For over 20 years Dr. Goldstein has treated patients with Botox for both cosmetic and medical conditions. As an ophthalmologist Dr. Goldstein has been trained to perform delicate procedures. His specialty focus on the area of the upper face and the eyes. In fact ophthalmologist were the first specialty to use Botox.
For some patients botox alone is not enough. New information about the aging face emphasis three main factors in aging, fat loss gravity and loss of skin elasticity. The traditional solution has been a face lift. Excess tissue is removed and the skin is tightened. About a decade later the fat loss, gravity and loss of skin laxity reappears to such a degree that surgery needs to be repeated.
Fortunately we live in an era where we have a much better understanding of the aging face and more options to solve the problem.
The loss of fat in the face is not being replaced with materials commonly known as fillers. The most common fillers are hyaluronic acid based fillers. As an ophthalmologist I first began injecting hyaluronic based materials into the eye to temporarily fill the eye for the purpose of restoring volume and simplifying eye surgery. So for using similar materials in the face was merely an extension of my use of these materials for filling purposes. Volume replacement with fillers combined with muscle relaxing with botox can go a long way to reverse the appearance of facial aging.
Other solutions include mild facial peeling to soften the appearance of the skin and reduce the thickening of the skin that comes with aging. Cosmeceuticals are physician supplied skin products that when used on a regular basis enhance the appearance of the skin.
The final modality is skin tightening. This is most commonly done with the use of radiofrequency devices.
In my office in collaboration with Dr. Belle Goldstein who completed a fellowship in dermatology at Sloan Kettering Memorial Hospital we are able to work with patients to improve facial appearance to achieve the goal of a younger looking face.