Miami Residesnts ask: Can You Combine a non-surgical brow lift with fillers?

Combining non surgical brow lift with fillers.
When the skin of the forehead area thins with age, the resultant sagging lowers the eyebrows and hinders how open your eyes look. The overall effect is that you look tired and angry. Brow lift surgery is often recommended to rejuvenate the forehead area by removing excess skin and fat, but this may be more extensive than what is needed in some cases. A nonsurgical brow lift relies on dermal fillers to add volume to the skin and reduce sagging.

Advantages of a Nonsurgical Brow Lift

Brow lift surgery may take several hours, and you will have at least two weeks of healing. After the surgery, you may experience tenderness, bruising and swelling, and you will have a permanent scar. A nonsurgical brow lift takes less than one hour and there is no downtime or scarring.

What Dermal Fillers are Used for a Nonsurgical Brow Lift?

Dr. Lewen uses a combination of neuromodulators and facial fillers for his unique nonsurgical brow lift procedure. Neuromodulators, such as Botox®, Dysport® and Xeomin® help with dynamic wrinkles that are caused by facial expressions. The lifting of the brow is achieved with dermal fillers, such as Restylane®, Juvéderm®, Radiesse® and Juvéderm® Voluma. The hyaluronic acid in Restylane®, Juvéderm® and Juvéderm® Voluma brings more water to the skin to provide hydration and volume. Radiesse® works by introducing microspheres that provide lift and increase the amount of collagen in the skin.

How Does a Nonsurgical Brow Lift Work?

Dr. Lewen recommends the nonsurgical brow lift for patients who have mild to moderate sagging in the brow and forehead area. You may notice these types of changes on your own, but we recommend that you be evaluated by Dr. Lewen to determine if you do have a sagging brow. If you are a good candidate, Dr. Lewen considers your anatomy and patterns of aging to select the combination of neuromodulators and dermal fillers that will rejuvenate the upper portion of your face. His treatment plan is based on using multiple injections of the appropriate products to carefully sculpt and lift the brow and forehead.

After Your Nonsurgical Brow Lift

You will see an immediate improvement in the area after the procedure. Gradually over the next four to six weeks, the area continues to improve. The results will last several months or longer, depending on the dermal fillers that are used. A nonsurgical brow lift will not stop the aging process, but it may delay the need for brow lift surgery.

Learn More About the Nonsurgical Brow Lift at Lewen Cosmetic Surgery

To learn more about Dr. Lewen’s innovative nonsurgical brow lift procedure, contact us to schedule a consultation.

Miami Residents Ask: Do Spider Veins Return After Treatment?

Spider veins are generally harmless condition, but the appearance of these red, blue or purple veins on the skin can be bothersome for some. In order to achieve clear skin, many people choose to pursue spider vein treatment. Below, we’ll examine spider vein treatment and the kinds of results that it can produce.

 What Are Spider Veins?

Spider veins are a type of abnormal vein condition that are smaller and closer to the surface of the skin. They may appear as red, blue, or purple tree branches or spider webs on the surface of the skin of the thighs, calves, ankles, face, and nose. Factors such as heredity, hormonal shifts, weight gain, pregnancy, or exposure to the sun can contribute to the development of spider veins. While they pose no threats to overall health, some people may feel uncomfortable with their spider veins and seek cosmetic treatment to lessen their appearance.

Treatment for Spider Veins

Spider vein treatment is a speedy procedure, usually lasting under 30 minutes, and is performed in the office. Additional sessions may be necessary to reach your final cosmetic goals, but you will be able to notice significant improvement after a single session. Recovery after treatment is relatively mild, as there are no restrictions on physical activity following the procedure. It is not uncommon for treated areas to appear slightly bruised or swollen within the first few weeks.

 Are Results Permanent?

Current treatments for spider veins have higher success rates compared to traditional treatments. Over a long period of time, however, spider veins may develop, especially if you frequently experience long periods of sitting or standing. This occurs because there is no cure for weak vein valves, despite successful treatment in the past. Although, any new spider veins that develop usually do so at a slower pace and typically not in the same spot they were successfully treated. One crucial step you can take to prevent new spider veins from forming is to wear graduated compression support stockings as much as possible throughout the day.
Contact Us to Get Started

As a leading oculofacial plastic surgeon, Dr. Gregory D. Lewen is uniquely qualified to treat spider veins on the face and nose. For more information or schedule a consultation, contact Lewen Cosmetic Surgery today. Dr. Lewen and his practice are proud to offer highly skilled services to the residents of Miami, Aventura, and the surrounding area.

Differences Between a Full Facelift and Mid Facelift in Miami, FL

Most people considering a procedure as drastic as a facelift do research before undergoing the procedure. It doesn’t take long to realize that there are many variations of the facelift procedure available, and you don’t always have to “go big or go home.” The full facelift is traditionally what comes to mind when we think about the procedure, but many cosmetic surgery practices now offer what is known as a mid facelift, a less extensive alternative. Below are three differences between the two procedures to help determine which is right for you.

 Areas Treated

The main detail that distinguishes a full facelift from a mid facelift is the area of the face that is treated in each procedure. The goal of a full facelift is to reverse sagging cheeks, excess skin at the lower jawline, and deepening folds of skin as a result of the natural aging process. While mid facelift procedures also aim to turn back the clock, they only target the middle third area of the face, such as the cheeks and the eyes, which is more likely to be seen in younger individuals.

 Recovery Time

One of the biggest reasons patients choose a mid facelift procedure over a full facelift is the lessened recovery time it allows. The mid facelift treats a smaller area of the face and therefore, Dr. Lewen is able to perform this procedure through very small incisions or even endoscopically. Since mid facelifts are less invasive than their more extensive counterparts, patients typically resume normal activities sooner.


Most patients that are considering a facelift procedure wonder how long their results are expected to last. This is yet another factor to consider when deciding between facelift procedures, as the answer changes, depending on the extent of the procedure. The mid facelift yields results that can last anywhere from 5 to 10 years. In contrast, the effects of a full facelift procedure are more dramatic and may still be seen for up to 15 years due to the extensiveness of the procedure.

Schedule Your Consultation

Lewen Cosmetic Center’s double board-certified plastic surgeon, Gregory D. Lewen, M.D., is South Florida’s leading plastic surgeon for mid-facelift procedures. If you live in Miami, Aventura, or the surrounding area, Dr. Lewen and his friendly team invite you to contact them with any questions regarding your mid facelift procedure.

Miami Residents Ask: Is Non-Surgical Rhinoplasty Permanent?

Rhinoplasty is one of the most sought-after procedures in the plastic surgery world. The popularity of this procedure can be attributed to its versatility in solving both cosmetic and functional concerns. However, many people who would be excellent candidates for the procedure are fearful of going under the knife. Luckily, plastic surgeons have discovered a way to provide this demographic with non-surgical rhinoplasty procedures that are also effective. While this is a fantastic alternative, you may be wondering if the results of non-surgical rhinoplasty are just as permanent as its more extensive counterpart.

What Is Non-Surgical Rhinoplasty?

Traditional rhinoplasty is a surgical procedure that aims to correct any functional and cosmetic concerns of the nose. The procedure is performed by removing skin, cartilage, and other tissues to mold the nose to an ideal shape. However, many patients are reluctant to undergo such an invasive procedure, especially if their concerns are only minor. In cases such as these, a plastic surgeon may recommend for a patient to have a non-surgical rhinoplasty performed instead. During this procedure, Dr. Lewen will select a number of facial fillers that satisfy the patient’s goals and desires. Rather than make any incisions, he will instead inject these fillers in and along the contour of the nose. One benefit of this route is that the effects of some facial fillers can be seen immediately, instantly improving the shape of the nose.

Recovery Time

One of the biggest draws to non-surgical rhinoplasty over traditional rhinoplasty is the significant reduction in recovery time. After a traditional rhinoplasty is performed, a patient can expect a recovery period of at least six weeks before they are able to return to their normal obligations with their new nose. In contrast, patients can resume normal activities immediately after receiving their injections. Minor side effects such as tenderness and swelling around the injection sites within the first few days are normal but uncommon.

Are Results Permanent?

Non-surgical rhinoplasty is not performed with permanent facial fillers. Therefore, the results will not last forever. However, non-surgical rhinoplasty procedures still produce beautiful, long-lasting results that can be touched up as needed for a fraction of the cost of a traditional rhinoplasty procedure.

Contact Us to Get Started

Dr. Gregory D. Lewen and his team are proud to offer non-surgical rhinoplasty procedures to the people of the Miami area. To inquire for more information or to schedule a consult, contact our office today. Lewen Cosmetic Center is conveniently located near Miami, Aventura, and the surrounding areas of Florida.

Miami Residents Ask: How Can I Fix My Droopy Eyelid?

A droopy eyelid may be caused by ptosis, a condition that indicates damage or abnormalities with the muscles or nerves of the eyelid. In these cases, treatments that are intended specifically for anti-aging may not produce the desired improvement. If droopy eyelids contribute to your look of being tired or sad, Dr. Lewen may recommend droopy eyelid surgery.

Diagnosing Droopy Eyelids Caused by Ptosis

The first step in finding the right treatment for the tired look of your eyes is to determine what is causing the sagging of the eyelid. Stretching of the muscles that control the eyelid are the most common contributing factor and may be caused by:

  • Aging
  • Trauma to the eyelid or eye area
  • Excessively rubbing the eyes
  • Complications from previous eye surgeries
  • Chronic infections
  • Abnormal growths
  • Improper use of contact lenses

Droopy eyelids may also indicate a loss of soft tissue or bone that normally provides structure for the skin and eyelid. Dr. Lewen considers all of these factors before recommending the most appropriate treatment.

Treatment Recommendations for Droopy Eyelids

Whether your droopy eyelids are caused by changes to the muscles, loss of soft tissue and bone or congenital ptosis, Dr. Lewen may recommend surgery. In most cases, tightening the muscles that control eyelid movement and positioning is adequate. He may also remove any excess skin or soft tissue that lend to the sagging appearance of the eyelid. If he finds that you have an abnormal growth that is weighing down the eyelid, he will determine the nature of the growth and recommend complementary treatment.

After Surgery for Droopy Eyelids

After your surgery for droopy eyelids, you see an immediate improvement. You may have some swelling, but your eye is more open than prior to the procedure. Dr. Lewen provides detailed instructions on how to ensure that your eye heals properly, and he will schedule follow-up appointments to monitor your progress.

Some steps that you can take to minimize sagging in your eyelids are:

  • Use proper sunscreen, even on cloudy days
  • Use high-quality professional skin care products that are designed specifically for the delicate skin of the eye area
  • Do not rub your eyes
  • Have any infections or unusual bumps evaluated as soon as you discover the issue

Learn More About Droopy Eyelid Surgery at Lewen Cosmetic Surgery

If you have drooping or sagging eyelids, or if you always look tired even when you feel rested, contact Lewen Cosmetic Surgery to schedule a consultation to learn more about droopy eyelid surgery.

Rid Dark Eye Circles with Tear Trough Fillers in Miami, FL

If you have ever had a bout of poor sleep or been out too late at night, you know that dark circles are a sign of being exhausted. In these cases, though, dark circles typically resolve with some hydration, food and good sleep. If you always have dark circles under your eyes, lifestyle changes may not do the trick. Discuss your concerns with Dr. Lewen, and he may recommend tear trough fillers for dark circles.

What Causes Chronic Dark Circles Under the Eyes?

The dark coloration under your eye is caused by thinning skin that allows the blood vessels and underlying tissues to show through the skin. The tear trough area between the top of your cheek and lower eyelid is highly vascular, meaning that there are a multitude of small vessels that carry blood to the face and eyes. The skin in this area is also very delicate, so the tear trough is more susceptible to revealing these vessels than other areas of your face.

How Do Facial Fillers Help with Dark Circles?

Facial fillers contain ingredients that add volume to the skin, either by stimulating collagen or increasing the amount of water with hyaluronic acid. This additional volume creates a deeper space between the surface of the skin and the network of blood vessels to hide the anatomical structures that cause dark circles. The fillers also help with any sunken appearance to the tear trough and bags under the eyes.

Who Can Perform Fillers for the Tear Trough?

Although dermal fillers are commonplace, few practitioners have the knowledge and expertise that is needed to appropriately perform tear trough fillers. Choosing an inexperienced injector to perform the procedure may result in damage to the nerves, delicate muscles and tiny blood vessels. As an oculofacial plastic surgeon, Dr. Lewen has an in-depth understanding of these structures, and performs the injections in the safest and most effective way possible. You may have some minor swelling, tenderness, tightness and minor bleeding, but these symptoms are common with any injectable dermal filler.

What to Expect After Tear Trough Fillers for Dark Circles

The benefits of tear trough fillers last at least several months before you need a follow-up treatment. Protecting your eye area from sun damage and using high-quality skin care designed for the delicate skin of the eyes may extend the longevity of your results. Dr. Lewen may recommend complementary treatments to further improve the skin around your eye area to give you a refreshed and rejuvenated look.

Are You Tired of Looking Tired? Contact Lewen Cosmetic Surgery.

If you are tired of always looking tired, we can help. Contact Lewen Cosmetic Surgery to learn about Dr. Lewen’s unique tear trough filler treatment for chronic dark circles under the eyes.


Miami Residents Ask: How Many Treatments are Required for Laser Hair Removal?

Shaving, waxing, and plucking are an unpleasant part of your hygiene routine, but having unwanted hair is even more troublesome. With laser hair removal, you can manage that unwanted hair quickly and easily. Best of all, the results may be permanent. The most common question we receive about laser hair removal is, “How many treatments are required for laser hair removal?”

How Does Laser Hair Removal Work?

Shaving cuts the hair at the surface and plucking or waxing yanks the hair out of the follicle. None of these techniques affect the way the hair grows, so soon after you treat your unwanted hair, it comes right back. Laser hair removal is unique because it changes the follicle so that it does not grow hair as well as before treatment. With repeat treatments, the follicle may stop producing hair altogether.

Why Do I Still Have Hair After Laser Hair Removal?

Every hair on your body follows a set growth cycle that has four stages. In the first stage (anagen), the hair is growing. Most of the hair that you have right now is in this stage. Next comes catagen, or the transition stage. Over two to three weeks, hair growth stops, and the connection to the blood supply is disconnected. In stage three or telogen, the hair rests inside the follicle, yet receives no nutrients from the bloodstream. This is when a new hair starts to form under the old hair shaft. In the fourth and final stage, the hair falls out of the follicle. If you see hair after your laser hair treatment, chances are that those hairs are in different stages of growth and will fall out in the days or weeks after your laser hair treatment.

How Many Treatments Do I Need to Eliminate All the Hair?

The number of treatments to remove all the hair varies by person, hair type and treatment area. Dr. Lewen uses the LightSheer® Duet™ system for laser hair removal. This system is proven to reduce treatment times by up to 75% compared to other laser hair removal systems. Most of the hair will be gone with the first treatment, but you may need some spot treatments over the following weeks. Each treatment takes 20 minutes or less, and typically we can achieve total hair removal with two to three treatments.

Find Out More About Laser Hair Removal at Lewen Cosmetic Surgery

If you are interested in laser hair removal, contact Lewen Cosmetic Surgery to schedule a consultation. Dr. Lewen uses the LightSheer® Duet™, considered the “Gold Standard” of laser hair treatments.

How to Fix Chronic Puffy Lower Eyelids in Miami, FL

Having occasional puffiness under your eyes is normal. You may not be getting enough sleep or drinking enough water. Chronic puffiness, though, may be a sign of other issues that are developing in your under eye area. While these concerns do not necessarily require attention from your physician, puffiness certainly does affect the way you look and feel. Dr. Lewen offers lower eyelid surgery to remedy chronic puffiness under your eyes.

What Causes Puffiness Under the Eyes?

Chronic bags under the eyes and puffiness may indicate age-related changes that are occurring to the tissues. The muscles in the area may be weaker than when you were younger, and this allows the tissues to sag. As you age, the fat in your face sags, and this causes folds in various areas, including under your eyes. Poor skin elasticity is another reason that you may have chronic puffiness, and the condition can also be related to excess fluid in the tissues.

Start with Lifestyle Changes

Before you consider surgery for the bothersome bags under your eyes, Dr. Lewen recommends that you make some lifestyle changes to see if you can remedy the problem on your own. His recommendations include:

  • Getting better quality sleep, both in the amount of time you sleep and how deeply you sleep.
  • Increase your activity level.
  • Stop smoking.
  • Speak with your physician about any allergies that may be causing puffy eyes.
  • Drink more water throughout the day.
  • Reduce the amount of salty foods you eat.

If these techniques do not help with your chronic puffy eyelids, you may be a good candidate for lower eyelid surgery.

How Does Lower Eyelid Surgery Help with Puffiness and Bags Under the Eyes?

Like other cosmetic concerns, chronic puffiness under the eyes can be hereditary. Dr. Lewen uses a surgical technique to address the most common causes of chronic puffiness. An incision is made along the lower eyelashes to access the deep tissues. He may reposition the fat or remove any excess fat. The muscles are tightened with sutures, and any extra skin is trimmed. This approach rejuvenates the under eye area and helps reduce puffiness and bags.

Can Dermal Fillers Be Used for Bags Under the Eyes?

Dr. Lewen may recommend a non-surgical lower eyelid lift to help with your puffiness. This may be a standalone procedure or performed in conjunction with surgery to refine the results.

Is Lower Eyelid Surgery Right for You? Contact Lewen Cosmetic Surgery.

If you have tried every technique possible to eliminate the bags under your eyes and now find yourself using concealer to look refreshed and younger, you may be a good candidate for lower eyelid surgery. Contact Lewen Cosmetic Surgery to schedule a consultation and discuss your options with Dr. Lewen.



What are My Non-surgical Options for an Eyelid Lift? Asks Aventura Residents

If you have noticed that your eyelids are drooping or seemingly more hollow as you mature, then you may feel that your appearance is more tired, haggard and less enthusiastic than you would like. This can be a frustrating realization for anyone who is energetic but sees a face in the mirror that does not reflect this sense of vitality and vigor. The good news is that an eyelid lift can be an excellent option for reversing this sign of aging. What if surgery is not part of your plan? For those seeking a non-surgical option for an eyelid lift, here is information you should keep in mind:

Facial Fillers are Key

The secret to a successful non-surgical eyelid lift is in using the appropriate facial fillers to enhance volume in the eyelids. As the skin begins to lose volume, the eyelids may sag, or appear deflated. As a result, a facial filler can restore the buoyancy and youthful glow to the face, creating a non-surgical lift with impressive results.

Recovery Time is Greatly Reduced

Given the minimally-invasive nature of this procedure, combined with Dr. Lewen’s experience with advanced injection techniques, downtime after a non-surgical eyelid lift is much shorter than from a traditional surgical procedure. Many of our patients experience minimal or no discomfort, though some bruising and swelling can be expected.

As with all procedures, recovery time will vary depending on the individual and the volume of product used for the lift. Patients are free to resume normal exercise after 24 hours. Results are immediate; however, the full results will be visible after allowing a full two weeks for the product to settle.

Consider Adding Additional Non-Surgical Procedures

Many of our patients find it convenient to include other non-surgical procedures with their non-surgical eyelid lift. Some of the most common minimally-invasive procedures to combine are cheek fillers, skin resurfacing, temple filler rejuvenation and tear trough filler rejuvenation. During your consultation, Dr. Lewen will discuss what combination of non-surgical procedures would be best to help you achieve your desired goals.

Schedule Your Consultation Today

If you are dissatisfied with the drooping of your eyelids, but not quite ready for a surgical solution, our non-surgical eyelid lift might be just what you need. With the use of effective facial fillers, we have helped countless patients all over Florida achieve the lifted, brighter look they were seeking. We look forward to helping you achieve your own aesthetic goals. When you are ready to take the next step, do not hesitate to contact us.

Aventura Residents Ask: How Long is Recovery After Upper Eyelid Surgery?

The eyes are often heralded as the windows to the soul, but if your eyelids have begun to droop and sag then you may feel as though your windows are not quite as radiant as you would like them to be. The good news is that eyelid surgery can be beneficial for addressing drooping eyelids and reviving the look of your face. And if upper eyelid surgery is what you are seeking, then we are here to help. Here is what you need to know about recovery after upper eyelid surgery.

Common Add-on Procedures to Eyelid Surgery

The current technology of the CO2 laser allows upper eyelid surgery, also known as upper blepharoplasty, to be more advanced and precise than ever before. As a result, the procedure causes considerably less bruising and bleeding than earlier surgical approaches, which can lead to a shorter recovery time. However, for some patients, a traditional surgical method is more effective.

Although recovery time will vary depending on the individual, and on the type of procedure performed, we recommend scheduling your upper eyelid surgery for a time when you will be able to rest for one to two weeks, avoiding strenuous activities, lifting and bending.

Side Effects Are Minimal

One of the most common side effects of upper eyelid surgery is dry eye. In an effort to counteract this, it is likely that Dr. Lewen will advise you to use artificial tear drops regularly before and after your procedure.  Rest assured, the details of your recovery will be discussed in depth during your initial consultation.

Ongoing Skincare is Key

While upper blepharoplasty will improve the appearance of your eyes and will enhance the natural youthfulness of your face, it cannot stop the gradual changes brought about by aging. However, proper skin care and sun protection will help to maintain the longevity of your look, so that you can enjoy the results of your upper eyelid surgery for many years to come.

Brighten Your Eyes Today

Upper eyelid surgery is a popular procedure amongst men and women alike, for its ability to revive and brighten the eyes. At Lewen Cosmetic Surgery, we have already helped countless patients in Miami, Aventura and the surrounding Florida communities to enhance their naturally youthful appearance with this impressive procedure. If you have questions or would like to schedule a consultation, do not hesitate to contact us.