Best Procedures for Treating Puffy Under Eye Bags and Adjacent Hollowness
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- Опубліковано 14 жов 2024
- More on transconjunctival blepharoplasty: prasadcosmetic...
For more on under eye fillers, please go to: prasadcosmetic...
For more on cheek fillers and Structural Volumizing, please go to: prasadcosmetic...
For more on laser treatment, please go to: prasadcosmetic...
For more about Dr. Prasad's background and training, please go to:
prasadcosmetic...
New York oculoplastic surgeon Amiya Prasad, MD reviews the factors and causes of under eye bags, and a variety of effective treatments to address them:
0:21 - Introduction to treatments for under eye bags
1:07 - Dr. Prasad's credentials in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience on procedures for under eye bags
2:30 - Procedures using new devices and injectables can be risky without proper analysis
3:14 - The importance of getting a proper diagnosis before considering any procedures
3:20 - What lower eyelid fat prolapse is
3:39 - What herniated fat is and its causes
3:51 - How anatomy becomes a factor for lower eyelid fat prolapse
4:00 - How the high contrast between lower eyelid fat prolapse and cheek projection can result in a hollow appearance
5:12 - Dr. Prasad prioritizes the patient's best interest when selecting treatment for under eye bags
6:09 - Defining the parameters for an effective under eye bags treatment
7:10 - Before and after photos of tear trough filler procedures
7:35 - What the tear trough is
8:10 - How to address deep tear trough using hyaluronic acid filler
8:46 - How excessive filler in the skin can cause swelling,and may result in an unnaturally swollen appearance
9:42 - What hyaluronidase is
10:12 - How extent of fat herniation is determined
10:52 - Surgical procedure becomes the recommended option when the fat pockets are too prominent
12:20 - What transconjunctival blepharoplasty is
13:15 - How PRP (platelet rich plasma) and fractional CO2 laser can improve skin quality and texture
14:03 - Considering bone structure as one of the biggest factors in facial appearance
14:11 - What cheek Structural Volumizing is and how it is used to address volume loss below the eye bags
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I could listen to you all day. Your energy is so calming & you’re absolutely a brilliant Dr.
Thank you for kind words, Aida_ Amorre! And thank you for watching!
@@AmiyaPrasadMD 🙏 💗
@@AmiyaPrasadMD I want some more information please
Hi@@leinadhatch8783,
You can refer to these videos to learn more about eye bags, and how they are treated:
ua-cam.com/video/kDxDW7Qeuog/v-deo.html
ua-cam.com/video/yszpZSOEGoQ/v-deo.html
As an old retired nurse, who has met many doctors- some even very well known- I can say I wish there were thousands of more doctors like you! Wish I lived closer! I’d make an appointment tomorrow.
Thank you so much for your kind words, I'm listening! So nice of you to say :)
Dr. P’s got me covered when I get older ;) 💪
You gave so much helpful raw data, with no hesitations. Thank you for the information.
You're welcome, Tim Carr! I'm glad you found the video informative!
I would LOVE to have this done! I've been getting consultations for yeaaaaaaaars! I think now is the time! Thanks for sharing 💚
You're welcome, SWEETMA4LIFE! I'm glad you found the video helpful!
Did you get the surgery yet? I’m curious to know how it went. I’m also considering
@@aavantibeauty do you know some good doctors in India to do this
Great video thanks you!
You're welcome,@@Scoobysue1977. I'm glad you found the video helpful.
Omg , Doc are you real??? That is rare to share and help people like this , thank you!!!!!!!!!
Thank you for your kind words, Monika Monia P! I make these videos to help people make better decisions about cosmetic procedures. I'm glad the video helped you!
Bless you for your gift! My hubby is a surgeon and I know ALLLL the hard work that it takes to get to your level.
Thank you for your kind words, and your appreciation, Kathleen H.! It means a lot to me :)
Thinking to have this done for a long time, afraid to do it getting the wrong Dr...but seeing your professionalism I think you're the right one 🙏
Thank you for your compliment, Nancy Rodriguez! You can reach out to our offices or websites to arrange for a consultation. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I have found the man for the job, or two! l will be in touch, from Ireland. 😊
Thanks, Bosvigo's! I hope to see you soon!
The way he explains 🥰🥰..I wish u were around ..so that I could book an appointment and get rid of my eye bags...
Thank you for the appreciation, Gomati Sharma! Please let us know if you'd like us to help you in the New York area.
Thank you Dr. Amiya Prasada for the very informative video about eye bags. I found it to be excellent information especially since I have developed eye bags that I find extremely embarrassing.
You're welcome, @nereidaparrilla9433. I'm glad you found the video informative. Thanks for watching!
I like this Dr. he comes across as a caring, honest, and straight forward person. Very informative, thank you!
Thank you so much for your kind words, molkim skylop! I'm glad you found the video informative. Thanks for watching!
I’m so glad you mentioned LOCAL anesthesia. I was reccommended surgery due to the fat protrusion. The eye bags are genetic and my ophthalmologist said that I’m not a candidate for fillers cause I already have a VP shunt . Thank you for making me feel comfort in a blepharoplasty
You're welcome, Clio Lang. I'm glad the video helped you.
In addition, and as detailed in the video, I suggest you ask for transconjunctival blepharoplasty by name, which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality.
@@AmiyaPrasadMD o wow! Thank you Dr.Prada’s. I see my ophthalmologist next week and will bring this up
You're welcome,@@cliobhabie
Why am I going to have to go back east to have this doc do my eyes? LOL Love these informative videos!
Glad you like the videos, Tiggy212! Come see us anytime!
Good information and I like how you give in-depth explanations for the reason you use certain procedures. Thanks again for the information.
You're welcome, ALEXANDER MONDAY! And thank you for your kind words!
Hope that you also have a branch here in dubai that the doctors same as you.
Think I might use this guy been doctor shopping
Thank you, Martin Powell. Just let us know how we can help you. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
@Amiya Prasad, M.D. Your amazing! Keep up the great work I hope soon to visit your office for a few Procedures I need help with.
Thank you for your kind words, Brandon S.! Hope to see you soon!
How much
Hi@@michaelnepomuceno7929,
We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Oh hahaha this video answers my question to you in the other video. You read my mind, doctor. Thank you once again. :)
You're welcome!
Perfect your approach !!
Congratulations, Dr. Prasad !!!!
I have publicized your work here in Brazil.
I'm an injector and I admire your conduct.
Thank you and success to you !!!!!!!
Thank you for your kind words, Fernando Costa Jr.! Glad you like the video!
I live in Florida...wish I was closer. this was very informative, I were a respiratory at work and after a year a half, the hollowness is apparent to me.
Hi Lovemarley71,
I'm glad you found the video helpful, and thanks for watching! An examination would be needed before I make specific treatment recommendations for you.
This video is so informative and calming! I literally want to meet this Dr. A.S.A.P.
Thanks again, SWEETMA4LIFE! I hope to meet you soon!
❤️
Wow, so much we are not aware of, so much information given. I now understand so much more. The information has stopped me just in time, making a massive mistake. Thank you so much. I am not in America, here in the UK but if I were in the states I would definitely try to come to you. Thank You for educating me and many others so I see. God Bless You
You're welcome, Jackie Mirenda! I'm glad you found the video educational, and it helped you make an informed decision.
Your videos are so interesting, informative & helpful. Thank you for all your expert advice Dr. Prasad.
You're welcome, Helen Heil! I'm glad you find the videos informative and interesting!
HOLY EYE DR. FINALLY A DR. WHO TELLS THE TRUTH ON GETTING RID OF EYEBAGS THANK U JESUS /// SURGERY / NO DOUBT💯👍💜💙🧡
Thank you for watching, wandah whetstone. I'm glad you found the video informative.
@@AmiyaPrasadMD What is the price of the operation?
Hi@@kmalkinde3228,
We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Thank you Dr. Prasad you gave me a lot to think about. I’m wondering if instead of removing the prolapsed fat from under eye bags, if perhaps there was a way to strengthen the muscle holding the fat in place like it did before it prolapsed?? Maybe RF machine?
Hi @marti8053,
Sorry, but radiofrequency or any other thermal device will not have that effect on the orbicularis oculi muscle. Prolapsed fat cannot be pushed back into place. You can refer to this video about why non-surgical thermal devices cannot treat eye bags safely - ua-cam.com/video/cU0B9-IahGk/v-deo.html
How informative you are I’m 37 and have bags and was told I needed filler to fix the ridge. I don’t want surgery yet but during my cycle is so swollen it’s embarrassing
Hi BelleDeJour224,
Fillers cannot treat more severe cases of eye bags, and can actually make them more puffy. You can refer to this video on how filler or surgery are chosen to treat eye bags - ua-cam.com/video/yszpZSOEGoQ/v-deo.html
@@AmiyaPrasadMD Hi Doc, could I email you a picture I have w/3 diff angles of my under eye issues to see what you can do for me? Thks.
Hi@@MasterArmedforces ,
You can send your pictures, but it will only be a preliminary evaluation as a diagnosis still needs a physical examination. You can send your pictures through prasadcosmeticsurgery.com/virtual-consultation/ or eyelifts.com/virtual-consultation/ or puffyeyes.com/virtual-consultation/ for a preliminary review. I hope to hear from you soon.
@@AmiyaPrasadMD none of those links allow the messages/request to process.
Amazing work! Question: What are your thoughts on using plasma pen to help with puffyness?
Hi @trueunion,
I don't recommend at home thermal devices because people using them are not trained to limit heat, exposure, nor do they know about the healing time needed between sessions.
Skin treatments, especially through thin and delicate eyelid skin, cannot treat eye bags that are beneath the skin and muscle. You can refer to this video about it - ua-cam.com/video/cU0B9-IahGk/v-deo.html
Dr. Amiya Prasad thank you for this upload. It is very informative and well explained.
You're welcome, Iconic Performers Then and Now by: Aavalé Storm. I'm glad you found the video informative.
@@AmiyaPrasadMD Thanks.
Dr Amiya you are amazing! If you lived in Florida you will be my doctor! Thanks for your videos!
Thank you for your kind words, and thanks for watching, Mariana Tirante!
Wow this guy's hair is AMAZING! thanks for the info Doc!
You're welcome, April Ellis! I'm glad the video helped you. And thanks for the compliment!
Doc please how much it's cost?
Hi@@augustinaserwaa9989,
We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Best video that I have come across!! Very informative!!
Thank you for the compliment, Jesse Figueroa! I'm glad you found the video informative!
I am amazed at your knowledge and impressed in how you present it. Unfortunately many of us are not in New York where you are. Is it possible that you give referrals to surgeons that are as skilled as you are with options available? I have a fear of facial surgery, but your video actually made me feel calm and positive.
Hi Judy Fleming,
Thank you for your kind words. While I do know colleagues around the country, we all have different aesthetic styles, and practice focuses. I suggest you ask for transconjunctival blepharoplasty by name, which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.
@@AmiyaPrasadMD Yes, this helps a lot as i was wondering if my eye would change shape and yet I have wrinkles around the sides and underneath the eye. I appreciate your quick response.
Hi@@judyfleming6269,
Your eye shape will not change as long as skin is not removed when your eye bags are treated, which is why I recommend and perform the transconjunctival method. You can refer to these videos about how under eye wrinkles should be treated without surgery and skin removal:
ua-cam.com/video/PXMhY90TReM/v-deo.html
ua-cam.com/video/AAH37kjfyK8/v-deo.html
ua-cam.com/video/U7kJ4CMcJ0A/v-deo.html
Wow! What an informative video! I love your energy! So calming and so knowledgable. I wish I was closer to your office! I am having this same surgery soon with a highly recognized surgeon. I have cheek fillers from about two years ago but they are definitely there. Should I get them dissolved before my lower eyelid surgery? I am wondering after watching your video if my surgeon will be able to judge my anatomy properly with my cheeks being lifted already by the filler? Thanks again for your video
Hi YGS,
Thank you for your kind words. Much appreciated! And thank you for watching!
Your surgeon should be able to locate your existing filler, but you should let them know about it prior to the procedure so they can be planned around, without having to dissolve the filler. Prolapsed orbital fat that causes eye bags is different from cheek fat, and the effects of your filler, so your surgeon should be able to plan around the existing filler volume. I hope this clarifies things for you.
@@AmiyaPrasadMD thank you so much for responding! Your patients are lucky to have you!
You're welcome,@@ygs338. And thanks again for your appreciation!
Hi doctor, love the video! The most informative out there! I have chronic dry eyes, I need eye drops in the morning everyday. Would any of these treatments make my eyes even more dry?
Hi Nikki K,
Thank you for your kind words! Cosmetic eyelid surgery can be done for people with dry eyes, as long as the surgeon is experienced in operating on patients with dry eyes. I'm happy to inform you that I made a video specifically about cosmetic eyelid surgery for people with dry eyes, for your reference - ua-cam.com/video/g0z5DmORXo4/v-deo.html
Thanks for all the great information and treatments available. If a more invasive approach is required(transconjunctival), what's the most one should expect to pay for this procedure? Yes, I had to ask. :)
Hi vickie ricks,
Transconjunctival blepharoplasty can be considered less invasive as the transcutaneous approach, as there are no incisions through the muscle and skin, which is not required, but it does avoid common complications like lower eyelid retraction, which is a considerable additional cost with revision surgery (revision surgery usually costs more than the primary surgery as it's more extensive).
We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
How does one get in touch with Dr. Amiya Prasada??
Hi @nereidaparrilla9433,
You can contact us through our offices, or our websites to set an appointment for a consultation. Consultations do have a fee, but the fee can be fully applied to the cost of treatment.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
A terrific video as I want my upper and lower eye done
.You're an excellent dr.
Thank you for your kind words, and thanks for watching,
charles coffey! You can refer to this video about the advantages of combining upper and lower eyelid surgery in the same day - ua-cam.com/video/62GwQx5pJIE/v-deo.html
Well explained. Can you recommend a doctor in the U.K. where I can have eye bags removed. Would appreciate it very much
Hi Nazrah Sheikh,
I suggest you ask for transconjunctival blepharoplasty by name, which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.
Omg this Dr. ! Wow One could only dream of having such a skilled professional entrusted to ur face. What a gr8 eye!
💖🤘✌👊
Thanks for the compliments, J! Much appreciated!
Very impressive doctor! You know eyes in and out.
Thank you, Dreamy! I'm glad you found the video helpful!
Hi Dr. Prasad, I am in my early 50s... when I was in my early 30s, I had a moderate tear trough deformity, which I was able to have corrected with filler. I now have mild to moderate eye fat herniation and can have it corrected if I get filler in my cheeks, unfortunately, it takes 4 - 5 syringes of filler to give me adequate volume to correct the herniations and tear trough. My question is, if I have surgery to remove the herniated fat, can some be repositioned to also take care of the tear trough issue? Also, I am assuming even with a facelift, I would have to continue to obtain filler for my cheeks or a cheek implant - the issue now is cost due to the amount of filler I now need for correction. I hope this makes sense and thank you so much - your work is beautiful!
Hi Melissa Kane,
Thank you for your compliment! I generally don't advise orbital fat repositioning to the tear trough because it can be ineffective, or it can cause complications. I actually made a video about it, which features these concerns in detail - ua-cam.com/video/m-_mFe4eWmo/v-deo.html
I also did a video about treating concurrent puffy eyes and hollowness - ua-cam.com/video/Q0QiNH7LUVI/v-deo.html
Wow! Very helpful video dr.Amiya, can you recommend a dr. In Chicago?
Hi Antonio Lombardo,
I recently did eye bag surgeries for out-of-state patients further from us than Chicago, so you can consider coming to see us in New York for treatment. We have been open for awhile since lockdown was lifted, and things are progressively improving for travel now as mass vaccination is well underway in New York. I hope this helps you.
As a surgeon, i agree
Thank you, Dr. @thomasj7506.
Excellent explanation!
Thank you, welington e juliana Silva! I'm glad you found the video informative!
Hello Dr. Amiya ,
I’m from Vietnam. Thank you for your great infos . By any chance do you know any doctor that could refer me in Asia ? Thank you sir.
Best regard ,
Patrick Nguyen
Hi Patrick Nguyen,
I'm not familiar with doctors in Vietnam, but you can ask for transconjunctival blepharoplasty by name which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.
Very much useful video, I should have seen this before doing my prf 😢. I feel my concern is the fat not hollow. Do you do online consultation?
Hi Sadhana Duraisamy,
PRF is a treatment to improve eyelid skin quality, not for puffy eye bags, and not for hollowness.
Consultations are by appointment only, and can be arranged by our offices to be done remotely on a one-on-one video call on Skype or FaceTime. Consultations do require a consultation fee, but the fee can be applied to the cost of treatment.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
@@AmiyaPrasadMD that was a quick reply, appreciate it, being a 2 year old video you still responded. Thank you again. I did my prf for my under eye just today. After my swelling goes down, I will definitely book a consultation with you and get your recommendations. I am in Texas, so I am not sure if I can visit to get my procedure done, but I would love to get your opinion.
You're welcome,@@sadhanaduraisamy
Dr. Prasad: If the main cause is fat herniation (prolapsed fat), why is fat removed rather than the surgeon "pushing" it back into place? I would view this conceptually as slightly different from traditional fat repositioning, but perhaps what I am proposing is simply not possible/advisable? Thank you.
Hi Michael Hilson,
Orbital fat prolapsing also occurs because of tissue changes that once held the fat, so it isn't practical to push it back into place as weakened tissue can also cause the fat to prolapse again. I hope this clarifies things for you.
Dr.Prasad 👍you are amazingly knowledgeable ,where are you located?
Thank you for your compliment, Carmen Romo! Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I plan on having my lower lids done. I have the classic fat pockets and trough look and will be looking soon. Surgery won't bother me.
Hi Dodie,
Lower eyelid surgery can be minimally invasive, so you'd be surprised at how easy it is on the patient. Being minimally invasive with transconjunctival blepharoplasty is more of a technical challenge to the surgeon, and becomes routine with experience, but most eyelid surgeons aren't trained in the technique.
@@AmiyaPrasadMD I think I see a trip to New York in my future. I live in Seattle. I'll contact your office to see when you are available. Your before and after pics are remarkable! Thank you for replying. 😊
You're welcome,@@dodie5466, and thanks for the compliment! I hope to see you soon.
I really love the information u provide .. I live in.india and wud u suggest any doctor who is as good as you coz everyone i visit wants to do fillers and ruined my skin .. mental.stress and also wasting money and now I am.scared to even go as instead of addressing my under eye they want to.do all.other things..
Kindly suggest if u hav anyone on mind or else I hav to really wait to visit you
Hi Swapna Rao,
I'm not familiar with doctors in India. If you are looking to address under eye bags with surgery, I suggest you ask doctors for transconjunctival blepharoplasty by name. This procedure is less prone to complications since there is no external incision, or skin removal, and so results look completely natural, but fewer surgeons practice this technique. If you can't find a surgeon in India who performs it, I would be happy to help you if you can come to the US. I hope this information helps you.
very informative video thank you for posting it...
You're welcome, meanbean98! I'm glad you found the video informative!
Im glad I found you! I want a more permanent solution. I think I'm more hollow. As a person of color and nervous. I rather have surgery but cant find after pics of people of color. Dr suggest radio frequency 😒. Maybe filler would be best??
Hi aspenwil1,
It's not clear if you have hollowness, or discoloration since your doctor is recommending radiofrequency. While filler may or may not be the right treatment for you, permanent fillers are very prone to permanent complications due to migration and foreign body reactions, while temporary hyaluronic acid fillers are much safer because hyaluronic acid is already naturally present in the body, and are safely metabolized with time. You can refer to these videos on how hollowing under the eyes can be treated, as well as dark circles under the eyes (including patients of color):
ua-cam.com/video/VzzsbNDlaHQ/v-deo.html
ua-cam.com/video/Q0QiNH7LUVI/v-deo.html
ua-cam.com/video/QBvjjvxPt2g/v-deo.html
Hi Dr. Prasad! Thank you for this informative video. I have a question. What do you think about test trough implants? I have hollow under eyes and I’m too scared to get filler lol.
tear trough not test trough
Hi Mandy S,
Tear trough implants require surgical placement, so they are more involved than injectable tear trough fillers. While silicone tear trough implants can be a long-term treatment for under eye hollowness, many people don't find them comfortable, and softer hyaluronic acid fillers as a more comfortable. Tear trough implants are not permanent, as facial dimensions do get smaller due to aging, so eventually they won't fit, and will need replacement. You can refer to this video about the different treatments offered for hollow under eyes - ua-cam.com/video/VzzsbNDlaHQ/v-deo.html
@@AmiyaPrasadMD thank you for the information! Do your patients find that filler migrates a lot and ends up looking weird? Another concern I have is also blindness.
Hi@@Hi_how_ru292,
My technique in filler placement can prevent filler from migrating. Experience and expertise also help to avoid or immediately address complications like vascular occlusion that can possibly cause blindness. You can refer to this video about the risks of under eye fillers, and how they can be avoided or minimized with the experience, and expertise of the doctor performing the treatment - ua-cam.com/video/lA6ietCvZf8/v-deo.html
@@AmiyaPrasadMD thanks for the information ☺️
I have watched you for years and have dreamed of you doing my eyes
Thank you for watching, Trisha Haddy!
My eye puffines comes from Alergies and runs in my dad’s family!! Double wammy!! 😢
My eyes are also dry all the time. What can you recommend? Thank you
Awesome video
Hi TexasTough Carports,
Thanks for watching! I recommend you see an allergist for treatment as I only treat eye bags that are due to prolapsed orbital fat. I would have to examine if you have eye bags also due to lower eyelid fat prolapse. I only treat the fat that causes eye bags with transconjunctival blepharoplasty, which is featured in the video, and is done without any external incision on the eyelid skin, and no skin removal so results look natural, and complications due to skin removal, or complications due to incisions on the eyelid skin are completely avoided. Surgery can be done in people with dry eyes, as long as you have a doctor experienced in performing surgery in people with dry eyes. You can refer to this video about cosmetic eyelid surgery done for people with dry eyes - ua-cam.com/video/g0z5DmORXo4/v-deo.html
Thanks for the great video. Do you have any recommendations for a surgeon in the L.A. area?
Hi David Miller,
While I do know colleagues in LA, we all have different aesthetic styles, and practice focuses. I suggest you ask for transconjunctival blepharoplasty by name, which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.
That's great information. My only concern is are there in-office procedures or other ways to prevent this type of fad pad issues?
Hi Vaicekauskaite Vaiva,
Prolapsed orbital fat that causes eye bags cannot be prevented. I hope this clarifies things for you.
Wonderful video. 👍
Thank you, Dr.Kamlesh Maywad. Much appreciated! And thanks for watching!
Hi Doctor! Amazing information. Thank you so much.
At around what age would you recommend a person to undergo a surgery to remove the eye bags?
Hi Spyke Francica,
Thanks for the compliment! Eye bags can be genetic, so they can occur in younger people. While there are special circumstances where younger teenagers can be operated for severe eye bags, I generally recommend patients are at least adults of 18 or older. I hope this clarifies things for you.
Thank you for such an informative video. Are you planning to visit any country in Africa soon? I would love to have you assess my eye bags situation.
Hi@@amaniyagoub685,
Thanks for watching! My apologies as I only practice medicine in the US.
I had 3 sessions of plexr done. I wonder what his thoughts are on this procedure. Not worth the money in my opinion, but PRP did work. I should have just done surgery though.
Hi Milly Mae,
I don't use Plexr as I have more precise and versatile lasers in my practice. PRP, Plexr, or laser treatment are not appropriate treatments for puffy eye bags, but they can help improve the quality of lower eyelid skin to treat issues like wrinkles, and dark under eye circles. Eye bags that are visible all the time are caused by prolapsed orbital fat, and ideally surgery is needed to sculpt and remove them, while some slight to moderate eye bags can be temporarily camouflaged using filler. I hope this clarifies things for you.
Hi. I like your approach. Can you recommend someone just as thorough in the Chicagoland area? I was thinking about accutite for under eye bags but after listening to you, that may be too abrasive for my need?
Hi Victoria Taylor,
We actually do get a lot of patients from Chicago coming to see us. While I do know colleagues in Chicago, we all have different aesthetic styles, and practice focuses. I suggest you ask for transconjunctival blepharoplasty by name, which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.
Is it safe for people with dry eyes to have any of this procedures? I hear another doctor saying that inyectables are really bad and that after years the filler does not dissolve and the patients end having their problem getting worse. However, you seem very knowledgeable and give me hope of one day try to do something about my under eye bags.
Hi Judcor,
Lower eyelid surgery for under eye bags can be done on people with dry eyes, with the proper management before, during and after surgery. You can refer to this video about it - ua-cam.com/video/g0z5DmORXo4/v-deo.html
I don't see issues with hyaluronic acid fillers with my patients. In cases where fillers are encapsulated so they last longer than expected, they can still be dissolved, but technique and experience are important in dissolution. You can refer to these videos about it:
ua-cam.com/video/WZPJFv3ScsI/v-deo.html
ua-cam.com/video/-xepTFX83Lc/v-deo.html
ua-cam.com/video/a3YicyDoTZU/v-deo.html
@@AmiyaPrasadMD, Thanks for answering
You're welcome, @@judcor7752
Excellent info on this problem. Can you do an initial consultation over video?
Hi Richard Navarrete,
Yes, we do offer consultations over Skype or FaceTime. They still require a consultation fee, which can be fully applied to your cost of treatment. You can contact our offices or websites for an appointment. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
There are some awesome doctors on Ytube!
Thank you, Iconic Performers Then and Now by: Aavalé Storm
@@AmiyaPrasadMD You are very welcome.
Hello Doc. You are very detailed and you know your stuff. Makes me very comfortable. I live in Chicago. I would love to meet you and possibly get some help.
Hi Michael V.,
Thank you for your kind words! You can contact us about setting up a consultation in person, or on video conference on Skype or FaceTime, if you wish. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hello, very good information would you know the best place in The Uk or The Netherlands to go please? Thanks
Hi John Oliver,
While I do know colleagues in the UK, we all have different aesthetic styles, and practice focuses. I suggest you ask for transconjunctival blepharoplasty by name, which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.
@@AmiyaPrasadMD Hi Doctor Amiya, I did have any eye bag operation over 20 years ago. I did have a slight is with lower issue with my lower eye. Is it possible to have this corrected, ie fat put back if required? I do still have eye bags. Thanks
Hi@@johnoliver7360,
It is possible for an eyelid specialist to revise previous lower eyelid surgery, but I don't recommend or perform fat grafting in the lower eyelids due to a high risk of complications. You can refer to this video about it - ua-cam.com/video/mNo_EBcDi1k/v-deo.html
You seem like you know what you’re talking about. Do you have a Los Angeles, California office or any recommendations for that area?
Hi,
Sorry, but we don't have offices in California. While I do know colleagues in California, we all have different aesthetic styles, and practice focuses.
I suggest you ask for transconjunctival blepharoplasty by name, which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this clarifies things for you.
Once you get, say, a blepharoplasty procedure, will fat continue to prolapse? Or is that removed and would one need fillers?
Hi Gen T,
The results of lower eyelid surgery can last many years, and if fat were to prolapse again, it would be new orbital fat, not the same fat that was treated. A little fat should be left behind after surgery to prevent a hollow appearance, but the fat left will not cause eye bags again. I hope this clarifies things for you.
Thanks for oll tha information,
You're welcome, Aida Martinez. I'm glad you found the video informative.
Very informative. How can I schedule an appointment, I am flying to NYC in early February?
Hi Gabriel Santacruz,
You can contact our offices or websites to arrange for an appointment. You can call our office in Manhattan at (212) 265-8877; or you can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
@@AmiyaPrasadMD thank you!
You're welcome,@@gabrielsantacruz3938 !
Hi doctor
I did blepheroplasty surgery two times within 2 years for both eyes. Is it any chance to come again...?
Hi Saabi,
I don't know if your surgery was done incorrectly, thus needing it twice in two years. You can refer to this video on how long the results of lower eyelid surgery last, assuming it was done right the first time - ua-cam.com/video/ZZNsbkXgKWg/v-deo.html
Hi. Thank u for the video. I'm in Cali. Do u have an office here also or any recommendations?
Hi Lena Rey ,
Thank you for watching! I don't practice in California, and the colleagues I know there have different practice focuses, and aesthetic styles. I suggest you ask for transconjunctival blepharoplasty by name which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.
Hello, love your videos. I'm on a quest to find such dedicated doc for my puffy eyes in Europe, any tips?
Hi Tim Urban,
I suggest you ask for transconjunctival blepharoplasty by name which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.
Hello I’m 18 years old and I’ve had eye bags my entire life. Do you think I’m ready to do a procedure whether it’s surgical or non surgical? I do have allergies and it is genetic. I also live in Queens NY and I’ve been considering making an appointment
Hi James Balatbat,
Sorry to hear that, but genetic eye bags can indeed be visible from a young age. However, I would have to diagnose if the eye bags are due to your allergies, or to prolapsed orbital fat. Allergies causing eye bags are treated differently. If they are caused by fat, surgery at your age is possible, but a proper examination is needed for diagnosis, and before recommending a specific treatment. I hope this clarifies things for you.
My blepharoplasty surgery was performed along with festoon 3 months ago. And I still have little swelling around my eyes and cheeks bone. Is it normal or should I do treatment for this. Kindly suggest
Hi ZAYN ALEE,
You are still healing from previous surgery, so you can still have some swelling that would affect your appearance, and not yet reflect your final results. I suggest you evaluate where you are in your healing at least at the 6 month point before considering any further enhancement to the area. I hope this clarifies things for you.
@@AmiyaPrasadMD THANK YOU SOOOOOOO MUCH DR FOR YOUR KIND SUGGESTION.... ❤️😍❤️
You're welcome,@@zaynalee9031
Great information thank you so much. Do you by any chance have.a doctor to recommend in Montreal Canada ?
Hi Inside out Beauty,
Even the doctors I know have different aesthetic styles and practice focuses. As you find prospective doctors, I suggest you ask for transconjunctival blepharoplasty by name which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.
@@AmiyaPrasadMD Wow thank you so much for taking the time to answer , that is very generous of you. It is for my fiancé who has quite strong Festons . The doctor i was looking into does that kind of procedure, so this confirms my feeling. As for removing skin, it makes sense . Thank you again !
You're welcome, @@insideoutbeauty3170! Festoons are different from eye bags, as they are in a different position of the face, a different cause, and are not as straightforward to treat. You can review these videos about them:
ua-cam.com/video/a_4TnX_A0JA/v-deo.html
ua-cam.com/video/8KQ-Bj8XAW4/v-deo.html
Pls where is your Eye Clinic/Hospital located? I'm a patient suffering from under eye bag...Presently in Nigeria.
Hi Temmy 006,
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi Dr Prasad, I understand that you are an Oculofacial Plastic Surgeon. May I know if it is the same as an oculoplastic surgeon? Thanks.
Hi Grateful Princess of God,
The terms are interchangeable, and they mean the same thing. I hope this clarifies things for you.
Amiya Prasad, M.D. Oh that’s cool. Thank you. :)
You're welcome,@@wem-c9f!
What happens to the skin after the fat pads are taking out? I do see some people who had the procedure done and then they end up having more wrinkles where the bags once were. Are there any treatments for that? Otherwise it would be like choosing between the lesser of 2 evils lol
Hi Tina Chxx,
Lower eyelid surgery is an art where some fat should be left to prevent a hollow appearance, and also prevent the appearance of wrinkles. You can watch the video to see my patients don't have increased wrinkles after their eye bags are gone. For patients who have eye bags, and wrinkles due to diminished skin quality, I perform additional collagen stimulating and skin resurfacing procedures to minimize the appearance of wrinkles, such as laser treatment, and PRP. You can refer to this video about how wrinkles under and around the eyes are treated with non-surgical procedures - ua-cam.com/video/PXMhY90TReM/v-deo.html
Hi doctor, great explanation. May I know if Agnes RF good for mild eye bags?
Hi leeteng ling,
I don't advise RF or any thermal treatment for eye bags. If you try to overheat or overexpose with a thermal treatment to "melt" eye bags, you will damage thin eyelid skin. I hope this clarifies things for you.
Do you know anybody who I can go to Dr P here in Washington state ? Or do you have other offices near washington state. I love how you explain the procedures
Hi Jamie Campana,
Sorry, I only practice in the East Coast.PRP has become a popular the last few years, so I suggest you seek a doctor who has the most experience using it. Members of the Vampire Facelift network have administered PRP longer than most other doctors in cosmetic medicine. I hope this helps you.
My Blessesing go out to Dr. Prasad he for sure knows wat his talking about. I fell bad I cant 😪 go to him senses I live in California but if he ever comes to the Sacramento area I for sure wiling to go to him.
Thank you for your kind sentiments, Rob F!
@@AmiyaPrasadMD Hi there Dr. Prasad good morning I Finally made up my mind and I decided that I want you to do my undereye bangs surgery but frist I need to get a Quote to se how much ill be working with since ill be coming from California but I was wondering ware could I send you my undereye bags Photos or wats the steps I need to do frist I orady went on your website and left my info on the how to Contact us I left my Name and my email address and phone number. Well hope to here from you you have a Blesses day
Hi@@YAHSHUA2285,
Thank you for contacting us. Someone from our office will get back to you after the Columbus Day holiday. If you're traveling from out of state, I suggest you have your initial consultation done online through Skype or FaceTime, which can be arranged by our staff. I hope to see you soon.
Nice hair doc!
Thank you, Dave Tan!
So if you don’t live in the East Coast how do you look fir the right plastic surgeon?? Any ideas on how to look for a good doctor?
Hi Truth walker,
I suggest you ask for transconjunctival blepharoplasty by name which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.
Thank you for this wonderful video; I wish I had seen it before my procedure ; I had my surgery for upper and lower eye surgery 6 weeks ago , I still have swelling and bruising , I look like a raccoon .. any thing I can do is this normal..?
Hi Kathia Bair,
I don't know the details of your surgery so I suggest you follow up with your surgeon. I have made videos about the recovery from upper eyelid, and lower eyelid surgery that may provide you some guidance:
ua-cam.com/video/dMq7UNewiQI/v-deo.html
ua-cam.com/video/g71wFEdUtlM/v-deo.html
Dr Prasad. Do you ever come to India for treating patients?. I m in delhi and wish to see you for consultation. Thank you.
Hi Neo Eon,
Sorry, I only practice medicine in the US. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Doctor,do you use medicare for surgery?
Hi @1230wsimon,
Medicare isn't applicable to elective cosmetic procedures like lower eyelid surgery, and our office generally doesn't accept insurance even for procedures that are health or vision related, such as eyelid ptosis correction surgery. I hope this clarifies things for you.
Thank u for such a great information😊. I have little fat protude under my one eye . What
Should I do to make it correct.
I notice these bags few weeks ago . I am 19 and i think this is due to loss of collagen under my eye.
Please help me , I am vey much depress😳😳 can more fat come down with time, and I have no fat on arms and front side, very thin skin body .I request you to reply my problem😢. Thank u once again for information
Hi Ankita Dwivedi,
Sorry to hear about your problem. The fat that causes eye bags has nothing to do with excess body fat. There is fat normally around your eyeball to cushion it that can push forward, causing eye bags. It's not likely to be due to collagen loss. You can watch the video closely to see how it's normally treated in my practice. I hope this clarifies things for you.
@@AmiyaPrasadMD Thank you for your suggestion and kindness☺
You're welcome,@@vishnuvishal5577!
Great info Doctor, but my question is whether or not Fillers or prp treatment ultimately further stretch the skin causing for a worse look after deciding to stop treatment?
I’m in Canada and would like to do something about my eye issue but need an honest point of view, what’s the best way to get in touch with you?
Thanks.
Hi leo,
Fillers don't stretch the skin, and I did make a video about why the don't - ua-cam.com/video/hx540qDFbrs/v-deo.html
Consultations are by appointment only, and do require a consultation fee, but the fee can be applied to the cost of treatment. Consultations can be arranged by our offices to be done remotely on a one-on-one video call on Skype or FaceTime. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Where are you located? can you recommend a doctor like yourself i n New Port Richey Florida? Thank you..
Hi audrey pistor,
Although I may know surgeons in Florida, we all have different aesthetic styles, and practice focuses. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I like to get my eye bags done.
Hi keinavang,
Let us know if we can help you with that. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I am 25, i have eye bags for last 3 years. Is it related to kidney disease. Because i am also very thin and under weight
Hi Sachin Suresh,
Sorry to hear about your problem. Kidney issues can cause temporary swelling that can appear like eye bags, but they are not always puffy. Eye bags that are always visible are likely to be caused by lower eyelid fat prolapse, as explained in the video. I only treat eye bags that are caused by prolapsed orbital fat, as I can sculpt and reduce the fat with surgery, or camouflage it in milder cases with filler. The cause of your eye bags needs to be diagnosed before I can recommend a specific treatment for you. I hope this helps you.
Hi Dr Prasad, in the event that insufficient fats have been removed in a transconjunctival blep, how soon can a patient undergo a revision? And is it via the same original incision? And any possible side effects or risks? Thanks.
Hi,
There is no external incision in transconjunctival blepharoplasty by definition. It is highly unlikely a revision is needed because results can be seen while still in the operating room, but generally revisions are not done until at least 6 months after the initial surgery.
@@AmiyaPrasadMD Hi Dr Prasad, I am referring to a transconjunctival blep where there’s an internal incision, not a transcutaneous blep. If a revision is required, will it be accessed from the same internal incision? Thanks.
Hi,
Sorry, I misunderstood your question. Yes, the incision through the conjunctiva can be used again, and a revision can be done in as soon as 1 month after the initial surgery, depending on the degree of post-operative swelling from the previous surgery. I hope this clarifies things for you.
@@AmiyaPrasadMD Thank you so much 🥺🙏
You're welcome!
You mentioned having to use a "large amount of hylaronidsaise". How much is considered a large amount?
Hi T. I.,
It depends on the area being treated, and the individual patient, so a large amount is relative.
Dr. Prasad. Does microneedling help with under eye bags?
Hi steven elton,
Microneedling does not sculpt or remove the prolapsed orbital fat that causes under eye bags. I hope this clarifies things for you.
Cost please?
Hi Sasha Brown,
We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I started having fillers under my eyes 4yrs ago and i had my fillers every year then now i had that tyndall effect. My under eye bags worsen because of that bluish color. Is the fillers can be dissolved although it’s already 4yrs ago when i had my first filler? Thank u so much
Hi GusiLey Gaming,
If you had a hyaluronic acid filler, it is possible that the filler became encapsulated, preventing normal metabolization, so it remained. In these cases, the filler can still be dissolved if the injection reaches the encapsulated filler. I hope this clarifies things for you.
great videos! congrats
Thank you, Doradztwo Medyczne! I hope you're finding the videos helpful.
Didn't quite understand the check & chin filler implants are they actually implants or injectable?
Hi Eliza Rodriguez,
Fillers are injectable, but implants require surgery to be placed. I hope this clarifies things for you.
Hi Dr. Can you do a virtual consultation? I have my under eyes bags removed, but I see the puffiness still there? Any advise?
Hi Norma Arenas,
Sorry to hear about your problem. Ideally I would have to examine your lower eyelids for residual prolapsed orbital fat. It is common practice to leave a little fat behind to prevent a hollow appearance.
Consultations are by appointment only, and can be arranged by our offices to be done remotely on a one-on-one video call on Skype or FaceTime. Consultations do require a consultation fee, but the fee can be applied to the cost of treatment.
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.