why he receives so many patients from all over the world every week. Patients particularly appreciate the fact that the non-invasive treatment takes less than 2 hours to perform, which gives them more time to go around and enjoy the sights of the city. The treatment has successfully been able to reverse hair thinning without leaving any scars or obvious healing-related scabs behind, making it quite an inconspicuous procedure.

To learn more about the Hair Regeneration non-surgical hair transplant alternative, please go to:

http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

What Women Need to Know about Hair Transplants
What Women Need to Know about Hair Transplants

Hair loss and hair transplants differ significantly between women and men. Firstly, with male pattern hair loss, it is possible to transplant hair grafts without the concern of damaging existing hair in the surrounding areas, whereas with female pattern hair loss, it is possible to damage and lose existing hairs because of how close the thinning hairs are together. Secondly, female pattern hair loss is diffuse and can even include the area at the back of the head, which is commonly known as the “donor area” and is where hair grafts are harvested from. Thirdly, the expectation of hair transplants and need for hair also varies greatly between men and women. While men are generally satisfied with little additional coverage for frontal balding just to frame the face, women often desire more overall volume.

To address the needs of female patients experiencing advanced hair loss, Dr. Amiya Prasad recommends Hair Regeneration, a treatment that is made up of a combination of an advanced stem cell-based wound-healing technology and platelet rich plasma derived from the patient’s own blood. The treatment has seen improvement in more than 80% of women who have undergone the treatment.

To learn more about the Hair Regeneration non-surgical hair transplant alternative, please go to:

http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

To learn more about hair transplants and how they can by improved with Hair Regeneration, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/hair-transplantation/

To learn more about the limitations of hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/limitations-hair-transplants/

To learn more about follicular unit extraction (FUE) hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-extraction-fue-hair-transplant/

To learn more about follicular unit transplantation (FUT) hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-transplantation-fut-strip-surgical-process/

Does Rogaine/Minoxidil Work Effectively? How about Propecia/Finasteride?
Does Rogaine/Minoxidil Work Effectively? How about Propecia/Finasteride?

Two of the more popular medications for male pattern hair loss are Rogaine (minoxidil) and Propecia (finasteride).

Minoxidil is a vasodilator and was originally used as a treatment for high blood pressure. A physician noted that one of the drug’s side effects was increased growth of existing hairs, though the specifics of how it stimulates hair growth are not entirely clear. Minoxidil, unfortunately, has a number of limitations. People that suffer from scalp diseases, heart problems, blood pressure problems, and kidney and liver problems are strongly advised against using the drug. Propecia, on the other hand, is an oral drug that blocks the enzyme 5-alpha reductase from converting testosterone to dihydrotestosterone (DHT), which is the hormone responsible for hair miniaturization. The downside of the drug is that it may cause sexual dysfunction in men.

With the limitations of hair loss drugs in mind, Dr. Amiya Prasad has developed Hair Regeneration, a treatment backed by 3-5 years worth of clinical study. The treatment combines extracellular matrix - an advanced stem cell-based wound-healing technology, and platelet-rich plasma derived from the patient’s own blood, to form an effective and safe treatment for hair loss. With this treatment, Dr. Prasad has been able to reverse male pattern hair loss in almost 100% of male patients in a single treatment, without needing additional medical therapy or surgery. Keep in mind that the Hair Regeneration treatment works more effectively on existing viable hairs, which means that it will be the most helpful the earlier one gets treated with it.

To learn more about the Hair Regeneration non-surgical hair transplant alternative, please go to:

http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

To learn more about Propecia/finasteride, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/finasteride-propecia-hair-thinning-hair-loss-oral-medication/

To learn more about Rogaine/minoxidil, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/minoxidil-rogaine/

Does Propecia/Finasteride Work for Thinning Hair at the Front?
Does Propecia/Finasteride Work for Thinning Hair at the Front?

Propecia, or oral finasteride, works by preventing the enzyme 5-alpha reductase from converting testosterone to dihydrotestosterone (DHT). Dihydrotestosterone is responsible for hair miniaturization, thus, if a patient’s hair is sensitive to DHT, hair thinning and eventually hair loss occurs. However, if it has been determined that a patient’s hair loss is due to sensitivity to DHT, then they may benefit well from oral finasteride. It is important to understand that male pattern hair loss affects the whole scalp, with variations only in the pattern at which hair thins such as temporal recession or thinning of the crown. In some cases, men with extremely aggressive frontal balding do not respond to oral finasteride, however, if a patient is responsive to oral finasteride, it will benefit the entire scalp including the frontal areas, no matter how aggressive the balding is.

Dr. Amiya Prasad is aware that most hair loss drugs, such as oral finasteride or topical minoxidil, do not work in certain people, while others simple choose not to take them because of the long-term sexual side effects tied to finasteride, or the hassle of applying minxodil daily. For these reasons, he has developed Hair Regeneration. Hair Regeneration makes use of an advanced stem cell-based wound-healing material called extracellular matrix (ECM) which is then combined with the concentrated healing growth factors of platelet-rich plasma (PRP) derived from one’s own blood, resulting in a safe and effective way of reversing hair loss. Using this treatment method, Dr. Prasad has been able to reverse hair thinning in patients in only a single treatment session without the need for surgery or from taking daily medication.

To learn more about the Hair Regeneration non-surgical hair transplant alternative, please go to:

http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

To learn more about Propecia/finasteride, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/finasteride-propecia-hair-thinning-hair-loss-oral-medication/

To learn more about Rogaine/minoxidil, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/minoxidil-rogaine/

How Hair Restoration Can Change Lives - a Doctor's Perspective
How Hair Restoration Can Change Lives - a Doctor's Perspective

Hair loss has a significant impact on a person's confidence. The search for a solution for baldness is one that spans decades. With all the types of medications and procedures designed to address hair loss, many of them are ineffective and temporary. The thing that patients must understand is that hair transplants cannot restore all the hair that’s been lost, nor can it reverse or stop hair thinning. It is simply a means to temporarily cover up balding areas with hair taken from another part of one’s scalp.

When it comes to hair transplants, factors that determine its success are the following: (1) whether the progression of hair loss is stabilized; (2) healing of the donor area; and (3) clear communication between the surgeon and patient with regard to the number of grafts harvested and areas wherein the grafts are transplanted.

As a hair loss and hair transplant specialist, Dr. Amiya Prasad has spent about 20 years devising better ways to address hair loss, especially because not everybody responds to medication like oral finasteride or topical minoxidil. The result of his efforts brought about a treatment called Hair Regeneration, which is made up of a combination of an advanced stem cell-based wound-healing material called extracellular matrix (ECM) and platelet-rich plasma (PRP) derived from the patient’s own blood. The treatment has made a significant impact particularly on sufferers of male pattern baldness; as many male patients are not partial to taking oral finasteride due to its long-term sexual side effects.

In Dr. Prasad’s practice, he administers the Hair Regeneration treatment on patients, and will typically wait for about 18 months to see if a hair transplant is still needed. In a situation wherein a transplant is needed, he will openly discuss the pros and cons of both follicular unit transplants (FUT) and follicular unit extraction (FUE), as well as how Hair Regeneration can enhance the results of both. FUTs can yield as much as 30% more viable grafts than FUEs. As always, Dr. Prasad cautions patients to be well-informed before committing to undergo any hair transplant procedures.

To learn more about the Hair Regeneration non-surgical hair transplant alternative, please go to:

http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

To learn more about the limitations of hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/limitations-hair-transplants/

To learn more about follicular unit extraction (FUE) hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-extraction-fue-hair-transplant/

To learn more about follicular unit transplantation (FUT) hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-transplantation-fut-strip-surgical-process/

When is the Right Time to Meet with a Hair Restoration Surgeon?
When is the Right Time to Meet with a Hair Restoration Surgeon?

Ideally, it is better to seek out a hair restoration specialist once you notice the first signs of hair thinning—if only to discuss the progression of your thinning and what options you can look into to address it. Keep in mind that hair restoration does not automatically involve surgery. In Dr. Amiya Prasad’s practice, a full evaluation, including scalp microscopy, is performed to diagnose the cause of your hair loss. Afterwards, the options of medical therapy, surgical and non-surgical procedures are then discussed. Dr. Prasad’s Hair Regeneration treatment is one such solution that falls under the non-surgical category, and it works by reversing hair thinning in existing hairs. This means that the earlier you address your hair thinning with this treatment, the more effective it will be.

To learn more about the Hair Regeneration non-surgical hair transplant alternative, please go to:

http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

To learn more about hair transplants and how they can by improved with Hair Regeneration, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/hair-transplantation/

Hair Transplant Procedures - Are They Better than Ever?
Hair Transplant Procedures - Are They Better than Ever?

This is not necessarily true. Over the years, follicular unit transplants (FUTs) have become less popular among prospective patients due to the undesirable scars it leaves behind. This has led people to shift their interest to follicular unit extractions (FUEs), which have practically become the new standard approach when it comes to hair transplants. With the popularity of shorter hairstyles, as well as the fact that FUEs do not leave strips scars behind, more patients and even specialists have begun to favor this technique. It must be said, however, that the yield of grafts with FUE is actually 30% less than the yield of FUT, which means that ultimately, there is less hair growth and density.

Several well-known hair restoration surgeons are promoting the new advancements in FUE surgery technology, implying that the procedure has improved. It is important to know that the modern focus on FUEs as the preferred hair transplant procedure does not automatically mean it is superior to FUT. The fact of the matter is that there are more limitations with FUEs in comparison to FUTs — but then again, any hair transplant procedure is inherently limited because of the small donor area.

The ultimate goal is to grow as much hair as you can, with the most density possible in areas where you need more hair. Interestingly, Dr. Amiya Prasad has developed a treatment—Hair Regeneration—that can address hair loss and hair thinning without the need for surgery. Backed by 3-5 years’ worth of clinical research, the treatment makes used of advanced stem cell-based wound-healing technology, and has been administered on patients from all over the world, showing remarkable results. Keep in mind that before making a decision, it is important to do your own research and to speak with a specialist in order to understand all the surgical and non-surgical options you have.

To learn more about the Hair Regeneration non-surgical hair transplant alternative, please go to:

http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

To learn more about the limitations of hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/limitations-hair-transplants/

To learn more about follicular unit extraction (FUE) hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-extraction-fue-hair-transplant/

To learn more about follicular unit transplantation (FUT) hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-transplantation-fut-strip-surgical-process/

How are Modern Hair Transplants Different from Old Procedures?
How are Modern Hair Transplants Different from Old Procedures?

Modern hair transplants seem to involve a lot of new technology that can appear superior to the uninformed. There are various mechanical devices now used for harvesting grafts for follicular unit extractions (FUEs) or follicular unit transplants (FUTs). Hair transplant surgeons, who have performed the more traditional FUT (strip surgery) and the more recent FUE surgery, know that the older FUT has a much higher yield of grafts compared to the modern FUE. FUEs only gained more popularity due to the fact that it does away with the long, more noticeable strip scar in the donor area—an attractive characteristic that appeals to people who like to wear their hair short. However, even though FUEs do produce smaller scars, they also provide less density, and thus, usually two or more surgeries are needed to make up for that. The second FUE surgery involves even more scars than the first, all while providing a decreased amount of grafts, and less new hair growth. All these technological advancements haven't really improved hair transplants, nor have they overcome the limitations of hair transplants.

In Dr. Amiya Prasad’s practice, the conversation about hair transplants differs with the introduction of his Hair Regeneration treatment. In order to combat hair thinning, Dr. Prasad treats his patients with the Hair Regeneration formula with advanced stem cell-based wound-healing capabilities. By thickening existing hairs, this treatment stops progressive hair loss and restores volume and coverage more efficiently than any hair transplant can. However, if the patient desires a hair transplant even after the treatment, Dr. Prasad is open to discussing the pros and cons of both FUEs and FUTs, and how he can optimize their results using Hair Regeneration.

To learn more about hair transplants and how they can by improved with Hair Regeneration, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/hair-transplantation/

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/minoxidil-rogaine/

To learn more about follicular unit extraction (FUE) hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-extraction-fue-hair-transplant/

To learn more about follicular unit transplantation (FUT) hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-transplantation-fut-strip-surgical-process/

Can Hair Grafts Fall out After Hair Transplants?
Can Hair Grafts Fall out After Hair Transplants?

The most critical period for hair grafts are the first 48 hours after the procedure. During this period, the hair grafts may fall out due to dislodging or bleeding, and therefore, it is of utmost importance that the patient exercises proper management of any and all health problems. Things like blood pressure and the intake of blood thinners can affect the success of a hair transplant. In fact, it is quite possible for a patient to lose as much as 90% of their grafts due to the mismanagement of these factors. Hair grafts can take about 7-10 days to gain stability, and after that, it is unlikely that they will dislodge. In order to help with the healing of hair grafts, Dr. Amiya Prasad recommends having Hair Regeneration treatment 1-2 months after their surgery.

To learn more about hair transplants and how they can by improved with Hair Regeneration, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/hair-transplantation/

To learn more about follicular unit extraction (FUE) hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-extraction-fue-hair-transplant/

To learn more about follicular unit transplantation (FUT) hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-transplantation-fut-strip-surgical-process/

Why Does Transplanted Hair Not Fall Out?
Why Does Transplanted Hair Not Fall Out?

In hair transplants, hair grafts are harvested from an area commonly referred to as the “donor area” or “permanent zone”, which is the area at the back of the head wherein the hair never falls out. The reason for this is due to the physiologic phenomenon called “donor dominance”, which means that any hair taken from the donor area will retain its permanence, even after being transplanted to an area where hair thinning occurs.

In relation to this, one must ask what happens to the existing hair surrounding the transplanted hair. Unfortunately, depending on the pattern of one’s hair loss, the existing hair can continue to thin out and disappear unless the necessary treatments are taken in order to prevent this. Luckily, Dr. Amiya Prasad’s Hair Regeneration is designed to do just that. Using an advanced stem cell-based wound-healing technology, hair loss and hair thinning can be reversed. In fact, Hair Regeneration can be used alongside a hair transplant to achieve better results, and improve the healing of hair grafts. Patients from all over the world come to Dr. Prasad to have the Hair Regeneration treatment applied to their hair transplants in order to thicken their native hair and improve the healing and survival of their hair grafts.

To learn more about the Hair Regeneration non-surgical hair transplant alternative, please go to:

http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

To learn more about hair transplants and how they can by improved with Hair Regeneration, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/hair-transplantation/

To learn more about follicular unit extraction (FUE) hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-extraction-fue-hair-transplant/

To learn more about follicular unit transplantation (FUT) hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-transplantation-fut-strip-surgical-process/

To learn more about Propecia/finasteride, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/finasteride-propecia-hair-thinning-hair-loss-oral-medication/

To learn more about Rogaine/minoxidil, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/minoxidil-rogaine/

Who Makes a Good Hair Transplant Candidate?
Who Makes a Good Hair Transplant Candidate?

It is important to understand that a hair transplant, regardless of the technique or technology used, is a procedure that is strictly limited by the rate of your hair loss progression and the amount of hair you have in your donor area. Therefore, when considering a patient for a hair transplant, it is preferred that the patient has stabilized their hair loss first. If the patient only exhibits hair thinning, it is not advisable to perform a hair transplant because there is a high chance that there is still a large amount of existing hair in the area and it would not be in the patient’s best interest to place grafts and destroy those existing, viable hair follicles. In short, the best candidate for a hair transplant is someone who desires hair in an area that exhibits longstanding hair loss, and whose hair loss has been stabilized.

There are many options one can consider to address hair loss and hair thinning—follicular unit transplants (FUTs or the “strip method”) was the preferred transplant method until doctors tried to avoid the long strip scar from the donor area. This made follicular unit extractions (FUEs) soar in popularity, in spite of the fact that it often necessitated taking hair grafts from outside the permanent zone, rendering some of the transplanted hair prone to thinning and balding. FUEs also yield less quality hair grafts, with as much as 30% of grafts being transected (damaged or cut at the root).

Medications such as oral finasteride and topical minoxidil are also popular. However, these options require constant maintenance, are temporary by nature, and come with a great deal of limitations or and potential side effects. For these reasons, Dr. Amiya Prasad developed Hair Regeneration; an advanced stem cell-based wound-healing technology designed to reverse hair thinning and thicken existing hair. The treatment affords patients long-term results and has successfully exceeded results of hair transplants for density, fullness, and volume. Hair Regeneration has successfully worked on patients who did not respond to finasteride, and the onetime treatment is deemed more effective than minoxidil, which does not stop or reverse thinning hair.

To learn more about follicular unit extraction (FUE) hair transplants, go to:

To learn more about the Hair Regeneration non-surgical hair transplant alternative, please go to:
http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-extraction-fue-hair-transplant/

To learn more about follicular unit transplantation (FUT) hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/follicular-unit-transplantation-fut-strip-surgical-process/

To learn more about the limitations of hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/limitations-hair-transplants/

To learn more about Propecia/finasteride, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/finasteride-propecia-hair-thinning-hair-loss-oral-medication/

To learn more about Rogaine/minoxidil, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/minoxidil-rogaine/

What is the Most Important Thing to Know about Hair Transplants?
What is the Most Important Thing to Know about Hair Transplants?

The most important thing to know about hair transplants are its limitations. Hair transplant procedures have been aggressively marketed for decades, often leading people to have unrealistic expectations of the procedure. Nowadays, there is much focus on newer technologies in hair transplants, such as robot follicular unit extraction (FUE) surgery which can distract from the actual limitations and outcome of such procedures. To avoid fostering unrealistic expectations of hair transplant procedures, keep these in mind:

• Hair transplants do not stop hair loss. These transplants are only a temporary means of disguising balding areas. This can often result in a “pluggy look” because the existing hair continues to thin out while transplanted hair remains isolated on the head.
• The donor area has a limited amount of transplantable hair.

Due to the combination of these two factors, as well as the unresponsiveness to medication like oral finasteride and topical minoxidil, people are compelled to spend more and undergo additional hair transplant procedures. Fortunately, Dr. Amiya Prasad’s Hair Regeneration treatment is designed to address these hair loss woes. Developed with advanced stem cell-based wound-healing technology, the Hair Regeneration treatment is designed to clinically stop the progression of hair thinning and thicken existing hair. The effects of the treatment has been so successful that patients can even have it done in preparation of or in tandem with a hair transplant procedure in order to achieve better and longer lasting results.

To learn more about hair transplants and how they can by improved with Hair Regeneration, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/hair-transplantation/

To learn more about the limitations of hair transplants, go to:

http://nyhairloss.com/hair-restoration-by-dr-amiya-prasad/limitations-hair-transplants/

Can You Stop Hair Loss Before it Gets Worse?
Can You Stop Hair Loss Before it Gets Worse?

Dr. Amiya Prasad has developed a treatment that makes it possible to reverse hair thinning in existing hairs and help sufferers of genetic pattern hair loss — he calls it the Hair Regeneration system. Hair Regeneration uses an advanced stem cell-based wound-healing technology to help reverse hair loss. The treatment is administered via injection directly on the scalp. Backed by 3-5 years’ worth of clinical study, Dr. Prasad’s Hair Regeneration treatment has been applied on patients from all over the world and has seen extremely successful results.

To learn more about the Hair Regeneration non-surgical treatment to stop hair loss, please visit our website http://nyhairloss.com/

Can Baldness be Cured?
Can Baldness be Cured?

Baldness is determined by genetics, just like a person’s height, skin color and eye color. Over the years, a number of limited and temporary treatments have been offered, ranging from topical medication to surgical procedures, in an effort to address hair loss. Many of these drugs and medications were deemed either ineffective or linked to long term sexual side effects in a small amount of male patients. In terms of surgical procedures, hair transplants have been the go-to solution for dealing with hair loss. These procedures, however, also come with limitations, such as:

• The “pluggy look” — existing hair continues to thin out, leaving only the transplanted hair behind. When this happens, it becomes even more obvious that a hair transplant was performed.
• Limited donor area — the amount hairs in the donor area are not adequate enough to cover balding areas.

With such limitations in mind, Dr. Amiya Prasad has developed an alternative treatment that addresses pattern hair loss in men and women. The Hair Regeneration treatment was formulated using an extracellular matrix designed for wound healing in order to halt the progression of hair loss and reverse hair thinning in existing hairs. The outcome so far has been impressive and has even exceeded the results of regular hair transplant surgery in terms of the density and volume achieved without any surgery.

To learn more about the Hair Regeneration non-surgical treatment to stop hair loss, please visit our website http://nyhairloss.com/

Is there a Cure for Hair Loss?
Is there a Cure for Hair Loss?

About 95% of people that experience hair loss are plagued by pattern hair loss, or what is more commonly referred to in the medical field as androgenic alopecia. Androgenic alopecia is a genetic predisposition for hair loss, wherein hair will progress from hair thinning to eventual total or partial loss of hair. The rate and onset of hair loss is variably different in each individual.

While a person's genetics is not something that can be changed, Dr. Amiya Prasad has developed a treatment that can help with its effects. Dr. Prasad’s Hair Regeneration treatment is a safe and highly effective procedure that addresses hair loss with the help of a wound-healing technology, and without the use of surgery or drugs. This treatment is backed up with 3-5 years’ worth of clinical study and research with long-term benefits in stopping progressive hair loss and reversing hair thinning, essentially coming close to cure for hair loss.

For more information about Hair Regeneration non-surgical hair loss treatment, please visit http://nyhairloss.com/

Under Eye Wrinkle Treatment Should be Done Non-Surgically - Removing Eyelid Skin Can Cause Problems
Under Eye Wrinkle Treatment Should be Done Non-Surgically - Removing Eyelid Skin Can Cause Problems

A woman says her under eye area is wrinkled and loose. She wants to know the best way to fix this, whether by surgery or non-surgical treatment.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon practicing in Manhattan and Long Island for over 20 years, says that dealing with under eye wrinkles is something he does daily for his patients. Most patients will first try topical creams but the reality is that most of the over-the-counter creams don’t have enough active ingredients to make real changes. However, they will improve wrinkles through moisturization. To address under eye wrinkles, he thinks systematically before starting treatment, first is determining the presence or absence of excess skin. The under eye area can be very deceptive. The eyelid skin can appear to be loose which would imply that there is excess skin, but in reality it can only be an issue of skin quality. This means the skin may be thin or weak.

As a specialist, Dr. Prasad deals with a lot of people who have complications of lower eyelid surgery which is mostly because of aggressive removal of under eye skin with the intention of making the skin tighter. As a person who does facelifts, he can give a really good distinction between the difference when addressing excess skin in facelifts and eyelid surgery. During a face lifting procedure, the area being addressed is very stable and it won’t move and shift. If there is excess tension, the scar can widen but it’s very different with lower eyelid surgery. If more skin is taken or removed, the eyelid will literally pull down and become retracted (lower eyelid retraction) and can also evert or turn away (ectropion). He basically does an evaluation to look at the tension, the laxity, and pinches the skin a little to see if there’s extra skin.

Another aspect is the support of the lower eyelid. When there is decent amount of tension, the lower eyelid stays in a higher position. However, if it gets lax, then the lower eyelid can sag or the tone can cause the skin to sag. Therefore, instead of dealing with skin removal, Dr. Prasad then needs to reinforce the support of the lower eyelid. This is done from the outer corner of the eye by doing a procedure such as lateral canthopexy or lateral tarsal strip.

In Dr. Prasad’s practice, he has a strategy to deal with skin quality and wrinkles. He approaches it by building up the collagen and skin quality from underneath the skin. This is by using platelet-rich plasma (PRP) which is derived from the patient’s own blood that is a concentration of the growth factors responsible for wound healing. Platelet-rich plasma improves skin quality, softens fine lines and wrinkles. As people age, they lose collagen and blood supply so platelet-rich plasma is manipulating the wound healing concept to generate new collagen and generate blood supply.

Dr. Prasad also uses thermal energy such as fractional CO2 laser. Fractional CO2 laser can be very effective especially on people with lighter skin where several top layers of skin have to be treated by generating thermal energy to the deeper layers. This smoothens and softens the fine lines and wrinkles. However, he always wants to be careful with this type of treatment. Dr. Prasad feels that a porcelain appearance for him is too aggressive.

The last important factor is the activity of the muscles around the eyes. Botox and Dysport are neurotoxins that relax the muscles responsible for creasing the skin. When a person activates these muscles, the skin wrinkles over and over, and then the creases stay so strategic placement of Botox or Dysport can also be a beneficial.

Dr. Prasad’s recommendation is that she meet with a cosmetic surgeon and learn what her options are and get a sense of what the results are like. She must understand that lower eyelid position and support are critically important if she chooses surgical options. As far as the other options, she can certainly explore all of those. It’s always about customization and there’s art and finesse to these procedures so it’s very important that she feels comfortable with the doctor who’ll take care of her concerns.

For more information about our combination procedures, please visit our website:

http://prasadcosmeticsurgery.com/

To learn more about platelet-rich plasma, please visit:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/platelet-rich-plasma/

To learn more about fractional CO2 laser, please visit:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-medi-spa-nyc-new-york/laser-light-treatments/microfractional-co2/

Why Hyaluronic Acid Cosmetic Fillers are Advised for Hollow Under Eyes Over Fat Grafting
Why Hyaluronic Acid Cosmetic Fillers are Advised for Hollow Under Eyes Over Fat Grafting

A woman has under eye circles and hollowness. She wants to know the direction she should go to give her the best results.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon who specializes in eyelid surgery and rejuvenation has been practicing in Manhattan and Long Island for over 20 years. He explains that the majority of her concern is in the called tear trough. There’s also an area adjacent of it towards to the center of each eye called the V-deformity or the junction between the eyelid and cheek. As people get older, they lose some volume in both these areas.

Presently, Dr. Prasad explains that there are more options used for dealing with this volume loss. In his practice, his approach is to address volume with a hyaluronic acid filler such as Restylane or Juvederm. It can be very effective in restoring contour in the really delicate lower eyelid area. The trick is to be able to place the material and avoid lumpiness, irregularities and swelling. There’s an art to the placement of the fillers so that patients can get significant improvement. The eyelid is the thinnest skin of the body and it rests against the bone, so when there’s less tissue in between, it makes the area very dark. A filler is a great solution and is worth exploring. The downside of fillers is there is maintenance involved. Sometimes, surgeons get a little bit ambitious and they fill more making the eyes look puffier.

There are also times people want to go for something permanent such as fat transfer. From Dr. Prasad’s perspective, he has not seen very good results from fat transfer. Fat grafting unfortunately does not really apply uniform filling. People come to him from all over the world that had fat grafting and he actually had to remove the fat because it created these irregularities and lumps.

In addition, Dr. Prasad does something unique called platelet-rich plasma treatment. Platelet-rich plasma or PRP is derived from the patient’s own blood. He concentrates the platelets and growth factors necessary for wound healing and applies them under the skin. Through this, there is improvement in color, quality and the overall health of the skin. In fact, when PRP is used in the rest of the face such as acne scars or just for complexion improvement, the patients always come back with this nice glow because it stimulates blood supply. This is something that makes PRP really different from fillers. Dr. Prasad does a synergistic approach of filler for the volume and PRP to improve the skin quality that achieves a very high level of satisfaction from his patients. He follows his patients closely to make sure the contour and shape is really nice. Again, this is an art and it has to be done artfully to get the material in the right place, right volume and right shape.

These fillers can last anywhere from 3 months, 6 months, a year and even sometimes beyond. But it is individual so patients have to see what works for them. Facial aging is volumetric loss which loss of bone, muscle and fat, so restoring volume strategically and keeping a natural look is important and is a commitment.

For more information about our combination procedures, please visit our website:
http://prasadcosmeticsurgery.com/
To learn more about platelet-rich plasma, please visit:
http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/platelet-rich-plasma/
To know about the injectables, please visit:
http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/

Restylane/Perlane:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/restylane-perlane/

Juvederm:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/juvederm/

Eye Bag Removal Surgery is Done Only Once and Leaves no Scars so it is Cost-Effective
Eye Bag Removal Surgery is Done Only Once and Leaves no Scars so it is Cost-Effective

A 48-year-old male says he has had under eye bags for years. He is wondering what the best and cost efficient procedure is to address them.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, explains that the under eye bags this man has are based on an anatomic issue called lower eyelid fat prolapse, meaning the fat normally around the eyes has pushed forward creating these bulges. The solution to this issue is a procedure called lower eyelid blepharoplasty. For most male patients, Dr. Prasad normally does this from the inside of the eyelid with a procedure called transconjunctival blepharoplasty. This is in contrast to an external approach called transcutaneous blepharoplasty to avoid a visible incision on the outside unless there is any extra skin. Generally, even in older patients, there isn’t much extra skin. A distinction has to be made between skin that is in excess which is redundancy, versus wrinkles and thin skin which is a function of skin quality. Patients don’t want to treat skin quality by removing skin because it can cause problems such as ectropion or eyelid pulling out, or eyelid retraction or lower eyelids pulling down.

Dr. Prasad does transconjunctival blepharoplasty under local anesthesia with LITE™ IV sedation. This is something that he has developed over the 20 years he has been in practice. Through this, his patients avoid general anesthesia and are able to go back to work quickly. By doing the procedures in his own facilities and having dedicated staff, the process and protocol are expedited so patients feel comfortable and everything can be done in a timely way. He is always impressed by how the majority of his patients look after one week with little bruising and swelling. This is achieved by thinking through all the steps and following the protocol of aftercare at home.

Being in practice for 20 years, Dr. Prasad gets to see patients 5 to 15 years later and the eye bags are still gone and maybe other areas of the face need attention for aging changes. The result is something that will last a long time and this makes it a very cost-effective investment, especially in contrast to doing something like injectables that would require maintenance. For under eye bags, there is really no injectable alternative that would be worth anything for this man’s situation.

Dr. Prasad suggests that he meet with qualified, experienced cosmetic surgeons. As a specialist, he always recommends people find specialists or people who do eyelids really well. He should find someone he feels comfortable with, feel he could handle the cost, then move forward. People who always have bags under their eyes are misunderstood as lacking energy, fatigued, drinking, and not sleeping enough. This procedure will literally change his overall facial expression.

For more information about eye bag surgery, please visit:

http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/transconjunctival-blepharoplasty/

Sagging Facial Skin after Multiple Facelifts Could be a Patient's Skin Laxity and Healing
Sagging Facial Skin after Multiple Facelifts Could be a Patient's Skin Laxity and Healing

A woman had several surgeries for facial aging, but feels she was left with baggy skin and hollowing. She wants to know what may have happened because she thinks she looks 20 years older.

Dr. Amiya Prasad, an oculofacial plastic surgeon, sees a lot of people from all over the world who have issues from surgical outcomes for eyelid surgery as well as facelifts. He explains that it’s very important to understand the context of what the situation is. In the absence of seeing before pictures and knowing the full details of this woman’s subsequent surgeries, it’s difficult to say what went wrong. But if she went to a surgeon who is experienced and does this type of surgery routinely, then her situation may be because of how she healed and the intrinsic laxity of the tissue.

As someone who has been a practicing for over 20 years, Dr. Prasad has done thousands of surgical procedures including eyelids and face lifting surgery and has seen a range of individual variation. He thinks this woman may have an intrinsic laxity to her tissue that no matter where the surgeon is placing and doing a surgery he feels is right, she may not get in her healing process the desired result. As far as the hollowing concern, that is difficult to say because he not sure what he would describe as hollowing unless she is referring to the side of the cheeks.

In the absence of pre-op photos, this woman’s lower eyelids appear a little bit rounded and low and this is something that can be labeled as lower eyelid retraction. However if her eyes looked like this before, then this is not necessarily a secondary effect of surgery. With the lower eyelids, there are more controllable aspects when compared to the sagging or the stretching of the neck or the lower facial skin. She may want to explore correction of the lower eyelid position if that is a significant change for her.

If she wants to get opinions, she really needs to meet with doctors and get a formal examination by qualified specialists. Dr. Prasad also states that she needs to be cautious about physicians disparaging other physicians. There’s a lot of interspecialty rivalry and some general plastic surgeons disparages anybody who is not a general plastic surgeon. That is unfortunately unprofessional and a red flag as a doctor should analyze and try to give an objective opinion about a patient’s appearance and what can be done. A doctor should not say that another doctor did something wrong because they don’t know the real situation at that time, so this is a good measure of the professionalism of the doctor.

At this point, if she had 4 surgeries from the same doctor and she feels she is not getting the results she desires, it is completely reasonable to get additional opinions. Dr. Prasad thinks that communicating these additional opinions with her doctor is important. Getting some ideas to help achieve her desired look is certainly her right. She should take her photos from before, review them with her surgeon and try to get an understanding of what transpired and what can be done. Her surgeon may want to reach out to other doctors to get additional opinions as well and try to collaborate with her in order to achieve the desired look that she wants. Nobody knows everything about everything, so it is part of medical care that doctors ask each other about unique situations and what would be a colleague’s approach.

For more information about Face lifting surgery, please visit our website:

http://prasadcosmeticsurgery.com/prasad-face-eyes/facelifts/

Why Tired-Looking Eyes have Different Causes and Solutions for Puffy Eye Bags and Dark Circles
Why Tired-Looking Eyes have Different Causes and Solutions for Puffy Eye Bags and Dark Circles

A 36-year-old woman says that people always tell her how tired she looks. She wants to know her options.

Dr. Amiya Prasad, a practicing oculofacial plastic surgeon for over 20 years, says that a lot of people in Manhattan and Long Island who come to his practice say they are tired of looking tired. The eyes project what someone feels, so if someone has puffy bags under the eyes and dark circles, it communicates: fatigue, sadness and lack of energy. He says it is possible that a person has more than one cause of tired-looking eyes, therefore there must be more than one solution. Currently, it’s very popular to use fillers of different kinds, most in the hyaluronic acid family, to help soften the transition between the puffiness underneath the eyes and the adjacent area called the tear trough.

The puffiness is due to lower eyelid fat prolapse, which means that fat pockets that are normally around the eyes pushes forward. It is also called herniated fat, which creates a bulge that also accentuates an adjacent area called the tear trough to make it look more hollow. This makes a person look like they have deep, dark circles. Often there is also volume loss in the eyelid cheek junction or an area called the V-deformity. Genetics, weight loss or a combination will make someone lose volume in this area.

Dr. Prasad says that she could consider a combination approach before considering surgery. Ultimately, the puffy bags underneath the eyes need to be operated on. There is no way to address the fat pockets without performing the surgery. However, she can buy time using a combination of platelet-rich plasma that is derived from her own blood. It is using the healing growth factors necessary for wound healing. When this material is placed under the skin, it improves the skin quality. He then combines that with a filler such as a hyaluronic acid filler like Restylane. There’s a real synergy between the two.

Dr. Prasad says it’s very important to understand that there’s an upper limit on how much volume can be placed in the under the eye area. He has seen patients all the time who have had way too much filler placed by another doctor, so he has to dissolve that filler using an enzyme called hyaluronidase. Sometimes, well-meaning doctors do a very artful job, but they just make the cheeks look so big that a person is almost unrecognizable. An alternative strategy is addressing the fat pockets and then considering adding volume below the area of the fat pockets.

In Dr. Prasad’s practice, he uses a combination of surgical treatment, filler and platelet-rich plasma. He also uses topical creams to help with the superficial issues whether it’s retinoids or good moisturizers, sunblock etc. He has his own skincare product line, but no skincare product can get rid of bags under the eyes. He suggests that she meet with doctors and get some opinions to understand how all of this can be handled. She is going to see a lot of different approaches and she must feel comfortable with the rationale.

The Limits of Double Eyelid Tape in Creating an Asian Eyelid Crease
The Limits of Double Eyelid Tape in Creating an Asian Eyelid Crease

A gentleman says that when he was young, his mother used her fingers to help make creases above his eyes to give him double lids. One eye has a crease, and he wants to know if eyelid tape would also give his other eye a crease.

Dr. Amiya Prasad, an oculofacial plastic surgeon, explains that a basis for creating an eyelid crease in Asians is to make a connection between the levator muscle and the skin. The levator muscle is responsible for lifting the eyelid. The fibers from this muscle go into the skin and it pulls it in which causes it to fold. When he performs Asian eyelid surgery, whether it’s with the non-incisional method or the incisional method, his one primary objective is to create that connection between the skin and the levator muscle.

Dr. Prasad says that it is very popular to wear eyelid tape. Sometimes his patients will come in wearing the tape and it gives a guideline to where they want their crease, then they discuss if it’s feasible or not. The tape can force the skin to fold in, but it will not create that connection. Dr. Prasad doesn’t think that he should use the tape to create that effect as a long-term strategy. A lot of patients actually say how routinely they would apply the tape to use before they went out or for special occasion, and it can be a little cumbersome to do that. In addition, sometimes people get sensitive to the adhesive. The eyelid skin is delicate and sometimes pulling on and off the tape becomes less fun than it was initially.

Dr. Prasad explains that patients should understand that the goal is to create an adhesion or to create a connection between the skin and the levator muscle. If they are very serious about having a crease, then they should meet with a qualified experienced cosmetic surgeon who has a lot of experience with eyelid surgery. They may be someone who will benefit from a non-incisional approach which means they don’t have extra skin or any fat removed. They would do well with something that is limited in terms of its invasiveness because this procedure makes little openings and connecting the skin to the underlying muscle, and the stitches stay underneath inside the eyelid.

With that understood, Dr. Prasad says that he can now do his research and decide how to proceed, or he may just want to use the tape as an ongoing basis to maintain a certain look.

For more information about Asian eyelid surgery, please visit our website: http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/asian-eyelid-surgery/

Why Most Significant Eye Bags Cases Would Require Surgery Over Cosmetic Fillers
Why Most Significant Eye Bags Cases Would Require Surgery Over Cosmetic Fillers

A 28-year-old woman has under eye bags. She is unsure which route to go: cosmetic fillers or surgery.

Dr. Amiya Prasad, a cosmetic oculoplastic surgeon who specializes in eyelid surgery, does a lot of under eye bags treatment. Being able to do both the surgery and the fillers, he shares how to make the decision. Looking at this woman’s photo, he says that there is a significant amount of puffiness under her eyes. This anatomic change is called lower eyelid fat prolapse. Lower eyelid prolapse means that the puffy bags represent fat that is normally behind a structure called a septum. However, this fat shifted forward and created these permanent bags.

There are different degrees in which the puffy bags prolapse forward. A typical history is when a patient says that they have a lot of good days, but occasionally some bad days. This means that there’s a little bit of puffiness and there are times when they see it more. Those patients tend to benefit with filler because there’s not a lot to camouflage. The point of a filler is to soften the contrast between the puffy bags and the adjacent tissue in the tear trough or the eyelid-cheek junction. Dr. Prasad can strategically and artistically soften this area with the use of a filler such as a hyaluronic acid.

As a specialist, Dr. Prasad gets to see a lot of people who have puffy under eye bags and had too much filler placed under their eyes. This is because a well-meaning doctor wanted to try to help them to avoid surgery and they end up with so much volume of hyaluronic acid under their eyes that they actually look even puffier and weird. To help these patients, he uses hyaluronidase which is an enzyme to break the hyaluronic acid down and make it disappear.

When a patient is young, they naturally have hesitations as to cosmetic surgery. However, puffy under eye bags are not the same category as surgeries related to facial aging. Dr. Prasad has operated on people as young as 14 for under eye bags because under eye bags are a genetic issue.

Dr. Prasad does his procedures in his own Joint Commission approved facilities. This is the same certifying body that approves hospital facilities. He is committed to safety and ensuring that his patients have no less quality of care. Having surgery done in his office is a friendlier and less threatening atmosphere than someone going in to a hospital. On the top of that, he does the procedure under local anesthesia with LITE™ IV sedation. This means that patients don’t have general anesthesia and they feel comfortable that they’re not going to be on a respirator. He also can do these procedures on straight local anesthesia with patients wide awake. The safety record has been great and there has never been an issue.

In addition, people are also afraid of bruising and swelling after surgery. Over 20 years, Dr. Prasad is able to effectively minimize bruising after surgery. There are many times people see him after one week after surgery and they virtually have no bruising at all. In fact, patients can get more bruising with injectables than surgery, but this is on a case-by-case basis.

Based on this woman’s photo, she is probably a candidate for surgery. Another objection people have is a fear of scars and they desire to avoid external scars that show they had surgery. The procedure that Dr. Prasad typically does for under eye bags is transconjunctival blepharoplasty which is done from the inside of the eyelid. Through this he is able to reduce and reposition the fat as is appropriate to get a natural appearance and there’s no external incision. People feel comfortable and confident that no one would ever know that they had surgery.

Dr. Prasad explains that under eye bags make such a tremendous impact on a person’s facial appearance. It’s no secret that it’s one of the most popular he does in his practice. It’s literally like doing a facelift where the eyes become brighter, more open and not looking tired. It really brightens up the whole face. He suggests that she should meet with qualified experienced surgeons and learn about her options. She should make sure that she goes to someone who is a real expert in eyelid surgery. He has always been a firm believer in specialization and helping the patients get the best results, and this is through seeing people who are really experienced in any particular surgery. It’s no secret that surgeons who do a particular thing a lot tend to do them very well. She also has to look at the artistic style and whether or not she is comfortable with the doctor.

For more information on transconjunctival blepharoplasty, go to:

http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/transconjunctival-blepharoplasty/

Stopping Hair Loss & Thickening Hair Non-Surgically in the 20s is Advised Over Hair Transplants
Stopping Hair Loss & Thickening Hair Non-Surgically in the 20s is Advised Over Hair Transplants

A 24-year-old male has severe baldness in less than a year. He wants to know if hair transplantation is the right option for him.

Dr. Amiya Prasad, a hair restoration specialist, explains that in the years past, it was rare in his practice to ever do a hair transplant on someone in their 20s because they were losing hair so fast that they would never get close to the volume and coverage that they would be satisfied with, even after 2-4 transplants. In the later decades, so many men in their 40s or 50s have hair loss that transplant can be done more strategically.

A diffuse pattern of hair loss has miniaturization. The hair does not fall out necessarily but with every growth cycle, the hair comes back thinner. There is actually a lot of existing hair if someone were to look under the microscope.

There are several options for hair loss. One can orally take a drug like finasteride which is a blocker of dihydrotestosterone or DHT, the byproduct of an enzyme called 5-alpha reductase. Certain hair follicles are susceptible to the effect of DHT. Therefore, if DHT is reduced in the system, the progression of hair loss is slowed down. At this current time, people are very hesitant because this drug has been associated to have long-term sexual side effects.

In Dr. Prasad’s practice, he has developed Hair Regeneration, a method of using a material called extracellular matrix combined with the patient’s own blood byproduct called platelet-rich plasma. He has developed a delivery system and a method of formulation to make a significant improvement in restoring their volume without surgery. It’s a onetime injection treatment and he has 3-5 years of data supporting the longevity and the lack of regression. Patients are coming to him from all over the world because of this unique system.

Dr. Prasad advises against doing a hair transplant. If someone is losing hair so fast, their hair transplant will look like they had a hair transplant. He suggests to try a medical modality instead such as oral drugs or Hair Regeneration because they’ll get more benefit from them. In Dr. Prasad’s practice, he observed practically a 100% improvement in the patients who come to him. The earlier someone comes, the more he is able to help and get them a lot more benefit.

Dr. Prasad has also helped a lot of people who recently had a hair transplant and are looking for a way to improve their results. Through Hair Regeneration, they have a better yield and overall result from their transplant. He is able to thicken up their thinning hairs so that they are not continuously losing hair.

Dr. Prasad suggests that he learn more about Hair Regeneration and he advises against doing a transplant. He doesn’t think it would be the right thing for this man.

For more information about hair loss, please visit our website: http://nyhairloss.com/

To learn more about Hair Regeneration, please visit:

http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

Why a Specialist for Eye Bag Removal Surgery Reduces Surgical Risks and Gives Better Results
Why a Specialist for Eye Bag Removal Surgery Reduces Surgical Risks and Gives Better Results

A 52-year-old male has under eye bags. He wants to know if there are non-surgical options for him.

Dr. Amiya Prasad is a cosmetic oculofacial plastic surgeon practicing in Manhattan and Long Island for over 20 years. He thinks the non-surgical approach for eye bags has been the holy grail for dealing a straightforward anatomic issue. The bags under the eyes are caused by fat prolapse. Since it’s fat, it’s a physical volume that has to be approached surgically.

There has been a real trend in the world of cosmetic surgery for the past 30-40 years and that is towards specialization. There has been a study about surgeons who specializes versus generalists. It shows that a specialist with a focused area has more experience and usually gets more consistent and better results. If a general surgeon does a lot of hernia surgery, they will also have a lot of experience in that area. This means if a surgeon is focused in area, the complication rates become lower. It also means that they accept more complex cases.

When patients come to Dr. Prasad’s practice, they are also concerned about complications and undesirable results. However, they are more confident when they know about his background of eye surgery and specialization in plastic surgery of the eyes and his experience of 20 years. In his informed consents, he states there that there are risks, but they are unlikely because this is what he does every day. Dr. Prasad explains that looking for a non-surgical alternative is not going to be successful. As surgeons, they wouldn’t dress and do this type of work if there was a non-surgical alternative.

Dr. Prasad suggests that this man should gauge his level of comfort and confidence with his doctor. He needs to know if his doctor does a lot of this surgery, if he has great results, if he feels comfortable with him, and does he feel confident that his surgeon would do a great job for him. He should have this discussion with his doctor and see what the relative risks are and if he's willing to accept them. Eyelid surgery is one of the most popular cosmetic surgical procedures. Studies show that general plastic surgeons tend to have a higher rate of complications than specialists. It’s more about individual surgeons and their style. No specialty has all the best talented people.

For more information on transconjunctival blepharoplasty, go to:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-face-eyes-nyc-new-york/eyelifts/transconjunctival-blepharoplasty/

How to Choose Between Cosmetic Fillers or Surgery to Treat Puffy Eye Bags and Dark Circles
How to Choose Between Cosmetic Fillers or Surgery to Treat Puffy Eye Bags and Dark Circles

A woman has dark, puffy circles under her eyes. She wants know whether cosmetic filler or lower eyelid surgery is best to treat her.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon practicing in Manhattan and Long Island for over 20 years, explains that this is a problem he deals with every day. The puffiness under the eyes is typically a hereditary issue called lower eyelid fat prolapse, meaning the fat normally around the eyes pushes forward, prolapses and herniates. Addressing this fat needs some type of surgical procedure. There have been different non-surgical modalities introduced that have failed completely because they simply don’t work. There is some benefit of fillers in patients who have some slight bit of fat coming forward, but for most people they have too much fat moving forward.

In Dr. Prasad’s practice, he routinely performs a procedure called a transconjunctival blepharoplasty. Through this, he addresses the fat pockets from the inside of the eyelid. This avoids an external scar or incision and the shape and stability of the lower eyelid is maintained, which are very important factors when dealing with lower eyelid puffiness. There’s no sign that the patient had surgery. He’ll remove and reposition fat as is appropriate so patients get this nice, natural contour as if they never had the fat pockets to begin with.

With dark circles under the eyes, there are many different solutions being offered. Patients will be hit with different types of creams, and some medical or pseudo medical devices. Dark circles have to do with a combination of genetics and environment. Some people who have a darker complexion have a tendency for dark circles. Environmental causes include: sun exposure, smoking, eye rubbing and various types of stresses.

With wrinkling and fine lines that occur with the breakdown of the skin, Dr. Prasad tries to restore the skin in terms of its health using platelet-rich plasma. Platelet-rich plasma is derived from the patient’s own blood, like a simple blood draw in a doctor’s office or a lab. He spins the blood and concentrates the critical factors needed for healing. When this is injected under the skin of the eyelids, it improves the skin quality by generation of collagen and new blood supply.

The other aspect of the darkness has to do with the relative contour which often has to do with the anatomy. In terms of the skin, it’s just the position of the bone and tear trough. It is also related to the presence of allergies or sinus issues that creates pooling of blood under the eyes that result in pigmentation often referred to as allergic shiners. Dr. Prasad tries to enhance the volume by placement of a combination of a hyaluronic acid filler like Restylane, and combine it with platelet-rich plasma.

Dr. Prasad recommends that she meet with qualified, experienced cosmetic surgeons and learn about their approach. His strategy is to address the puffy bags under the eyes through transconjunctival blepharoplasty, which he performs routinely under local anesthesia with LITE™ intravenous sedation in his Joint Commission-approved facilities. This way, patients avoid general anesthesia altogether. He also will use platelet-rich plasma at the same time so that she can the reduction of the puffy bags and an improvement of the skin quality. If after surgery she still has the desire to enhance the tear troughs, Dr. Prasad can then apply fillers like Restylane combined with PRP.

For more information on transconjunctival blepharoplasty, go to:

http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/transconjunctival-blepharoplasty/

To know more about platelet-rich plasma, please visit:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/platelet-rich-plasma/

To learn more about hyaluronic acid fillers like Restylane, please go to:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/restylane-perlane/

Why Hair Thinning at 19 Signals Rapid Hair Loss, and a Treatment to Stop Hair Loss Progression
Why Hair Thinning at 19 Signals Rapid Hair Loss, and a Treatment to Stop Hair Loss Progression

A 19-year-old gentleman is experiencing thinning hair. He wants to know if hair transplant surgery would be effective for him, and appropriate at his young age.

Dr. Amiya Prasad, a hair restoration specialist, explains that the early onset of hair loss is very often an aggressive type of hair loss. He sees patients from all over the world for his hair loss treatment and he certainly sees younger and younger people. Male pattern hair loss is a genetically determined trait. There’s a program loss or thinning process that goes on.

In the past, the only options were oral medications like finasteride or a topical like minoxidil and hair transplantation surgery. It’s certainly an option for someone to try finasteride. For some younger men, it will slow down the progression but it will not stop it. Often, people who have this early onset tend to not respond to finasteride. At the current time, many people are not taking finasteride because of concerns of long-term sexual side effects.

In Dr. Prasad’s practice, he developed Hair Regeneration using a material called extracellular matrix. Extracellular matrix is used for wound healing. He has been able to create a formulation combining this with a byproduct of the patient’s own blood called platelet-rich plasma. Through this, he is able to stop the progression of hair loss in close to 100% of men who come to him for male pattern hair loss. Not only is he able to stop the progression, but he is also able to reverse the thinning. That means that hair that was thinning and disappearing is becoming thicker. He has hundreds and hundreds of patients who are the living proof of the benefit of this treatment.

Dr. Prasad suggests that this gentleman learn more about Hair Regeneration. At the minimum it will at least stop the progression. With 3-5 years of data, he has seen the benefit and the longevity. Unlike some doctors who are doing something similar and doing this with several injections, he does this with a single session, then he observes his patients very closely. He sees people every 3 months and he does very objective observations with photography and microscope photos. He has not seen anybody regressing.

Dr. Prasad always states that his patients tend to do better when they come in early, from the time of the onset of their hair loss. The time of onset of hair loss and the progression are two factors. A man who starts thinning in their 30s can still have hair well into their 30s. However, there are many younger men who start thinning in their teens and in their 20s, then become bald between the age of 20 to 23. Therefore, onset and rate of progression are very important factors. The sooner someone comes in, the better off they are because he can save the hairs that are existing. Often he can’t see them with a microscope because they are in a quiescent or the telogen (resting) phase of hair growth. Hair that has been gone for a long time cannot be salvaged.

Dr. Prasad suggest that he learn more about Hair Regeneration and medical treatments such as finasteride and minoxidil, then meet with qualified and experienced professional for a consultation.

For more information about hair loss, please visit our website: http://nyhairloss.com/

To learn more about Hair Regeneration, please visit:

http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

Why People Still Lose Hair after a Transplant, and How to Prevent Hair Loss
Why People Still Lose Hair after a Transplant, and How to Prevent Hair Loss

A 33-year-old male wants to restore and lower his receding hairline. He wants to know a procedure with lasting results.

Dr. Amiya Prasad, a hair restoration specialist, explains that male pattern hair loss is a dynamic process. This means that even if someone had a transplant, they will continue to lose hair. There are two limitations of a hair transplant: a patient needs more than one transplant in order to achieve a certain amount of density, and the limited amount of hair in the donor area. Also, regardless of hair transplants, people will continue to lose hair. The donor area is the area of hair that doesn’t go away. It’s a genetic resistant area where hair can be transplanted from, but it has a limited number of hairs and the area is very narrow.

Finasteride is a commonly prescribed drug that’s supposed to slow down the progression of male pattern hair loss, but it does not work on everyone, or the same way for everyone. Currently, people don’t want to take finasteride because of the long-term sexual side effects associated with the drug.

For years, the standard approach to transplant was a strip method where a strip of the donor area would be removed, then cut into grafts, then placed. It had a certain amount of yield and it had a variable amount of take based on multiple factors. Since people didn’t like the scars, the industry shifted to FUEs or follicular unit extractions. However with FUEs, the surgeon has to go beyond the safe donor area to yield the same number of grafts that they would with the strip, resulting in taking hairs that are at risk of thinning. In addition, even with the best of hands and advanced robot technology, it is going to transect or cut the hair without the root and placing it. 30% transection rate is not unusual in FUE surgery, and 65% of patients will be dissatisfied with the density based on a published study by the International Society of Hair Restoration Surgery.

In Dr. Prasad’s practice, he developed Hair Regeneration, a combination approach of using a material called extracellular matrix then combining that with a fraction of the patient’s blood called platelet-rich plasma. With this, he has been able to reverse the hair thinning process in a way that far exceeds the volume and the coverage of hair transplants. When people come to him, he tends to not recommend hair transplants but rather to do Hair Regeneration. When patients do this injection treatment, most people decide they’re happy and they don’t want a hair transplant. They have saved themselves the cost, the inconvenience, the risk of surgery and the need of additional surgery. If someone wants a transplant because they are more advanced in their hair loss, he can now confidently move the grafts and place them. He uses the extracellular matrix to improve the benefit, the yield of the transplant, and be confident that they’re not going to be losing hair. He has patients coming from all over the world who are seeking treatment and doing the treatment and avoiding hair transplant all together.

Dr. Prasad explains that patients can try to lower their hairline but the density that they need to look natural is rarely achievable with hair transplantation. They need anywhere from 70-100 hairs per square centimeter which nature creates. When they do a transplant, it’s really not possible even with multiple transplantations to get that same type of density. When they don’t have density, it looks like they had a transplant because the hair continues to thin and they can see hair plugs.

Dr. Prasad suggest that he learn more about the options about taking medical therapies such as finasteride and Hair Regeneration before deciding on a hair transplant. He has to understand that he is not in a stable state and will to continue to progress.

For more information about hair loss, please visit our website: http://nyhairloss.com/

To learn more about Hair Regeneration, please visit: http://nyhairloss.com/hair-regeneration-acell-extracellularmatrix-prp-by-dr-amiya-prasad/

Different Types of Facelift Procedures for Sagging Facial Skin and Neck Lifting
Different Types of Facelift Procedures for Sagging Facial Skin and Neck Lifting

A 50-year-old woman has lost a lot of weight. She wants to know if she needs a full facelift or a simpler, less invasive procedure.

Dr. Amiya Prasad is a cosmetic oculofacial surgeon practicing for over 20 years. He does a lot of facelifts and has seen a lot of changes of what the term facelift means, and how marketing and terminology has confused a lot of people. He could see from this woman’s photos that there is a loss of definition of the jawline and there’s extra skin under the chin which extends further down along the neck. When he does a physical exam, he vertically lifts the face and pull behind to see how much of this area improves.

There are many types of terminologies that doctors use such as short scar facelifts, standard facelift, face and necklift. Dr. Prasad differentiates these first by the size of the incision. A short scar facelift is literally a short incision made in the ear area, usually behind the opening of the ear. This is meant to vertically lift, elevate and improve the jawline. It can be very effective to do a lot through a relatively small incision. A full facelift in Dr. Prasad’s practice involves an incision above the ear, in the temple and go slightly behind the ear to lift the cheek to the jawline and part of the upper part of the neck. Lastly, the face and neck lift involves an incision the same as the facelift then goes behind the ear and extends to put traction on the neck skin which is sagging down. From the photos, Dr. Prasad thinks she would be a candidate for a face and necklift.

When doing these procedures, there should be a balance: the patient’s desired outcome, what they accept as a satisfactory result, combined with the level of surgery they are willing to do, the healing time involved and lastly, the cost involved.

In Dr. Prasad’s practice, he tries to reduce a lot of the negatives that are associated with face lifting surgery. He does the procedures under local anesthesia with LITE™ sedation. Regardless of whether or not it’s a short scar facelift or deep plane facelift combined with cheek implants, chin implants and more extensive work, he does everything under local anesthesia with sedation. Patients feel very comfortable about avoiding general anesthesia altogether. He also individualizes procedures for patients and focuses on the style.

Sometimes, the type of incision the patient needs are done during the surgery because Dr. Prasad looks under the skin and the tissue that is very important called the SMAS. The SMAS is the superficial musculoaponeurotic system which is tissue over the facial muscles that transfers the tip of the muscles to the skin. The SMAS is like the foundation that's a continuation of the muscle called the platysma. When it sags, the skin sags with it so the surgeon just can’t lift the skin alone. They have to also elevate the SMAS in whatever way appropriate. There are many ways to do it and it always goes back to what the individual surgeon finds works best in their hands.

In addition, there’s a common concern about scars. So in addition to meticulous quality surgery, Dr. Prasad also uses a material called extracellular matrix which has been very successful for hair loss. It originated in cosmetic procedures to help improve the healing. It’s really been remarkable to get fantastic healing using this material.

Dr. Prasad thinks that this woman must evaluate the level of facelift she is willing to do and what she thinks is a satisfactory result. He always cautions his patients that it’s one thing to be conservative but most of time, people really want nice results. He tends to be more on the aggressive side to try to get the most optimal results. Unfortunately, even with that, there’s always a natural amount of regression with the elasticity of skin that sometimes require some enhancements. In his practice, he always offers his patients the option of doing enhancements if needed. He has his own facilities and is able to absorb a lot of those costs that could be a barrier or obstruction for someone.

Dr. Prasad suggests that she should meet with qualified experienced cosmetic surgeons. There are a lot of people who do facelifts and she has a lot of options at this time. She can learn the type of facelift that she likes by looking at the doctor’s before and after pictures. She can also look at the style and get a sense of the staff, and the level of happiness the patients experience when they had their procedures. Once she feels comfortable, she can move forward with the procedure that she thinks would be the most beneficial for her.

For more information about Face lifting surgery, please visit our website:

http://prasadcosmeticsurgery.com/prasad-face-eyes/facelifts/

How Hollow Under Eyes & Dark Circles are Treated with a Combination to Add Volume and Thicken Skin
How Hollow Under Eyes & Dark Circles are Treated with a Combination to Add Volume and Thicken Skin

A woman has dark circles under her eyes. She wants to know the best treatment for it.

Dr. Amiya Prasad, a practicing oculofacial plastic surgeon for over 20 years, says that in the past doctors were frustrated because dark circles under the eyes could not be managed with anything more than attempting to lighten them with bleaching creams or another type of external treatment. Presently, he has developed his own process of addressing dark circles.

The dark circles are the result of an area of hollowing called the tear trough. This depth makes the eyes look like they’re tired and there is hollowing. In addition, when the skin is relatively thin and very light, people are practically seeing directly to the bone or the muscle. Eyelid skin is the thinnest skin in the body at half a millimeter of thickness, anything below the eyelid skin is almost transparent.

Dr. Prasad has had a lot of success using a combination treatment based on two concepts: addressing skin quality and volume. Skin quality under the eyes can be improved using a material called platelet-rich plasma. Platelet-rich plasma is the growth and healing factors derived from the patient’s own blood. He draws blood like in a lab, then spins the blood to concentrate the platelet-rich plasma. These healing factors stimulate collagen, blood supply and improve the skin quality. In a way, it improves the thickness and the overall healthiness of the skin. The second and most important part is the volume where Dr. Prasad uses hyaluronic acid filler such as Restylane. There is always an art to doing this such as the placement and the viscosity of the hyaluronic acid. He has been successful in combining the hyaluronic acid filler to fill the tear trough with platelet-rich plasma to improve skin quality. It’s been well documented in medical studies on wound healing that there’s a synergy when combing platelet-rich plasma with hyaluronic acid so that wounds heal better. He has also observed the same thing in his practice that this combination helps make the under eye area look better.

The challenge here is not only the placement or getting the results that the patient desires, but also the maintenance. The hyaluronic acid will eventually break down and disappear. There is some evidence of some residual fibrovascular tissue remains for a longer term, but nonetheless the bulk of the hyaluronic acid volume effect does require some maintenance. What Dr. Prasad has observed is a variability of how long it will last between individuals. Certain factors can cause an acceleration in the degradation such as cigarette smoking. If someone smokes, they tend to break everything down because carbon monoxide and the free radicals are so damaging that it can cause a breakdown of the material.

Dr. Prasad always observes his patients very closely. He routinely does this first treatment and sees his patients 2 weeks later to make sure everything looks right. He’ll see people on a regular basis so that he can see when the material breaks down. It has not been unusual for patients to come in every 6 months to have it done and there have been patients where it lasted up to 2 years.

Dr. Prasad thinks that a combination approach is exactly what he would do in our practice for patients like this woman. He would use hyaluronic acid and platelet-rich plasma. There is also a role for external topicals such as retinols and really good quality moisturizers.

Dr. Prasad suggest that she meet with experienced and qualified specialists who do a lot of work in the under eye area. There are a lot of gimmicks lately about trying to improve the dark circles and a lot of it has to do with topical creams and the use of blunt cannulas and other things that make it seem like there’s a superiority there. The key is knowing the anatomy, how to do this and having the experience to formulate this combination in the most effective way, which comes just from doing this a lot. She should meet with doctors and see if she is comfortable and try this solution. It’s a relatively low risk solution since there isn’t a surgery or a permanent implant or anything of that nature.

For more information about injectable hyaluronic acid fillers, please visit our website:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/

To learn more about platelet-rich plasma, please visit:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/platelet-rich-plasma/

Why Fat Grafts for Hollow Under Eyes is Cautioned, and Treating Puffy Eye Bags
Why Fat Grafts for Hollow Under Eyes is Cautioned, and Treating Puffy Eye Bags

A man has dark eye bags and his surgeon is suggesting orbital fat removal for the eye bags, and a fat graft for the adjacent hollowing. He wants to know if these are the right procedures for him, or if only one procedure is needed.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, specializes in eyelid surgery, facial rejuvenation surgery and hair loss treatment. Eyelid surgery is one of the things that he does a lot. He explains that anyone who performs surgery of any kind has their own approach and style. He can’t disagree with a colleague with another approach works well for them.

The challenges in the anatomy of the eyelid are the fat prolapse, with adjacent hollowing that occur with aging. From Dr. Prasad’s experience, addressing the fat pockets or the prolapsing fat with a transconjunctival blepharoplasty significantly improves the appearance of tired looking eyes. He always explains to his patients that what causes the tear trough to look so deep is the adjacent deep trough next to the prolapsed fat. The contrast between the elevation and the depression is further accentuated.

Dr. Prasad’s hesitation with the use of fat transfer is based on a lot of experience. Fat is not predictable and he doesn’t think any surgeon can guarantee they can deliver the fat the exact way they want it placed. Fat is a graft, meaning that it’s separated from another part of the body and placed under the eyes. Surgeons anticipate that a certain amount of blood supply will allow the fat to be integrated and become viable. Unfortunately, 30-70% of fat will be absorbed. From his experience, a lot of fat will actually become inflamed and scarred creating irregularities and lumpiness.

In Dr. Prasad’s practice, he counsels his patients to address the lower eyelid puffiness first. Most of the time, people don’t need excess skin removal. In addition, he’ll inject platelet-rich plasma to try to improve the skin quality and address the dark circles. After all this is done and she’s still bothered by the tear trough, he’ll combine Restylane or hyaluronic acid filler with platelet-rich plasma and very specifically mold the area of the tear trough to get a very nice result. However, that does require maintenance. From his experience and style, Dr. Prasad likes the predictability of this combination treatment. When there’s a potential risk of an undesirable appearance from a procedure that outweighs the benefits, it’s not worth doing. Dr. Prasad uses fat grafting in other areas such as the hands for hand rejuvenation or in the nasolabial folds of the lower face where the skin is thicker. He doesn’t place it under the very thin and delicate eyelid skin where it can be very obvious or disappear altogether. Often, people who have fat placed under the eyes will have problems with chronic swelling.

Dr. Prasad’s suggests that probably discussing the merits of fat under the eyes and the timing of the procedure are worth discussing with this man’s surgeon.

For more information on transconjunctival blepharoplasty, go to:
http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/transconjunctival-blepharoplasty/
To know more about platelet-rich plasma, please visit:
http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/platelet-rich-plasma/

To learn more about hyaluronic acid fillers like Restylane, go to:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/restylane-perlane/

What to Do for Puffy Eyes, Dark Circles, and Under Eye Hollowing
What to Do for Puffy Eyes, Dark Circles, and Under Eye Hollowing

A 33-year-old man always looks tired. He hides the problem with makeup but it still shows. He also has hollowness and half circles that bother him. He wants to know how to make his eyes look fresh and young.

Dr. Amiya Prasad is a cosmetic oculofacial plastic surgeon who specializes in eyelid surgery and face lifting surgery. Rejuvenating tired-looking eyes is what he does every day. When patients like this man come in for a consultation, he first tries to learn a little about why his eyes look so tired. He would ask if he is smoker because people who smoke tend to accelerate the aging process. Smoking is incredibly destructive to fine delicate tissues in the body. He would ask if he has seasonal allergies, if he is rubbing his eyes a lot, or if he is under a lot of stress. If he is a smoker, then stopping smoking is to his advantage. The other parts of it have to do with lifestyle such as adequate sleep, diet and exercise. Things that are good for someone’s heart and lungs are also good for the face and eyes. If he sleeps enough, exercise, doesn’t smoke and has no issues with allergies, then most likely what he’s dealing with is a genetic issue.

The puffiness under this man’s eyes is the most significant issue. The puffiness is called lower eyelid fat prolapse which means that the fat that is normally around the eyes pushes forward and creates these bulges. These bulges result in a constant look of fatigue. Even if someone uses creams, make-up or other types of non-surgical modalities, they simply won’t work.

In Dr. Prasad’s practice, he typically treats lower eyelid fat prolapse with a transconjunctival blepharoplasty. This is a method of addressing the fat pockets from the inside of the eyelid to avoid an external scar. There is no sign of any procedure done from the outside and no one would know that the patient used to have the puffy bags. He also often combines this procedure with modalities such as platelet-rich plasma (PRP) which is deriving the key growth and healing factors from the blood to stimulate new collagen and improve skin quality under the eyes. He also uses thermal energy such as fractional co2 laser to help improve the external skin quality. Lastly, he would also add to the regimen some topical skin products such as a good moisturizer, sunblock and maybe something for cell turnover like a retinol product. Other areas of relative hollowing can be addressed but Dr. Prasad usually defers that after the surgery.

When Dr. Prasad performs the surgery, he performs it in his Joint Commission-approved facilities within his practices in Manhattan and Long Island. He does this under local anesthesia with LITE™ IV sedation. This means patients avoid general anesthesia altogether so they are able to recover quickly and go back to work as early as within a week.

Dr. Prasad explains that this man’s upper eyelid skin doesn’t appear to have that much redundancy to the point where there’s hooding. In terms of the relative contribution to the fatigue appearance, he would say that focusing on the lower eyelids would be a good way to get the most value, especially when someone wants to apply their resources strategically. He suggests that it’s best he meet with qualified, experienced cosmetic surgeons and learn about his options.

For more information on transconjunctival blepharoplasty, go to:

http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/transconjunctival-blepharoplasty/

For information on platelet-rich plasma, go to:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/platelet-rich-plasma/

For more information about fractional CO2 laser, please visit:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-medi-spa-nyc-new-york/laser-light-treatments/microfractional-co2/

My Facelift Journey - From Retirement to Miss New York Senior America 2014
My Facelift Journey - From Retirement to Miss New York Senior America 2014

The Decision

Rose Scalia, is 64-years-old. She has worked in the real estate industry most of her life in the human resources department. She is also an adjunct professor in New York University. She did some research prior to coming to Dr. Prasad and even looked into fast facelifts. The facelifts she found had a lot of pressure to make a sale. Those types of facelifts had no opportunity for patients to meet the surgeon assigned them on the day of the surgery, and Rose wanted to meet her surgeon. She wanted to know who would be handling her face. She believes that the face is her cover and that’s very important to her. She did some research and found Dr. Prasad through her hairdresser, her friend who had her eyes done. She wanted to know the best surgeon who can do the best work, and also listen to what she wants and make expectations clear.

Rose decided that she was going to Dr. Prasad for a consultation. She was welcomed to an office that was aesthetically distinguished and pleasant. She met with Nicole, the receptionist, who made her feel welcome, which is important to her. She then met with Ania who would go over the details, what was needed, how they would proceed, and then meet with Dr. Prasad. Her first impression of Dr. Prasad was his smile. A smile is so welcoming and it makes someone feel warm and cared for. That was the first thing that she liked about Dr. Prasad. He asked her what she would like to do. She thought of herself as having a tired look and she wanted to match her face with the inner energy that she had. What she found out, which was very important for her, was a doctor who listens to her. Most important, Dr. Prasad provided options such as things she needed done and not done.

Moreover, Dr. Prasad had a wonderful array of credentials: he was board certified, and artistry was in him. He studied art and applies that sense of style by looking at the person’s face. He does a fantastic job by making a person 's unique characteristics shine. He looks at something in someone’s face that perhaps can be enhanced. Rose thinks that the traditional approach to surgery is wonderful, but the personalization that she had and the treatment and the education she received from Dr. Prasad elevated him to the next level because of his artful insight. That impressed her most and she decided to put herself in the hands of Dr. Prasad and his team.

The Experience

Rose's fear was not of the surgery but the fear of the anesthesia that they would use. She did not know what they would use, but Dr. Prasad explained to her that the anesthesia or the sedation was like that of a colonoscopy, so it’s a very light sedation. They give her medication to make her feel calm, and she just felt like taking a nap. Then they brought her to the operating room where she felt so comfortable. The team gave her everything she needed, then started to tell her the process. By that time, she’s almost napping. The sedation applied which is extremely light made for a pleasant experience. Her surgery took about 2 hours: Dr. Prasad takes his time with the prep, the surgery and the post.

The Results

Rose honestly recalls her experience the moment she woke up. She woke up laughing with the wonderful nurses. Jeff and Gloria took good care of her and were very attentive. When she woke up, she even asked if it was over. She didn’t feel a thing but just a little soreness but no pain around the ears. She suggests that if patients follow Dr. Prasad’s orders and what they need to do after the surgery, they will absolutely be fine. Dr. Prasad’s staff walked her out, which for her was a very kind gesture.

When she went back on Sunday, Dr. Prasad took his time from his family to remove the bandage from Rose's face. She was pleasantly surprised with the results. Dr. Prasad explained that there could be bruising. The stitches behind the ear were so tiny that people couldn’t even see them.

The Pageant

It was one year since Rose underwent facial rejuvenation with Dr. Prasad and his professional team who made her feel so comfortable. The reason why she chose to do a facial rejuvenation was because she didn’t want that tired outlook, especially when she knew she was close to retirement. Just four months ago, at the age of 64, she retired. She calls this her rejuvenation phase which is a time to go out and accomplish opportunities someone would never think or have time to do when they are at work. So, on April 27, 2014, she entered the Miss New York Senior America Pageant. She won Miss Congeniality. Her platform which was very important to her was, “make your age work for you”. She believes that everyone should be at the top of whatever they do and look best in all situations. She really wants to thank Dr. Prasad and his professional team for helping her age work for her.

Eye Bag Removal Surgery that Leaves no Sign of Surgery, and Improving Under Eye Skin
Eye Bag Removal Surgery that Leaves no Sign of Surgery, and Improving Under Eye Skin

A woman has hereditary under eye bags. She wants to know the type of blepharoplasty recommended for her age because she doubts that fat transfer is the answer for her.

Dr. Amiya Prasad, an oculofacial plastic surgeon practicing in Manhattan and Long Island for over 20 years, addresses under eye bags every day. Genetics is a very big factor in the presence of eye bags. It is related to the anatomic structure of the septum or the sheet that separates the front of the eye from the back of the eye. In under eye bags, there is fat behind the septum. When fat pushes forward, it’s called herniated fat. A lot of patients try creams, tea bags and all kinds of different things and find out that none of them work because this an anatomic issue.

There are two ways to address the fat pockets: one is from the outside called the transcutaneous blepharoplasty and another from the inside called the transconjunctival blepharoplasty. For someone like this woman, Dr. Prasad would typically do a combination of things to address the different aspects of lower eyelid rejuvenation. He addresses the fat pockets and also the skin quality and the volume issues that also coincide with this puffiness. He commonly does a transconjunctival blepharoplasty to sculpt and reposition the fat from the inside of the eyelids. He would combine that with platelet-rich plasma (PRP) which is derived from the patient’s own blood. PRP has a concentration of the growth factors that are used for healing. By placing these growth factors under the skin, it generates collagen and improves the blood supply to the skin. It adds a nice quality to the under eye area which often has a lot of shadowing and wrinkling. He also uses fractional CO2 laser as there's a role for a limited amount of thermal energy to tighten and stimulate collagen from the external approach, and also to refresh the top layer of the skin.

Dr. Prasad agrees that fat transfer is not the solution for her. He has many colleagues who tried in vain to use fat to augment and restore volume. Part of the basis of this is the fact that people lose fat and volume in the cheek and in the facial structure as they get older. Unfortunately, the skin doesn’t tolerate that much volume and 30-70% of fat transferred can be absorbed by the body. There is also sequential inflammation and scarring that can create irregularities and lumps. He has had patients who come from all over the world who have had fat transfer and requested that he try to remove this fat. It is technically very challenging and it is always a more complex operation than doing a lower eyelid blepharoplasty.

In addition, Dr. Prasad performs these procedures under local anesthesia with LITE™ IV sedation, meaning he doesn’t use general anesthesia. He performs these procedures in his own Joint Commission-approved facilities. Therefore, he basically has the benefits of a hospital structure, equipment, process and personnel.

Addressing under eye bags really makes a remarkable difference in a person’s appearance to look less tired and more energetic. It’s almost like doing a facelift without doing a facelift. Dr. Prasad recommends that she meet with some qualified experienced cosmetic surgeons and find someone who resonates with her.

For more information on transconjunctival blepharoplasty, go to:

http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/transconjunctival-blepharoplasty/

How Asian Eyelid Surgery Can be Affected by Aging, and the Right Time for a Revision
How Asian Eyelid Surgery Can be Affected by Aging, and the Right Time for a Revision

A woman had her first double eyelid surgery done 27 years ago that resulted in both eyes being uneven. As time went by, both eyelids dropped. She had her second revision 3 weeks ago and it left her eye looking significantly older. She wants to know if she needs to consider a third revision.

Dr. Amiya Prasad, a specialist in eyelid surgery who focuses a lot in Asian eyelid surgery, explains that it’s not unusual to see a scenario like this in a second or third surgery. He explains that when she had her original Asian eyelid surgery, she probably had more fat and thicker skin when she was younger. The original surgery probably involved removal of a little skin and fat. It also involved anchoring of the skin to the levator muscle, the muscle that lifts the eyes which is responsible for the crease. As a lot of Asians get older, they lose volume and fat in the orbital space, do what was once an area of fullness becomes relatively hollow. In Dr. Prasad’s practice, many patients who had this situation occur and paradoxically, he places a filler to add volume and to create the fullness right below the eyebrow in order to create that shape.

For concerns about the appearance at this point, Dr. Prasad explains that she must understand that at 3 weeks, there are a lot of dynamic changes occurring and it is not uncommon for people who have Asian eyelid surgery to be concerned about swelling, irregularities and asymmetry at this stage. If her surgeon was an experienced cosmetic surgeon focusing on eyelid surgery for Asians, then typically they’ll have more than enough experience to know what to anticipate and to help her get through this transition phase. One can’t necessarily draw longstanding conclusions about what is going to happen 3 to 6 months from now. In Dr. Prasad’s practice, he tells his patients that it takes 6 months to a year for full healing, so she doesn’t want to do something prematurely.

When Dr. Prasad performs eyelid surgery, whether it’s ptosis surgery or in some cases of Asian eyelid surgery, he’ll actually have the patient open and close their eyes during the surgery to see how they look. Through this, he gets a good sense whether or not the shape of the eye is responding to what he is trying to achieve.

With that being said, Dr. Prasad thinks it’s important that she communicate with the doctor she trusted to perform the surgery and get a sense of what’s going on and why there’s a difference between the two eyes. He suggests that it’s reasonable to observe for the next couple of months how things settle out. Sometimes, a little enhancement is necessary but at 3 weeks after the surgery, she doesn’t want to draw conclusions that would ultimately probably resolve themselves on their own.

For more information about Asian eyelid surgery, please visit our website: http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/asian-eyelid-surgery/

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