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The Sun will damage the skin even through a closed car window:

Even younger patients can have some degree of hollowness under their eyes. This hollowness, if pronounced, may gives the appearence of "fatigue" and "Poor- Health". Sometimes it is present in conjuction with dark circles, fine lines, or unsightly growth.

Many patients believe that surgery is the only option in treating these conditions. That is simply not true.

Over the past 10 years the list of facial "Fillers" has grown from one, namely Collagen, to over a dozen FDA approved products.

An intergral part of the consultation process is deciding which filler is perfect for you. Radiesse lasts 1-2 years but is too thick to use in the fines lines around the eyes or lips. Juvederm lasts about a year, but is more expensive. Fat is readily available but tends to resorb in certain areas (lips for instance) very qickly.

Here is how i approach a new patient...