A: General anesthesia would be an unreasonable risk to take for such a mild procedure. We now have wonderful topical anesthetics that dull the initial stick. Restylane L has added lidocaine, so the injections of the hyaluronic acid will not be felt. We even now use blunt tipped needles or "micro-cannulas" so you really only feel pressure. A little verbal reassurance and hand holding should be the only other things you may need. I have found that closing the eyes, or looking up will prevent you from seeing the approaching syringe.
Q: The bluish-reddish discoloration under my eyes is really bothering me. If anyone could recommend a treatment (if a treatment is possible) or point me in the right direction I would really appreciate it.
A: If the discoloration is bluish, that is highly suggestive of sinus congestion and allergies. The blue is from venous congestion backing up blood flow from under the thin skin here. It is more noticeable in persons with sun damage that thins the skin and allows the color to show through. Using Renova and Lumierre eye cream at night and Lumierre and Sunscreen during the day is an important step to strengthen and thicken the skin. Using antihistamine/decongestants regularly should help reduce the inflammation and swelling. Regular use of saline nose spray, saline eye drops and the Netty Pot will all flush particulate allergens from the mucous membranes and sinus track to reduce allergy symptoms. Finally, some strategically placed Restylane, injected with a blunt cannula can fill in the indentation that accentuates the discoloration.
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Lupo Center for Aesthetic and General Dermatology
Mary P. Lupo, M.D. - Connect on Linkedin
Our mission at the Lupo Center is to provide patients with innovative, effective and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical and cosmetic treatments to all patients.
Board certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of Women’s Dermatologic Society, adjunct professor of dermatology at Tulane and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for approval of new drugs and devices and acts as an advisor for numerous aesthetic-minded companies.
