Because surgery is not required for the correction of every case of tear trough deformity, Dr. White uses the consultation process to tailor the treatment to the unique requirements and desires of each patient. Many patients do not require any surgery at all and achieve successful rejuvenation solely through the use of injectable dermal fillers such as Restylane® or Belotero Balance® that fill in the tear trough depression.
Fillers can also be combined with platelet-rich plasma (PRP), which thickens the collagen layer of the skin to reduce the appearance of dark circles. SELPHYL® is the PRP kit utilized in the Vampire Facelift® process. This lunchtime procedure entails Dr. White taking a small sample of your own blood. The sample is then spun in a centrifuge, and the protein-rich platelets are separated from the red blood cells. A gel is produced which contains concentrated collagen-stimulating proteins, and this substance is gently injected into the skin under the eyes.
This material creates what is known as a platelet-rich fibrin matrix (PRFM), which has significant healing abilities. When used in conjunction with a dermal filler, lost tissue is restored, causing the area to smoothen and dark shadows to be diminished. When injectables, with or without PRP, cannot sufficiently eliminate bagginess, Dr. White may recommend lower eyelid surgery (blepharoplasty).
