No one can escape the aging process, but a multifaceted approach including home skin care, minimally invasive office procedures and even cosmetic surgery can help reduce and reverse the changes encountered over time. Scott M. Goldstein, MD and the oculoplastic surgery department of Tri-county Eye are very experienced in office based cosmetic services like the use of Botulinum Toxin, facial fillers and skin care as well as cosmetic surgery to the eyes and face. Our goal is to help you look your best! Rejuvenation techniques can help restore and maintain a more youthful appearance for everyone.

Wrinkles, Wrinkles everywhere! A multitude of factors lead to aging and wrinkling in the skin. After years of facial movement, facial lines start to linger and become more pronounced. For women, whose faces tend to be more animated, and who have more delicate skin, these lines may appear exaggerated and more permanent. Wrinkles in the skin, particularly on the face are caused by four factors: Muscle movement pulling on the skin, sun damage, cellular age related changes and smoking. Botox® works by weakening the muscles that pull on the skin, the main factor causing the lines between the eyebrows and at the outer corners of your eyes. Botulinum Toxin injections are one of the most effective treatments to soften and even eliminate wrinkles. These are typically administered about every 3-4 months for the best results.

Botulinum toxin was actually first used by ophthalmologists, and still is, to treat spasm disorders effecting the eyelids & face, as well as for treating double vision. Since most cosmetic injections are close to the eye and have potential side effects, it is the ophthalmologist above all others that understand how Botox® works, how to administer it, an how to avoid complications.

Our faces are all unique in many ways but time takes the same toll on all of us. As we age, gravity pulls things down, ultraviolet sun rays damage the collagen and elastic fibers of the skin and the soft tissues ultimately sag and deflate. In rejuvenating your appearance, surgery has always been the gold standard to lift and sculpt the sagging tissue around the eyes and face.

In the 21st Century, tissue re-inflation with filler injections has become a main ingredient in the recipe of facial sculpting. There are multiple fillers available today, and are geared toward replacing lost volume and encouraging new collagen production. Injections can be administered all over the face to accomplish an overall improvement in lines, wrinkles and sagging. Common areas for filler injections are the folds next to and below your mouth, underneath your eyelids, into your cheeks, and the lips. Dr Scott Goldstein has extensive experience treating all these areas with many of the fillers that have been on the market, including Restylane, Restylane Silk, Perlane, Juvederm, Voluma, Radiesse, Sculptra and fat injections.

Facial peels are another great adjunct in treating wrinkles and skin pigmentation issues around the face to create a healthier, more youthful appearance. These procedures are used in various combinations to tighten and improve your skin quality. Superficial Glycolic peels are “lunch time” procedures that restore the luster to your skin. Medium depth peels like Trichloroacetic Acid peels, burn the skin in a controlled fashion to strip away pigment, blemishes and wrinkles. Non ablative and ablative Lasers also can be utilized to treat red spots, brown spots and wrinkles in the skin. We also offer non-ablative RF skin tightening procedures using the Pelleve system from Ellman.

Our skin care products from Jan Marini along with Botox, fillers, and peels are the best foundation to start to protecting and improving your skin at Home. Finally, with significant facial laxity and sagging brows, eyelids, cheeks or face, surgical lifting procedures may be a better option to rejuvenate areas the face. The bottom line is that a combination of these skin products and procedures is often the best way to improve and rejuvenate your facial appearance.