Our Blog - Dr Flora Levin

Eyelid Rejuvenation Recovery Tips You Can Easily Follow

Eyelid rejuvenation procedures are widely popular today. While some patients achieve their desired outcome using injectables and others may undergo a series of microneedling treatments like Morpheus8,  there are good reasons to consider the benefits of blepharoplasty over nonsurgical modalities. Seeing that the prospect of recovery is one of the factors that may create apprehension for many patients, we are offering a few simple expectations and tips here.

Preparation is Everything

You wouldn’t go into a big meeting without first becoming familiar with the topic at hand. You wouldn’t approach a special event like a wedding without spending some time finding the perfect outfit and perfect gift. Eyelid  surgery is no different than either of these situations. The more prepared you are before surgery, the more easily you can breeze through recovery.

  • Arrange 1 week off work and domestic obligations for upper eyelid surgery, 1-2 weeks for lower eyelids, and 2 weeks if upper and lower eyelids are being addressed. This can be a bigger challenge than people imagine. When you’re used to holding down the fort, allowing someone else to take the reins can feel like cheating in some way. Patients who are prepared for their emotions about taking time off fair much better than those who aren’t.
  • Read through pre and post-op instructions before surgery so you know what to do well in advance of having to do it. Patients should fill prescriptions ahead of time and obtain necessary supplies such as gauze pads or ice packs to use cold compresses on swollen tissue. An extra pillow or two may also be needed to support an elevated sleeping position.
  • Get some new accessories. A wide-brimmed hat and some large dark sunglasses are wonderful accessories to have after blepharoplasty because you will need to avoid sun exposure for some time (the longer, the better). Sunscreen should also be worn daily.
  • Keep your eyes on the prize. The fact is, most people don’t do well in the waiting game. This can be especially true after surgery like blepharoplasty. We understand! You’ve seen your tired-looking eyes in the mirror every day for who knows how long. Now that you’ve made the commitment to resolve your concerns, you want to see results. Rest assured, they will come. A little patience is needed for a couple of weeks, but then the reward is yours to enjoy for many years.

Patients of our Westport, CT office have options for eyelid rejuvenation. To explore yours, call (203) 557-6464.

Morpheus8 RF Microneedling Westport CT

New Year, New Look

A new year tends to give us several things to look forward to. There are new memories to be made, new goals to achieve, and also the opportunity to recreate our lives to a certain degree. What many of us wish to recreate is our look. More than an actual recreation, it’s more of a rejuvenation that is usually needed. In our Westport, CT office, we’ve got two nonsurgical ways in which a new look can be easily achieved, Morpheus8 and EmbraceRF. We’ll discuss each skin revitalizing treatment here, including what they can do for you.

What is Morpheus8?

Morpheus8 is a radiofrequency device with a unique delivery method. Many RF devices work by passing a handheld applicator over the skin. Morpheus8 delivers radiofrequency through microneedles. The combination of microneedling and radiofrequency affects the deep layers of the skin, where the building blocks to firmness, texture, and tone can be reorganized. The microneedles of the Morpheus8 are coated to protect the epidermis and send radiofrequency energy deeper into the dermis, where new collagen and elastin can be produced in response to controlled heating.

Being a collagen-stimulator, Morpheus8 can improve several aspects of the skin. This technique is commonly used to treat active acne and acne scars as well as the common signs of aging, including discoloration, wrinkles, and mild tissue laxity.

What is EmbraceRF?

Why have two radiofrequency treatments when Morpheus8 is so good? Because there are different levels of cosmetic aging and we want to meet them. EmbraceRF is a combination treatment, as well. This procedure combines the RF microneedling of Morpheus8 with the radiofrequency-assisted lipolysis of FaceTite.

FaceTite is a nonsurgical fat-reduction treatment that targets fatty deposits with controlled RF energy via a small internal probe. When RF melts affected cells, a tiny cannula suctions them away. At the same time, a probe that runs along the outside of the skin sends radiofrequency through the epidermis. This “sandwiches” energy in deeper layers of the skin for significant tightening.

Where a person may need multiple Morpheus8 treatments, EmbraceRF achieves dramatic results with just one session. Downtime is slightly greater with EmbraceRF, requiring patients to wear a compression wrap for a few days to minimize swelling. After a few days, the wrap can be worn at night only.

Renew Your Sense of Confidence with Powerful RF Treatment

We enjoy helping patients feel great about their appearance. To explore what our radiofrequency treatments can do for you, schedule an appointment with Dr. Levin at (203) 557-6464.

Dermalinfusion Sends Dark Spots Packing

You may apply sunscreen as often as you can remember and also use sun-smart strategies on long days outdoors and still notice the effects of UV exposure. One of the telltale signs that the sun has kissed your skin one too many times is mottled tone. This is also commonly known as sunspots. Once dark spots begin to appear on the epidermis, they can be quite a challenge. In our Westport practice, we may turn to Dermalinfusion treatments to address this stubborn problem.

Dermalinfusion is a perfectly-timed treatment that combined gentle microdermabrasion with an infusion of nourishing product. To begin dislodging discolored cells from the epidermis, this treatment uses a diamond-tipped wand that carefully ablates the uppermost layer of the skin. The process is so gentle that it is comfortable without the need for numbing cream. On its own, microdermabrasion can lighten surface dark spots. During Dermalinfusion treatment, it is just the first of two powerful steps.

One of the details of Dermalinfusion that differentiates this procedure from others is the timely delivery of proprietary serums. A pre-selected serum is applied to the skin at the precise moment that it is most ready to absorb after microdermabrasion. Some serums are made to reduce fine lines and wrinkles, some are made to inhibit acne, and one is formulated with patented peptides that inhibit a melanin-producing enzyme in the skin. Without the activity of this enzyme (tyrosinase), the skin looks brighter and evener.

Managing Sunspots

Pigment production can become problematic due to hormones, sun exposure, and other triggers. In addition to lightening existing spots, it is advantageous to also develop skincare habits that decrease the development of new ones. Studies suggest that using products with retinol and glycolic acid can achieve this.

Retinol is a form of vitamin A. When applied to the skin, it helps to eliminate skin spots by supporting the body’s natural exfoliation processes. By speeding up exfoliation, retinol can manage several problems simultaneously, including dark spots and fine lines. Glycolic acid is a form of alpha-hydroxy acid that also accelerates natural exfoliation. The two may be incorporated into your skincare regimen but should be used carefully. For best results, experts suggest a formal skin evaluation and the use of medical-grade products.

We can help you manage the effects of summer. To schedule a consultation for dermalinfusion or a professional chemical peel, call (203) 557-6464.

PCA Chemical Peel Westport, CT

Peel Your Way to Healthier Skin

We want the best for our patients. In addition to correcting moderate to severe signs of eye aging with surgical lifts, Dr. Levin has also equipped our office with multiple nonsurgical modalities. Some tighten skin, some fill lines and creases. Our PCA chemical peel process provides the support that skin needs at every age.

What is a PCA Chemical Peel?

It doesn’t do justice to describe this cosmetic treatment as a chemical peel. The PCA peel does follow the standard protocol of the traditional peel in that the process involves the application of a mild chemical agent to exfoliate the uppermost layers of cells. Where this treatment differs is in its progressive technique. Multiple treatment sessions are included to get the full effect of each exfoliating process. Due to the precise scheduling of each appointment, the PCA peel achieves outstanding results without the discomfort and downtime of a deep chemical peel.

How Your Skin can Improve

Light chemical peels like ours rejuvenate the skin gradually. Some patients experience nothing more than transient flaking as their treatment encourages old, dead cells to fall away. As this process continues, it is possible to see an improvement in:

  • Hyperpigmentation related to aging, dermatologic conditions, or damage to the skin.
  • Spots and redness caused by sun damage and aging.
  • Blemishes from acne and rosacea.
  • Enlarged pores that can decrease the skin’s radiance.
  • Excessive oil production.

What to Know About Planning Your Peel

Chemical peels are excellent for times of the year when the sun is milder and we tend to stay indoors more frequently. The PCA peel is a gentle procedure during which most patients experience minor stinging or warming sensations. Three to five days after treatment, flaking may occur. This should not stand in the way of normal activities. The skin may also feel tight or dry. This can be managed with appropriate moisturizing as recommended by our office. Tips for maximum results include:

  • Avoid exfoliating your skin for 10 to 14 days after your peel.
  • Avoid rubbing or picking at flaking skin.
  • Use broad-spectrum sunscreen when outdoors, even for a short time. Try to limit sun exposure for up to 14 days after your peel.
  • Postpone swimming and activities that make you sweat for 48 hours after your treatment.
  • Avoid tanning bed use for at least 3 weeks after each peel.
  • Talk with our team about the best skincare products for your skin.

Fall into great skin this year by working with us. Call (203) 557-6464 to learn more about chemical peels and other skin-enhancing services.

Types of Wrinkles and How Botox can Treat Them

BOTOX & Dysport Westport, CT If you live, you age; there’s absolutely no way around this at the moment. What we find most often is not that our patients don’t want to age, but that they want to know how they can maintain and manage their appearance as the signs of aging develop. To date, Botox and Dysport have had a meaningful impact on the concept of anti-aging. Here, we discuss a few of the common types of wrinkles for which Botox may be ideal.

What Muscles Have to do with Wrinkles

Most people know that the skin loses resiliency with age. In some places, the skin becomes paper-thin. In other places, skin just gets saggy and wrinkled. What flies below the radar is the impact of facial muscle movement. Contrary to the weakening that affects the skin, contractions in facial muscles lead to strengthening over time. So, the older we get, the stronger and more consistent the contractions in facial muscles tend to be. This is why some people live in a perpetual frown. But rather than choose to never express emotions again, what most people do about muscle-related wrinkles is reduce or eliminate them with Botox.

Because Botox works on muscle tissue, this product is ideal for certain wrinkles only. These include:

  • Frown lines. Also referred to as glabellar lines or 11’s, the vertical lines between the eyebrows make the face appear angry.
  • Crow’s feet. Lines at the outer edges of the eyes occur when we laugh and smile. Over time, they remain even when the face is at rest.
  • Worry lines. Horizontal lines on the forehead result from raising the eyebrows. Interestingly, many people develop these lines by contracting the frontalis muscle in an effort to reduce the heavy look and feel of aging eyelids.
  • Bunny lines. This type of wrinkle sounds cute, but it can be quite a frustrating problem. Bunny lines run horizontally across the bridge of the nose. If this wrinkle exists, it may be treated alongside frown lines for more proportionate results.

Botox may also be used to reduce chin dimpling or to raise the corners of the mouth. On the lower face, however, most lines and creases are treated with dermal fillers.

When performed by an experienced provider, Botox has an excellent safety rating and high satisfaction rate among patients. To learn more, call our Westport office at (203) 557-6464.

Dark Circles Under the Eyes: Why You Have them and What to Do about Them

Restylane® Westport, CTDark circles under the eyes can make a person appear tired and generally unhealthy. Because of this, many adults seek treatment for this cosmetic concern. Here, we discuss why dark circles develop and how this problem can be addressed in under an hour.

Why You Have Dark Circles

In most areas of the body, the skin is approximately 2 millimeters thick. Around the eyes, the average thickness of the skin is a mere .5 millimeters. The thin nature of skin around the eyes is the primary reason why dark circles and other concerns happen more readily than on other parts of the face and body. When skin is thinner, tiny blood vessels beneath the skin can be seen more easily. However, they don’t appear as noticeable veins like spider veins, they appear as diffuse discoloration.

We often assume that we have dark circle because we aren’t getting enough sleep or because we may be deficient in certain nutrients. Not so. According to studies, genetic makeup is a significant factor in dark circles beneath the eyes. Nasal congestion is another. Finally, we tend to see more darkness beneath the eyes as we age because fatty tissue in this area decreases or shifts, causing a shadow effect.

Regardless of the cause, dark circles are not a problem you have to live with.

What to Do about Dark Undereye Circles

In our Westport, CT office, we specialize in helping men and women address conditions that affect the appearance of their eyes. For dark circles, the solution may be as simple as a few injections of Restylane. However, not everyone is a candidate for non-surgical means – some patients are better surgical candidates to given them them best results.

Restylane is a well-known dermal filler line that is made using hyaluronic acid. Hyaluronic acid is an organic sugar compound that the body uses to lubricate joints, eyes, and to moisturize skin. This sugar works by absorbing water molecules to create a cushion effect. When injected beneath the skin, hyaluronic acid becomes a type of sponge that expands by attracting and holding water.

The use of dermal fillers to fill in sunken areas beneath the eyes has become a common non-surgical approach to correct dark circles. The amount of product needed is ultimately determined by each person’s facial anatomy. Mild to moderate dark circles may improve with approximately 1 ml, or one syringe, of Restylane for each eye.

Look more like the Real You by banishing dark circles. Call our Westport office at (203) 557-6464 to schedule your undereye treatment.

10 Common Myths About BOTOX®

myths about botoxThere are many common myths out there concerning BOTOX® and its uses. Here are some of the most common myths that Dr. Flora Levin hears from patients, and the truth behind them.

Schedule an Appointment Today – (203) 557-646


#1: Botox is toxic and nobody knows long term effects

FACT: Botox is a neurotoxin derived from Clostridium botulinum, an organism found in the natural environment where it’s largely inactive. It has been used since the 1980’s so we do know a lot about it.

#2: Botox will give me a “frozen” or expressionless look

FACT: A “frozen” look usually is a result of overdosage. An experienced injector would know how many units to inject to get the desired effect but also look natural.

#3: Botox can erase all my wrinkles

FACT: There are 2 types of wrinkles: dynamic & static. Dynamic wrinkles are present with facial movements, static wrinkles are there at rest. While Botox can help improve both kinds of wrinkles, static wrinkles may need additional treatments, such as fillers or laser.

#4: If you stop doing Botox, the wrinkles will get worse

FACT: If you decide to stop using Botox, the wrinkles will gradually return with repeat movements. Botox will not worsen them.

#5: Botox injections are painful

FACT: This is not a painful procedure

#6: Once you start, you can’t stop

FACT: There are no addictive properties to Botox. People keep doing it because it makes them look younger and fresher (and therefore feel good)

#7: Botox will affect my body

FACT: Botox only works on the muscles where it’s injected. It cannot spread to distant areas

#8: Botox is permanent

FACT: It lasts 3-4 months

#9: Botox is only used to treat wrinkles

FACT: Botox is used for many medical purposes, such as muscle spasms and migraines

#10: Botox and Fillers are the same thing

FACT: Botox and dermal fillers are totally different substances but can be used together (or separately) to treat age-related problems.

Did you think any of these myths were true?

To find out if BOTOX® is right for you, contact us or call us today at 203-557-6464!

Blepharoplasty Questions Worth Asking

Eye Lift Westport, CTAs interest in eyelid rejuvenation has increased, it has become easier for patients seeking cosmetic improvement to obtain the procedure they believe will turn back the clock. As beneficial as blepharoplasty can be, the procedure itself is only one aspect of achieving desirable results. We wholeheartedly believe that an informed patient is the best patient. The more you know about blepharoplasty and who will be conducting your procedure, the better your chances are of loving the outcome of your surgery.

Here, we discuss four questions worth asking your plastic surgeon.

  1. Do I need an upper blepharoplasty only or a combination of upper and lower? There are a few ways that one might approach their journey to a rejuvenated face. One is to correct only the most concerning problems. For some people, the upper eyelids show the signs of aging first. Sagging, heavy skin can be corrected with the upper blepharoplasty procedure. However, there is merit to also having your surgeon evaluate the tissue on the lower lids and discuss how the results of upper eyelid rejuvenation may harmonize with the lower eyelids. Dr. Levin is a conservative oculoplastic surgeon who performs blepharoplasty only as needed to achieve the improvements a patient requests.
  2. Does an upper blepharoplasty need to be combined with a forehead lift? The eyelids and the eyebrows play off of one another. With age, it is natural for the eyebrows to descend and droop. As a result, the skin on the upper eyelids looks heavier, sometimes redundant. Almost all patients who seek upper blepharoplasty have some degree of brow drop. However, this does not mean that every upper blepharoplasty should coincide with a brow lift or forehead lift. In many cases, outstanding results can be achieved with a combination of eyelid surgery and injectable treatment to minimize the downward pull on the brow.
  3. Does ethnicity play into the surgical approach to eyelid rejuvenation? This is an important question to ask a surgeon because it can alert you to their overall experience performing blepharoplasty. Overall, blepharoplasty is a fully customized procedure in which an appropriate technique must be applied in order to improve eyelid contouring without disrupting the natural characteristics of the eye.

Learn more about upper blepharoplasty. Call our Westport, CT office at 203-557-6077 to schedule a consultation with board-certified oculoplastic surgeon Dr. Flora Levin.

Are Eyelash Extensions Safe? | Westport CT

Are Eyelash Extensions Safe?

Do you want fuller longer lashes? Here are a few things to consider about eyelash extensions safety:⠀

1. What are eyelash extensions?

They are individual fibers that are glued onto your own lashes to enhance the appearance of length and fullness. Most eyelash extensions are made from synthetic fibers, such as nylon, and are bonded using glue. Silk is another fiber used. There are even mink lashes, made of natural fur. ⠀

2. Are lash extensions and glue safe for eyes?

The main ocular risks include trauma or infection of the eyelid or cornea, allergic reactions to the glue, and permanent or temporary loss of eyelashes. ⠀

  • Ingredients in the glue can cause allergic reactions. This can cause pain, itching, redness and swelling. It may temporary interfere with vision. Eyelash extensions and glue are not currently regulated by the FDA. ⠀
  • Rubbing, tugging or pulling can fracture your natural lashes and even cause damage to the hair follicle. ⠀
  • Some ophthalmologists believe that eyelash extensions may increase your risk of dry eyes. Longer, fuller lashes create a fan-like effect with each blink, increasing air flow on the surface of the eye that can cause dry eye symptoms.

3. How to do eyelash extensions the right way?

Carefully look at the salon, the aesthetician and the ingredients of the products. You don’t need a degree to apply eyelash extensions but the procedure requires a lot of skill, often compared to microsurgery. ⠀

  • Does the salon have a good reputation? How long have they been in business and do they practice good hygiene? Read reviews and look at before-and-after photos of their customers. ⠀
  • What training, certification and experience does the aesthetician have in lash extensions?⠀
  • Ask about the glue’s ingredients list and check for allergens. Confirm that the expiration date has not passed. Request a spot test on the inside of your wrist before the glue is applied to your eyes.

4. If you have an allergic reaction, do not try to remove them yourself, as this could damage your eyes. See an ophthalmologist. ⠀

5. Go natural – as with other cosmetic procedures, nobody else should know that you have had something done.

Questions? Call Dr. Flora Levin today for more information on eyelash extensions.

What is it Like to Have Upper Blepharoplasty?

Eyelid Lift Westport CTMillions of men and women have undergone eyelid rejuvenation to obtain long lasting results from their treatment. Even in light of the benefits of Botox for lifting a drooping brow, upper blepharoplasty is a popular choice for refreshing the appearance of the eyes. Dr. Levin is an oculofacial plastic surgeon with extensive training in eyelid surgery and rejuvenation. Employing proven surgical techniques, she helps patients transform their appearance from tired to energized without much downtime at all.

Why is Upper Blepharoplasty Done?

It’s easy to say that people have upper blepharoplasty because they want their eyes to look younger and more open. However, we want to take a look at the aging process that affects the appearance of the eyes in the first place.

When we blink, the elastic fibers in the tissue of the upper eyelids (and lower, as well) stretch ever-so-slightly. Additionally, the levator muscle that holds the eyelid in normal position also pulls with blinking. Before the aging process begins, the skin has sufficient volume and firmness that is provided by collagen and fatty tissue. Over time, biological changes deplete the body of these and other vital substances, leading to more pronounced sagging in the upper and lower eyelids.

How Upper Blepharoplasty Rejuvenates the Eyes

Upper blepharoplasty is a minimally-invasive procedure that is typically completed in less than an hour. Before the procedure, which is conducted in the office, a local anesthetic is administered to the cleansed eye area. A mild sedative can also be provided to ease nervousness. Dr. Levin carefully observes the eyelids in open and closed positions and then marks the surgical area to guide tissue positioning.

Upper eyelid rejuvenation is not solely about removing excess skin. To achieve the best possible result, fat may be redistributed or removed, and the levator muscle may be repositioned to hold the eyelid in an optimal resting place. Each eye is observed, marked, and refined to achieve the symmetrical results we desire. Discreet incisions are closed with sutures that will be removed after 5 to 7 days.

Learn More about Upper Blepharoplasty

Upper blepharoplasty is a common procedure in cosmetic surgery today. Using advanced eyelid lift techniques, Dr. Levin reduces surgical risks and improves patient outcomes. We are proud to serve patients from Westport, Norwalk, Fairfield CT and surrounding areas. To learn more about upper blepharoplasty and what it can do for you, call 203-557-6464.

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