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Additional Skin Should Not be Removed When Revising Asian Double Eyelid Surgery
Additional Skin Should Not be Removed When Revising Asian Double Eyelid Surgery

A woman underwent double eyelid surgery. However, months after the crease on her right eye started to become less visible. She wants to know why her eyelid still doesn’t fold.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, specializes in cosmetic surgery of the eyes. Asian eyelid surgery is an area where he focuses his practice among many other specialty areas. With the photos this woman submitted, he thinks it doesn’t appear that there is any significant ptosis on the side that has not developed a crease. When a surgeon does an incisional or non-incisional Asian eyelid surgery, it is critical to create some type of connection between the skin and the levator muscle (the muscle that lifts the eyelid). Occasionally, when this area heals, even when they do anchoring of the skin to the levator muscle, the skin can pull away and the crease can become less defined.

In Dr. Prasad’s practice, he always has to individualize when patients complain about things like this. In general, it’s not about removing more skin when someone is relatively young. Since this woman already had some skin removed, it’s about restoring the connection. He would try to do a revision by just doing the non-incisional approach through openings in the eyelid skin and trying to anchor and restore a connection to the underlying muscle. There are many factors that can cause what this woman is going through and anybody who does Asian eyelid surgery would certainly be familiar with this. Once that connection is created well and the crease folds in, it tends to hold up and last a long time.

It’s important that patients discuss issues like this with their doctor and review their pre-operative photos whether or not there is a change. Maybe this woman’s doctor feels that her eyelid is slightly lower than it was before. Since there were no previous photos submitted with her question, Dr. Prasad can’t address that as a change. It may be that her doctor is saying that she needs a procedure like a ptosis surgery because ptosis surgery also involves the levator muscle, so there may be some misinterpretation. It is not uncommon for patients to walk away and not fully understand what the doctor was trying to communicate.

As a suggestion, Dr. Prasad says that she may ask her doctor about this non-incisional approach to try to restore the crease. He adds that a physical exam is critically important. If her doctor feels that there may be some scar tissue that needs to be addressed or there is something needs to be done, the doctor who did her surgery knows her eyes and knows what they came across when they did her surgery. Clearly, he explains there is some indication for an enhancement to maximize symmetry. It’s just a matter of figuring out what is the best procedure for her.

For more information about Asian eyelid surgery, please visit our website:

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

Slight Under Eye Bags Can be Treated with Cosmetic Fillers
Slight Under Eye Bags Can be Treated with Cosmetic Fillers

A woman has slight bags under her eyes and wonders if they can be treated with fillers.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, was boarded in ophthalmology residency before doing specialty training in eyelid surgery. As a specialist, he deals with this area a lot in his practice in Manhattan and Long Island for over 20 years. He explains that there is a growing popularity of the use of fillers to soften the appearance of under eye bags. In the right situation, fillers have a really good role.

Since the puffiness that this woman is dealing with is very slight, Dr. Prasad routinely uses fillers such as hyaluronic acid and Restylane strategically placed in the tear trough area. This is to soften the transition between the elevation of the puffiness and the hollowing of the tear trough. He also routinely combines this with platelet-rich plasma which is derived from the patient’s own blood. It’s a concentration of growth factors associated with wound healing. It may not be indicated for this woman because if her skin quality is good then it’s not necessary. In patients who do have issues with crêpey skin quality, Dr. Prasad uses this. He has been very successful in using platelet-rich plasma (PRP) to improve skin texture and quality, especially in people with dark circles and under eye hollows. PRP has great synergy with hyaluronic acid.

Dr. Prasad further adds that hyaluronic acid or any other filler is a good choice since it does breakdown and go away. If the patient is not satisfied with the result, they could wait for the material to go away, or use an enzyme called hyaluronidase which can melt it all away.

Dr. Prasad explains that doctors who aren’t comfortable working with the eye are better off not doing anything. This is a delicate area so a specialist, like him, are very comfortable working on this area. He thinks that this woman should find a doctor who is comfortable around the eyes. She should meet with the right doctor that has experience and who can show her before and after examples so that she can feel comfortable and then move forward.

To know more about hyaluronic acid fillers like Juvederm, please visit:

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

To know more about platelet-rich plasma:

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

Making Thinning Hair Thicker with a Hair Loss Treatment can Get Better Density than Hair Transplant
Making Thinning Hair Thicker with a Hair Loss Treatment can Get Better Density than Hair Transplant

A gentleman has thinning hair. He is wondering when to have a hair transplant and if this is the appropriate procedure for him.

Dr. Amiya Prasad, a hair transplant specialist, explains that hair grows in cycles. The first stage is called anagen which is the active growing phase, catagen is when hair rests ,while telogen is when it sheds out, then grows back again. When hair comes back in a person with pattern hair loss, the hair comes back thinner.

Before even considering a transplant, Dr. Prasad explains that it’s very important to understand its limitations. Many men make hasty decisions to have a hair transplant because they’re so desperate to fix the situation with their appearance. Hair loss has a tremendous impact for a lot of men on their self-confidence. Even though the doctor may tell them that a hair transplant does not stop hair loss progression, and more than one hair transplant may be required, they still just want to go ahead with the procedure. Unfortunately, hair loss is limited by the mismatch between the amount of hair available from the back of the scalp called the permanent zone, and the amount needed for coverage at the front. Everyone assumes that 1500 to 4500 grafts are a lot hairs. But a head full of hair has about a hundred-thousand hairs. By the time someone notices hair loss, they’ve already lost half their hair.

In Dr. Prasad’s practice, his goal is to try to save the existing hairs because thinning hairs are still salvageable. One way to approach this is medical therapy by taking oral finasteride (brand name Propecia). This is a drug that stops an enzyme called 5-alpha reductase from converting testosterone to dihydrotestosterone (DHT). Hairs that are genetically sensitive to DHT will cause progression of thinning. If DHT is lowered, it will slow down hair thinning progression. The problem is that not everyone responds to finasteride. In the current time, there is also concern about the long term sexual side-effects of finasteride, so most of the men that come to Dr. Prasad's practice refuse to take finasteride.

Over the past several years, Dr. Prasad has developed a treatment called Hair Regeneration. He has been successful at reversing hair thinning to the point where the results actually exceed the results of hair transplantation. The treatment works by thickening hairs that are thinning. This would give better coverage than one could ever have with transplanted hairs because of naturally higher hair density. The Hair Regeneration procedure is a combination of extracellular matrix (ECM) used for wound healing combined with platelet-rich plasma (PRP). This is derived from the patient’s blood and acts as a catalyst to activate your own stem cells necessary for the repair process of the hair follicles, and restore hair into a thickening process. With 3-5 years of data, Dr. Prasad has hundreds of patients coming from all over the world for the treatment. He has close to a 100% success rate with men who he actually dissuades from having hair transplant as a primary procedure. Without the necessity of taking a pill like finasteride or Propecia daily, and without the necessity of surgery, he manages to get a remarkable response. It’s a onetime injection for most patients, with some people who’ve had a secondary injection depending on how much hair Dr. Prasad is able to bring back and the degree of relative thinness of those hairs that he has brought back. He does see benefit of doing a secondary injection with people who are more advanced.

The results of Hair Regeneration depends on how advanced a patient's hair loss is. In Dr. Prasad’s practice, he has had many patients who have really impressed him. Even when they are advanced in terms of their degree of hair loss, they have been able to grow a lot of hair back. However, for someone who is Norwood 7 where they are shiny bald for a long time, it is difficult to treat that. He can save the dying but can’t bring back the dead. He suggests that patients don’t wait until all their hair has fallen out. They should do something to reverse the hair thinning process.

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/

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

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

Cosmetic Surgery Done in the 40s Should be Conservative to Prevent Looking Older
Cosmetic Surgery Done in the 40s Should be Conservative to Prevent Looking Older

A 46-year-old woman thinks she is aging fast. She wants to know if she is a candidate for necklift, chin implant and upper eyelid surgery.

Dr. Amiya Prasad is a cosmetic oculofacial plastic and reconstructive surgeon and also board-certified full body cosmetic surgeon. He has been in practice for over 20 years in Manhattan and Long Island. Many of his patients have been with him for 5 years, 10 years and 20 years and so they have gotten old together. All throughout, he has explained to his patients that the genetics of aging is inevitable. Even with good healthy habits and things like that, there are things that are programmed to the DNA that occur and make someone suddenly look older.

From this woman’s photos, Dr. Prasad says she does have hooding in her upper eyelids, so she would benefit from cosmetic upper eyelid blepharoplasty. Most patients in their mid-40s don’t want to look older by having cosmetic surgery, which is a common fear. There are a lot of celebrities who overdo these procedures and sometimes, younger people look like an older person trying to look like someone younger. There is really more than ever a need for the doctor and the patient to understand the art and the balance of procedures. There is so much technology that is available. There are also many people who perform these types of procedures, so patients really need to seek out a doctor who resonates with their aesthetics, value and style. Dr. Prasad would say to be more on the conservative style with the upper eyelids. He would review some photos with the patient and try to understand what would look natural for them. Less is more in many instances, and just doing enough so that the eyes look a little brighter rather than doing it too aggressively.

Based on her profile, a chin implant would really do a lot of good for her. Evaluating her for chin implant would also see if she has a deep under bite. Sometimes , when there’s an under bite, the chin is back and the chin implant can be an option. However, it still has to be relative to how far back the jaw is. Some people have a relative weak chin and so a chin implant not only gives good projection from the side, but also lengthens the face and adds balance from the upper and middle thirds of the face.

With the chin implant, Dr. Prasad says it will also help with her neck. This implant would give her enough projection that she won't be as bothered with the skin under her chin. This requires a physical examination to make this determination. He often sits with the patient and pull the skin up and see how the skin moves, and whether or not it’s of any value to do a lifting procedure. Sometimes when people have a relatively weak chin and skin underneath it, if the chin is lifted and pulled, there’s not enough to move. If that’s the case, he generally advises to wait before a face and face and neck lift.

Dr. Prasad would advise meeting with qualified, experienced cosmetic surgeons who she feels comfortable with, and resonate with her aesthetic. Other things to look for are the types of anesthesia. In his practice, he does these procedures under local anesthesia with LITE™ IV sedation which has been really exceptional for him because his patients recover faster. Even when he does eyelids, facelifts, chin implants or multiple procedures on the face, people can look good a week later with just a little makeup, and get back to work. He observed that people who go under general anesthesia tend to have longer recovery periods and have more issues with post anesthesia nausea, vomiting, etc. The aesthetic style of the doctor and kind of relationship you have with them is very important.

The 40s is a time where facial aging changes do occur, but it is critically important that these decisions are made with care so patients don’t have too much or too little done. Many devices claim to create surgical results but actually don’t, but are still tempting to try out. Patients waste a lot of money having procedures with devices that heat up the skin and these consistently don’t work.

For more information about upper eyelid surgery, please visit our website:

http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/upper-eyelift-surgery/

To know more about facial implants and chin implants, please visit:

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

Checking Cause of Drooping Eyelid is Important before Deciding on Ptosis Surgery
Checking Cause of Drooping Eyelid is Important before Deciding on Ptosis Surgery

A woman has had a drooping eyelid for a very long time. She didn’t have it when she was born , but it started to appear later in her life. She wants to know the best options to fix her eye.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, has also been boarded in ophthalmology, did eye surgery residency as well as fellowship training in plastic surgery of the eyes and face called oculoplastic or oculofacial. He has been practicing for over 20 years. He explains that there are two types of ptosis: congenital which is someone who was born with ptosis, and acquired ptosis or someone who wasn’t born with it. For a person with acquired ptosis, they first need rule out any neurologic issues that could be associated with the drooping of the eyelid. Meeting with an ophthalmologist or neuroophthalmologist is important to check neurologic causes for ptosis. There are conditions such as Horner’s Syndrome which causes a mild ptosis that may or may not be associated with her situation. Doctors don’t make diagnoses based on photos alone.

Acquired ptosis is related to the physical muscle that lifts the eyelid called levator muscle. There is also a tendon called the aponeurosis so it’s called levator aponeurosis that has to be addressed. There are a few ways to address mild acquired ptosis and these are surgical procedures. Some doctors are more comfortable by doing the procedure from the front while others are willing to do it behind the eyelid depending on the degree of the ptosis, and how much elevation they’re looking to perform. Ptosis is tricky surgery because the muscle that lifts the eyelid is very sensitive and therefore it is a challenge to get the right height, shape, contour and symmetry.

When Dr. Prasad performs ptosis surgery in his practice, he actually lets the patient open and close their eyes and sits them up during the procedure. Occasionally, he hands them a mirror to show them what their eye looks like. It sounds strange but there is never any pain because they're numb. Through this, he is able to get the ideal height, shape and contour so 95% of the time after the surgery, the appearance will match what was during surgery. Various factors such as the way the person heals, whether the muscle was slightly anesthetized, or multiple factors can lead to either to overcorrection or the eyelid too high, or undercorrection where the eyelid is too low.

Ptosis surgery is always an option, but first diagnosis is critically important. Dr. Prasad’s advice is to meet first with an ophthalmologist or neurophthalmologist to get an understanding whether or not there are other potential neurologic causes of the ptosis. Once those are ruled out, then exploring surgical options is a good choice.

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

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

A Non-Surgical Hair Loss Treatment for Young People Advised Against Hair Transplants
A Non-Surgical Hair Loss Treatment for Young People Advised Against Hair Transplants

A 23-year-old gentleman has lost 80% of hair in the frontal part of his head. He wants to know if hair transplantation is the right option for him.

Dr. Amiya Prasad, a hair transplant specialist, explains that there are a lot of combinations of different options for hair loss. They fall into categories of oral pills and supplements, shampoos of various kinds, medications such minoxidil and finasteride, and then a lot about hair transplants.

The hair transplant industry has been all about numbers of grafts, cost per graft, and unfortunately, there is not as much disclosure about the limitations. In hair transplant, there is an assumption that someone can fill the top of the head with hair from the back of the scalp. However, there isn’t enough hairs to be harvested especially when someone has this much hair loss.

In hair loss, there is a concept called the Rule of Decades: for a male in their 20s, 20% of their contemporaries have hair loss while 80% have a lot of hair, 30% in their 30s suffer from hair loss, and so forth. Many years ago, it was never advised to do a hair transplant to a young male in their 20s, especially in the early 20s, because there will be a lot more time of potential hair loss progression. With ongoing hair loss progression at an early age, it will get to the point where it may be too difficult to provide enough grafts to cover the area that they desire. When they reach their 40s and 50s, 40-50% of their contemporaries have hair loss and their needs are very different. For example, for someone in their 40s or 50s, hair loss is acceptable and a lot of guys carry that out very well, but in their 20s they want more than that.

Dr. Prasad would not advise that someone in their 20s to have a hair transplant at all. The options that they should look at are stabilizing their hair loss and preventing progression. Those options include finasteride which is an oral drug. In Dr. Prasad’s practice, men in their 20s do not want to take finasteride because of the fear of long-term permanent sexual side effects. This is based on studies done in the past few years that appear to demonstrate this to occur on a small percentage of men. He’s also seeing that men in their 30s to 50s also do not want to take finasteride.

The other option is something that Dr. Prasad developed called Hair Regeneration. This is a concept that was developed based on observations made from the behavior of hair after the application of a wound healing material called extracellular matrix (ECM). He combines extracellular matrix with platelet-rich plasma (PRP). This is derived from the patient’s own blood and is like a catalyst with the active growth factors and cells needed for wound healing. When combined in a specific way customized to the patient and delivered in a certain method, he is able to significantly reverse thinning hair and restoring a lot of volume and thickness. This depends on what stage of hair loss the patient is at, how quickly their hair loss is progressing and then there are certain other factors that he also looks into individually. For example, people with coarse hair seem to do very well probably because coarse hair covers more scalp.

Ultimately, it’s all about scalp coverage than it is about numbers of individual hairs. It’s commonly accepted in Dr. Prasad’s profession that when patients first notice hair loss, they already lost 50% of their hair, so a hair restoration strategy should not be not about transplantation. He had many patients, who had FUEs and they continued to have progressive thinning on the top of their head and it just looks strange. It is always better to have no hair than to have a pluggy and scarred appearance. There are many factors that affect the outcome of a hair transplant, but if someone is so young, his advice is don’t even consider a hair transplant.

Dr. Prasad suggests that this gentleman look into the options of medical therapy, Hair Regeneration, learn more about it and then decide what areas to pursue and t try. Unfortunately, time is not on his side and he needs to make decisions sooner rather than later. With Hair Regeneration, he knows the earlier he treats someone, the better their results. He has treated men as young as 18-years-old and he was able to stop it and re-thicken hair very quickly as long as he caught them early. The earlier he catches them, the better results will be.

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/

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

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

Puffy Eye Bags can Appear While Young, and Can be Treated so they Disappear
Puffy Eye Bags can Appear While Young, and Can be Treated so they Disappear

A 23-year-old lady has had under eye bags since she was a child. She thinks it’s hereditary because her mother had the same issue. She wants to know lowest risk and most natural procedure for her.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon practicing in Manhattan and Long Island for over 20 years, has seen many young people who have under eye bags. There is also some truth that under eye bags is associated with aging. As people get older soft tissue changes occur, but a lot of it is genetics that can affect someone as early as their teen years. The youngest person Dr. Prasad has treated for under eye bags was 14-years-old. He was embarrassed at school and was teased for allegedly being on drugs. Someone’s environment can have a tremendous impact on their appearance and motivation to have something done.

From this woman’s photo, Dr. Prasad is not able to tell the level of protrusion of the puffiness. The puffiness represents lower eyelid fat prolapse, meaning the fat normally around the eyes pushes forward and creates a hernia (why it is also called herniated fat). Patients learn about certain approaches that include the use of fillers to try to soften and camouflage the projection of the fat pockets. This can be an option that can be acceptable for short-term. Fillers are technically natural because it’s hyaluronic acid which is a natural part of the body. However, the effectiveness of fillers is dependent on how much projection there is. What Dr. Prasad does is examine the side view to dianose severity and help make a decision.

During the evaluation, Dr. Prasad looks at how much projection of the fat pockets there is. This means if it’s bulging beyond a certain level, placing filler underneath that to try to camouflage can also make the eyes even puffier. The option then is to do a procedure called blepharoplasty. Typically for a younger person, he does a transconjunctival blepharoplasty. This is a procedure where he addresses the fat pockets from behind the eyelids. He is able to reduce, sculpt, reposition and whatever is necessary to create a nice contour so that it looks as if the patient never had the bags.

In terms of risks, Dr. Prasad explains everything is relative. Anytime someone does any type of procedure, whether it’s an injectable or surgery, there’s relative risk. Even injectables can cause problems such as skin necrosis or killing of the skin or even blindness which are pretty scary risks. As a specialist and as an expert who has been doing this for over 20 years, these risks can be minimized by choosing a doctor who has a lot of experience.

If the patient doesn’t want to do something surgical, Dr. Prasad can do a combination of filler or a combination of platelet-rich plasma (PRP)for people who want to improve skin quality. Platelet-rich plasma is derived from the patient’s own blood and helps improve the quality of the skin. At this lady’s age, a physical examination to determine what treatments will best suit her. If her puffiness is really that significant and she doesn’t want to do fillers every few months, then it’s highly likely she’s better off with transconjunctival blepharoplasty. Dr. Prasad does this procedure in his office operating facilities which are certified by the Joint Commission, the same people who certify hospitals. He does this under local anesthesia with LITE™ IV sedation. This means the patient is relaxed, but not under general anesthesia. His patients are comfortable with familiar surroundings with a lot of familiar faces.

Dr. Prasad thinks her best option at this point is to move forward and meet with qualified, experienced cosmetic surgeons who do a lot of lower eyelid surgery and see if she’s comfortable with what their recommendations are. She may want to get more than a few opinions, but understand that every doctor has their own approach. She may find herself with a lot of different recommendations, so she has to use her own judgment and what doctor she feels most comfortable with.

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, go to:

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

Diagnosing if Heavy Upper Eyelids are Caused by Extra Skin and Fat, or Ptosis
Diagnosing if Heavy Upper Eyelids are Caused by Extra Skin and Fat, or Ptosis

A 28-year-old woman feels that her lids are very heavy for a younger person. To open her lids, she must raise her forehead which gave her horizontal lines on her forehead. She wants to know the right procedure for her eyelids.

Dr. Amiya Prasad is a cosmetic oculofacial plastic surgeon. This is a surgeon who first specialized in eye surgery before specialized training in cosmetic surgery of the eyes and face. Eyelid surgery relating to upper and lower eyelids and ptosis surgery are things he deals with every day.

In order to know the right procedure, he first differentiates between dermatochalasis and ptosis. Dermatochalasis is excess skin over the eye. This is why when someone raises their eyebrows, the physical weight of the eyelids is being reduced and people are unconsciously raising eyebrows. It is very common for a patient to go visit a dermatologist and get Botox® injections to their forehead to reduce their forehead line. Ptosis on the other hand means drooping of the eyelid and is defined by looking at the margin of the eyelid - the point where the eyelashes are relative to the pupil or the center of the eye.

When patients come to Dr. Prasad’s practice, he first does a ptosis evaluation. It does appear that this woman’s right eye is slightly lower than her left in the photos she submitted. That doesn’t necessarily mean that she needs ptosis repair. The evaluation of ptosis requires measurements that include the margin reflex distance which is from the center of the pupil, light reflex to the margin, and lastly levator muscle function. The levator muscle is responsible for lifting the eyelid. Another thing that he does is he rolls up the skin of the upper eyelid using a Q-Tip to see if the eyelid is still low even after the skin is lifted. That is a critically important step in determining whether or not a person is a candidate for a pure blepharoplasty which is the removal of skin, extra fat and other soft tissue in the upper eyelids alone or a combination of a ptosis operation.

Ptosis operation involves the levator muscle. It’s a completely different surgery compared to blepharoplasty because this muscle has to be handled just right, and it is not a procedure that most general or unspecialized plastic surgeons perform. However, the presence of ptosis doesn’t necessarily mean that it always has to be addressed. Within the normal population, it is generally acceptable to have a difference of 1-2 millimeters between the two eyes. A lot of patients don’t come in unless they are bothered because it’s gotten worse, or they are concerned that one eye is lower than the other significantly. Often, just addressing the physical weight of the eyelid skin is enough for someone to be satisfied and to feel good about their appearance.

Dr. Prasad explains that it is important that patients meet with qualified experienced cosmetic surgeons and he would advise that they go to someone who understands ptosis so that way this is something that is not overlooked. Most doctors who perform eyelid surgery like general plastic surgeons and facial plastic surgeons do not do ptosis surgery because it’s not part of their routine. It’s best to meet with a cosmetic oculofacial plastic surgeon to get a proper examination and learn about options.

In Dr. Prasad’s practice, he does both ptosis and blepharoplasty surgery under local anesthesia with LITE™ IV sedation. During ptosis surgery specifically, because the muscle is so sensitive, he actually lets the patient open their eyes during the procedure to see what the height and contour of the eyelid appears. He even sits patient up to make sure the height, contour and symmetry is achieved. Patients never feel any pain because they’re already numb and it ensures that they will look good as it appears during the surgery.

For more information about ptosis surgery, please visit our website:
http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/eyelid-ptosis-surgery/
For more information about blepharoplasty, please visit:
http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/upper-eyelift-surgery/
To know more about LITE™ anesthesia, please visit:
http://prasadcosmeticsurgery.com/dr-amiya-prasad-nyc-new-york/lite-anesthesia-for-cosmetic-surgery/

The Neck is Lifted During Facelift Surgery, but a Separate Neck Lift May also be Done
The Neck is Lifted During Facelift Surgery, but a Separate Neck Lift May also be Done

A woman is considering neck lift surgery to tighten her neck and jowls. She wants to know if she is a candidate for the procedure.

Dr. Amiya Prasad, a board certified cosmetic oculofacial plastic surgeon, has performed face lifting surgery for over 20 years and has lived through the different phases of the definition of facelifts and neck lifts. The term neck lift is literally lifting the neck, but patients must understand that the face is connected to the neck, so the neck can be improved by lifting the face.

Based on this woman’s photos, Dr. Prasad assesses that she needs some type of neck rejuvenation whether it’s a facelift and neck lift, or an isolated neck lift, but she requires a more comprehensive examination and a view of the whole face to make that determination. However, she does feel the cost is disproportionate to what she believes is the amount of correction that she needs. Dr. Prasad explains the factors that contribute to the price of a cosmetic procedure.

When patients meet with different cosmetic surgeons regardless of their specialty of origin, they’re going to get different types of opinions. There may be some common ground, but every doctor who does this type of surgery has their own approach and their approach can vary. In Dr. Prasad’s practice, he typically performs facelifts with local anesthesia with LITE™ sedation to try to do whatever is the most efficient to get the best result with the quickest recovery, or doing a more extensive procedure under general anesthesia.

Dr. Prasad explains that this woman’s best option now is to meet with additional doctors to get more opinions. She may also be coming in with a specific budget in mind, and there may be a convergence there between the budget she is ready to invest and the type of surgery she is ready to do. It is important to understand that doing less surgery doesn’t mean that they’re going to get a more natural-looking result. Over many years, Dr. Prasad learned that being too conservative may get patients an improvement, but it’s always about getting the best results a patient possibly can. Patients want to do these procedures hopefully no more than once in a long time. Some people do need revision surgery and that’s part of the reality of the elasticity of the skin and soft tissue. They should be aware that a number of $14,000 is easy to come to when they include anesthesia, surgeon’s fee, and facility costs totaled together. The cost of doing high quality surgery in a proper safe facility is in many ways priceless. It’s also about motivation and budget which are determined by the patient.

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

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

The Causes of Puffy Eye Bags and Thinned Skin Under the Eyes, and Treatments for Both
The Causes of Puffy Eye Bags and Thinned Skin Under the Eyes, and Treatments for Both

A 30-year-old woman has puffy under eyes and crepey under eye skin. She feels she is too young for surgery (blepharoplasty), but she will consider it if it's necessary, and can avoid the maintenance required using fillers and lasers.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon specializing in cosmetic surgery of the eyes for over 20 years in Manhattan and Long Island, has dealt with the whole spectrum of situations and ages. He first starts with the patient’s history to determine the cause of the aging eyes. There are two factors that probably dominate the history that accelerates aging: smoking and sun exposure. People who smoke do a tremendous amount of harm not only their physical body, but they accelerate the aging of the skin. The eyelid skin is the thinnest skin of the body and it is subject to stress. The carbon monoxide starves the cells with oxygen, and when combined with generation of free radicals, it damages the skin. Sun exposure also accelerates the aging process. Several studies have been done comparing people who live in the East Coast and the West Coast involving twins. Even when the West Coast individual uses sunblock and is smart about avoiding excess sun exposure, incidental sun exposure always makes them look a lot older than their East Coast counterpart.

Dr. Prasad also assesses the ethnic background. It is well established that people with Fitzpatrick type 1 skin has light skin and hair, and blue eyes will age faster than Fitzpatrick type 5 or someone who has African skin which is thicker skin and has pigment. He also explains that there is no particular right time to do a cosmetic surgical procedure , but more about when a particular issue arises that needs to be addressed.

In this woman’s situation, Dr. Prasad would address two issues: one is the puffiness and the other is skin quality. Puffiness under the eyes is caused by lower eyelid fat prolapse which means that the fat that’s normally around the eyes, pushes forward and creates a bulge. When someone smiles, they activate the orbicularis muscle which has a tendency to push those fat pockets back. Unless they’re smiling all day long continuously, people will see and wonder why they’re so tired. For someone who’s relatively young, Dr. Prasad typically does a procedure called transconjunctival blepharoplasty which is a method of approaching the fat pockets and resecting, repositioning and whatever else is necessary from the inside of the eyelid to avoid an external scar.

Dr. Prasad also addresses the quality of the skin. Skin quality is challenging because of the thinness of eyelid skin which is only 0.5mm thick. He does a dual approach to improve the skin quality. One is he uses a thermal device called fractional CO2 laser. Fractional CO2 laser uses fractionated laser energy that has several dots with small spaces in between to generate finely placed thermal energy .This resurfaces the external skin and delivers energy to the dermis or the backbone of the skin to cause contraction.

In addition, Dr. Prasad uses platelet-rich plasma (PRP) that is derived from the patient’s own blood. It has been a remarkable benefit in synergy with CO2 laser. It generates collagen based on a wound healing model to create new skin or repair skin. Through this stem cell based response, it helps the quality of the skin and get really nice results. In patients who don’t have bags, he combines it with a filler to treat tear troughs or hollows.

Sometimes, people are afraid of doing surgery. In Dr. Prasad’s practice, he created a facility where he maintains the high standards set by the Joint Commission, the organization that certifies hospitals and surgery centers. Plus we he does the procedures under local anesthesia with LITE™ sedation. Through this, patients have less swelling and bruising a week after lower eyelid surgery than they’ve had getting injectables.

From Dr. Prasad’s perspective, this woman really has something that requires a more definitive procedure. It doesn’t mean that he negates other things such as topicals like retinols and other skin maintenance procedures, but he would avoid non-surgical solutions because he just doesn’t think they will be adequate to address her concerns. He would advise that she meet with qualified, experienced cosmetic surgeons who perform a lot of lower eyelid surgery and get a sense of whether or not she’s comfortable with them and move forward with a more definitive plan.

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

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/

Hair Loss Treatment to Reverses Hair Thinning and Provides Better Density than Hair Transplant
Hair Loss Treatment to Reverses Hair Thinning and Provides Better Density than Hair Transplant

A gentleman has hair loss. He wants to know if it is important for him to have a hair transplant or just a treatment.

Dr. Amiya Prasad, a hair transplant specialist, explains that when someone comes in for an evaluation, he first asks about the onset of when the hair thinning began and the rate of progression. It’s very important to understand that hair continues to thin even with hair transplant surgery. Hair transplantation in the most simplified concept is taking hair from a permanent zone at the back of the scalp. This area is genetically resistant to hair thinning. Whether it’s a strip graft, FUE transplant, robotic or whatever device is involved, it’s still moving the hair from the permanent zone to the area that needs hair. Unfortunately, hair transplant doesn’t stop the progression of hair loss. In addition, it’s limited to how much scalp can be covered. And to achieve a certain level of density, it is often necessary to have more than one transplant.

In Dr. Prasad’s practice, he first stabilizes the progression of the hair loss before pursuing or considering a hair transplant. The medical therapies that are currently approved in the United States are finasteride or brand name Propecia, and minoxidil commonly sold as Rogaine. Finasteride is a pill which is taken to reduce a substance called DHT or dihydrotestosterone and it’s an inhibitor of an enzyme called 5-alpha reductase. This will reduce the amount of DHT which will thereby reduce the susceptibility of certain hairs vulnerable to hair thinning as a response to DHT. However, not everyone responds to this type of treatment, and there is a chance of long term sexual side effects even after the cessation or stopping the finasteride pills. On the other hand, minoxidil is a topical application that doesn’t stop hair thinning and doesn’t prevent progression of hair loss. It will create the illusion of more hairs by prolonging the growth cycle of the hairs.

Dr. Prasad developed a treatment called Hair Regeneration. This treatment was an accidental discovery as part of a wound healing material initially used for the treatment of the scar of the incision line of where the hair transplants were harvested and to improve the survivability of hair grafts during surgery. It was discovered that thinning hairs actually became thicker. He developed for several years a method, formulation and a process of using this as a standalone treatment. With the hundreds of patients that he treated from all over the world, he has more than enough data to state that for men who are up to a certain level of hair loss, that the results of Hair Regeneration actually exceed the results of Hair transplantation.

Dr. Prasad explains that he can save thinning hair or dying hair, but he can’t bring back dead hair. This means if someone is shiny smooth bald for a long time, then Hair Regeneration is not likely that significant for them. If they have lost a lot of hair and they’re down to a small area that’s thinning and they want to save that area, then they would probably do very well. Early intervention really makes a difference. Dr. Prasad is treating most of his patients first with Hair Regeneration and then observing them regularly every 3 months for approximately 18 months. During this time, he learned that the response rate for men is about 100% and it’s just about a matter of when and how much they respond depending on various factors. The earlier someone comes in after their noticing hair thinning, the better their results are because there are a lot more hairs to salvage.

Dr. Prasad’s recommendation is that he first explore his options. Right now, the major alternative to medical therapy that has been the standard for many years is hair transplantation and it was an acceptable alternative since there was nothing else. Since then, he has been able to establish that Hair Regeneration is a very valuable alternative. It’s a single injection that appears to last a majority of patients 3-5 years. It is not uncommon for Dr. Prasad to treat first the patient with Hair Regeneration and bring back a lot of their hair and then do a more strategic hair transplantation. Patients need to be realistic and understand the limits of hair transplant before they move forward with surgery.

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/

Slight Upper Eyelid Asymmetry is Common and Unnoticeable to Other People - Surgery is Option Only
Slight Upper Eyelid Asymmetry is Common and Unnoticeable to Other People - Surgery is Option Only

A woman feels she has drooping of the right eyelid which is a condition she says runs her family. She wants to know if it is possible to fix just her right eye.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, is someone who specializes in eyelid surgery with a background in eye surgery before specialized cosmetic surgery of the eyes and the face. He has been practicing in Long Island and Manhattan for over 20 years so this concern is what he deals with every day. He explains that there are two terms for drooping eyelid, one is called dermatochalasis. Dermatochalasis means that there’s excess skin over the eyelid causing loss of definition in the crease area and presence of fullness over the eyes. The other term is called ptosis which means drooping of the eye related to the position of the eyelid margin. This is the part where the eyelashes are in relation to the center of the eye or the pupil.

In this woman’s situation, there is a difference between the two eyes. There is a lack of definition of the eyelid crease on the left eye and a lack of an obvious eyelid crease on the right eye. As far as severity is concerned, it certainly is not that severe in the spectrum of people who have extra skin over their eyes.

In Dr. Prasad’s practice, he makes decisions with his patients about the right time for a procedure. For excess skin over the eye or asymmetry of soft tissue composed of skin and fat behind the eyelid, patients can benefit from a procedure called an upper eyelid blepharoplasty. Upper eyelid blepharoplasty involves a careful and artistic shaping of the upper eyelid that includes removal of skin, excess fat, and other soft tissues. It’s not a generic procedure. It’s important that the surgeon who does this type of procedure thoroughly understands her personal anatomy and has a lot of familiarity with the eye area. It’s a unique challenge when surgeons treat a younger person because there are no

If a patient wants to have more symmetry and it’s really a foremost concern in their mind, then meeting with a cosmetic surgeon who specializes in eyelid surgery such as a cosmetic oculofacial plastic surgeon is something worth pursuing. Dr. Prasad would suspect that most of her friends and family don’t notice the difference between the two eyes. It’s very common for young people to look at themselves and be very hypocritical about their appearance.

Dr. Prasad says that the procedure that would address asymmetry, some degree of excess skin and fat over the right eye would be a right upper lid blepharoplasty. In his practice, he performs this procedure routinely under local anesthesia and LITE™ intravenous sedation. It means that the patient gets an IV that gives them some liquid sedative to relax them, then the procedure is performed under local anesthesia. This is in contrast to general anesthesia or having a tube in their throat and being put on a respirator.

With that being said, Dr. Prasad explains that she has to decide if this is worth it to do and she has to look at herself at the big picture. She must think about the risks and benefits of the procedure after she meets with the doctor.

For more information about upper eyelid surgery/blepharoplasty, please visit our website:

http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/upper-eyelift-surgery/

To know more about LITE™ anesthesia, please visit:

http://prasadcosmeticsurgery.com/dr-amiya-prasad-nyc-new-york/lite-anesthesia-for-cosmetic-surgery/

Careful Diagnosis of Cause of Hooded Upper Eyelids Needed Before Skin Removed for Surgery
Careful Diagnosis of Cause of Hooded Upper Eyelids Needed Before Skin Removed for Surgery

A 23-year-old woman has hooded eyelids her whole life. She is wondering if it due to her lazy eye, and asks if she is a candidate for blepharoplasty.

As a cosmetic oculofacial plastic surgeon, Dr. Amiya Prasad first had baseline training in ophthalmology before specializing in cosmetic surgery. He explains that the strabismus or the lazy eye she is referring to has nothing to do with the hooding of the eyelids. As far as the hooding concerned, very often it’s a genetic trait that can run in her family. It may not be from both parents but it’s most likely someone has these genes for this particular type of look.

Whether or not she is a candidate for blepharoplasty really depends on what her desired outcome is. If she has hooding that represents relative excess skin, a physical exam helps determine what the potential appearance can be. Dr. Prasad often does a simple Q-Tip rolling test where he shows the patient using a Q-Tip into the fold of the eyelid. The patient sees if it is possible to help them look the way they want to look. He always assesses whether or not he is able to have the patient close their eyes appropriately because that’s one of the most common concerns with upper eyelid blepharoplasty. In his practice, he always states that will not be a problem as it's an exceedingly unlikely event in his hands.

Dr. Prasad first determines if there is a presence of extra skin. If this is a situation where there isn’t extra skin, then a non-incisional blepharoplasty, which is more of a technique he uses for Asian eyelid surgery, may be appropriate. This where he creates a fold without removing skin, which may be an option that is potentially right for her. It’s not necessarily about the age, but ultimately the appearance of the eyes. If there’s an opportunity to improve the appearance of the eyes with cosmetic upper eyelid blepharoplasty, then certainly she can be candidate for this procedure. It does require a physical examination to ascertain whether or not she is a candidate, and whether or not she will achieve the look she desires.

Dr. Prasad's recommendation is that she meet with cosmetic oculofacial plastic surgeons. His advice is towards specialization with people who know the eye area very well, especially in working with a younger person. She should be comfortable with the surgeon she meets with and spend the time to determine whether or not she likes the look once the eyelid fold is addressed. She wouldn’t want to have any remorse or regret after making this important decision. If she finds someone, it would be great for her to move forward and see the shape of her eyelid. Upper eyelid hooding can make someone look tired and older, so an upper eyelid blepharoplasty will probably be a value. It’s her choice and her decision will be based on her aesthetic.

For more information about upper eyelid surgery/ upper eyelid blepharoplasty, please visit our website:

http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/upper-eyelift-surgery/

How Eye Bag Removal Surgery is Performed to Leave No Scar and Prevent Hollow Eyes
How Eye Bag Removal Surgery is Performed to Leave No Scar and Prevent Hollow Eyes

A 30-year-old woman has had under eye bags all her life. Her mother had surgery that left her under eyes looking hollow and had filler applied to correct them. This woman would like to eliminate these bags, but is wary of surgery because of her mother's procedure, and is also unsure if filler will work for her case.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, explains that with a patient like her who is 30-years-old, he’ll perform a procedure called transconjunctival blepharoplasty. This is a procedure where he approaches the fat pockets from the inside of the eyelids. It may be possible that her mother had an external approach or a transcutaneous blepharoplasty and it might have resulted in the eyelids pulling down a little. Often when people have a history of a hollow look, it’s mostly because of a condition called lower eyelid retraction where skin removal causes the eyelids to look pulled down. With a transconjunctival approach, patients are able to avoid skin removal with this method when surgeons address the fat pockets.

In addition, in Dr. Prasad’s practice, he uses platelet-rich plasma that is derived from the patient’s own blood that has growth factors necessary for wound healing. PRP also improves skin quality.

In terms of hollowing, Dr. Prasad explains that patients must understand that as people get older, they lose volume. There isn’t a single surgical procedure that is going to last forever in terms of the global aging process. However, the bags that are treated will still be stable because they won’t have those fat pockets again, but it doesn’t stop the rest of the face from aging. As a person gets older, volume loss occurs, so if they want to maintain a certain look, they must use fillers, implants and different things appropriately. For the time being with the puffy bags under the eyes, Dr. Prasad would perform transconjunctival lower eyelid blepharoplasty under local anesthesia with LITE™ within his office facility. He gets most of his patients back to work in about a week.

With new techniques and technology emerging, Dr. Prasad doesn’t think she should assume that she parallels her mother’s experience. He suggests that she meet with doctors and learn more about her options and certainly get into the context of the ongoing process of facial aging.

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/

Different Treatments for Premature Jowls: Cosmetic Fillers, Face Lifting, or a Combination of Both
Different Treatments for Premature Jowls: Cosmetic Fillers, Face Lifting, or a Combination of Both

A 35-year-old female feels she has premature jowls and wants to know the best treatment for them.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, explains that there are some things that contribute to the acceleration of the aging process, including any recent medical, physical or emotional stress. Smoking may also contribute to premature aging. Basically, things that are toxic to the body will accelerate aging. If none of those things are associated with the person, then it may be caused by genetics.

If this is a genetic trait that runs in the family such as having light and thin skin causing one to have this type of appearance, then they require a proper physical examination. In Dr. Prasad’s practice, the youngest patient that he has ever done facelift for was 37-years-old. She was a physician very well aware of all other options. She did try options such as fillers and realized that her skin was too loose, so he did a conservative face lifting procedure.

The reason why many people are afraid of surgery is that the always see the bad facelifts. They see the ones where people are pulled tight including their mouths and they just look like the wind tunnel effect. Dr. Prasad’s philosophy is that face lifting is really about repositioning the soft tissue of the cheeks and jowls to where they belong when they are loosened from descent. He thinks she may be a candidate for a facelift. With a physical exam, he just lifts the skin to see how much room there is to move. If there isn’t a lot of room, then he won’t do the facelift, but if there is a lot of room he can see a real definitive improvement, then perhaps she can benefit from a lift.

Another thing she can consider is the option of camouflaging the jowl area by filling in the volume loss in the lower face, particularly the mesolabial folds often referred as to the marionette lines. She can also fill the mandibular notch which is a notch on the bone that accentuates the jowl. Dr. Prasad has been very successful in using a material called Radiesse which is a deeper filler to fill out these areas and it does effectively camouflage. Fillers help people who don’t have the time to do a facelift right now and they want to do something to buy some time for important social events.

Sometimes, a patient needs both surgery and fillers. A lifting procedure doesn’t necessarily address issues of volume loss. A lift can reposition the skin and volume in way that’s advantageous. The mesolabial folds, the marionette lines and the mandibular notch can look better with lifting, but don’t always get completely improved depending on a patient’s perception and level of satisfaction.

Dr. Prasad’s advice is to meet with qualified experienced cosmetic surgeons who do a lot of facelifts and fillers. They will guide appropriately on what is right for the patient. She also needs to be aware of the incisions and whether or not that’s something she is willing to accept. In Dr. Prasad’s practice, he not only uses surgical technique coming from 20 years of experience, but he also uses extracellular matrix which is a material that’s used for wound healing. Extracellular matrix makes incisions look even better. He uses this in pretty much all of his face lifting surgeries and he is very impressed in how quickly people are healing and how good their incisions look. Someone can pull their hair back and not worry about the conspicuous appearance of a scar.

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

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

To learn more about Radiesse, please visit:

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

Creating a Subtle Asian Eyelid Crease Needs Diagnosis of Skin and Eyelid Muscle Before Surgery
Creating a Subtle Asian Eyelid Crease Needs Diagnosis of Skin and Eyelid Muscle Before Surgery

A gentleman is tired of raising his eyebrows to look alert and focused. He wants to have a subtle crease instead of a regular double eyelid crease, but he doesn’t know what type of procedure is appropriate for him.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, explains that in determining the ideal crease, the patient should first know their eyelid position. From this gentleman’s photo, Dr. Prasad can see that the fold over his eyelid can be a skin fold. It may also be a little low, which is a condition called ptosis. However, it doesn’t entail that he needs to have his ptosis corrected. Ptosis means drooping that is usually associated with the levator muscle that occurred congenitally.

Before someone decides to have an eyelid surgery done, they first need a physical examination to avoid the eyelids being low after the surgery. This examination is done to determine whether or not they have ptosis or pseudo ptosis. Pseudo ptosis means there is fold of skin hanging over the eyes making it look like it is drooping. During the examination, the doctor rolls the skin and sees whether or not they have true ptosis or pseudo ptosis.

To have a subtle crease, the eyelid surgery can be customized to the level of length that the crease can be defined. If the patient feels as if they need to raise their eyebrows to see better and look more alert, they may need to see more of the eyelid crease. It is important that they have a vision in mind of what they want. They must look in the mirror and play with their eyes to know what they want their eyelids should be. Since everyone’s anatomy is unique, their eyes may be a little more deep set or there may be a difference in the skin quality. There are many dynamics and it can’t always be as exact as trying to mimic someone else’s appearance.

Dr. Prasad suggests that he meet with experienced qualified cosmetic surgeons who do a lot of Asian eyelid surgery. He would anticipate that if there is no true muscular ptosis, this gentleman would probably be able to have a non-incisional upper eyelid surgery to define the crease, but probably at a lower point and at a more subtle way so that the outer aspects are more defined. However, he must look at how he looks with the eyebrows raised. He’ll see more of the eyelid crease and may be better off with a more defined crease. He can certainly figure that out and see whether it’s realistic to achieve what he is looking to achieve.

Dr. Prasad emphasizes that communication is critically important. The doctor and the patient should really understand each other so nobody feels misunderstood. As a specialist who does revision surgery, he finds that it isn’t about the doctor not doing the ideal procedure, but rather miscommunication that leads to a difference between the vision of the patient and the vision of the doctor. When he does his surgeries, he routinely draws with the patient in the exam room before going into surgery so they will know exactly what he is planning to do, and the whole strategy and expectations are clear, which helps alleviate a lot of stress about the unknown.

For more information about Asian eyelid surgery, please visit our website:

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

To know more about ptosis surgery, please visit:

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

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/

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/

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