Dr. Gregory D. Lewen, MD, FACS

Approach

• I think the treatments that you've done so far are good treatments for the skin, but I think you're kind of realizing what the limitations are with just treating the skin in an area where your main issue is its volume
• When I was in LA, one of the consultations said if I was not ready for surgery, they would do filler, but in my research, I just don't
• So when you ask, for example, like, why are the eyelid, cheek, the midface addressed together? I think this really demonstrates why those two areas are really part of the same whole picture

Specialization

• Specializes in Oculofacial Plastic Surgery.
• The practice performed ptosis repair.

Technique

• If you don't chemically dissolve it by injecting the enzyme beforehand, then there's no way to know that you actually got rid of all the filler

Consultation

• During the consultation, the practice measures, analyzes, and uses ultrasound where needed to get the full picture.

Recovery guidance

• Dr. Gregory D. Lewen advises patients that if they have received filler and later decide to undergo a procedure like lower lid blepharoplasty, the filler must be dissolved, as it does not naturally dissipate quickly.

Safety

• So we don't ever want to do anything to harm that or touch it or make it not functional in any way
• So if you have had filler in the lower eyelid or the mid face, or even sometimes in the nasal labial fold in the past, even if it was five, 10, 15, 20 years ago, it needs to be dissolved before you have any surgery for the lower lids

Results

• I don't think it's gonna give you a rejuvenated look, number one. Number two, I think it can make the appearance of this area worse in terms of more puffy, more bumpy and lumpy and irregular
• To have results so natural that no one can tell you had surgery—you just look like the best version of yourself. Subtle. Beautiful. Undetectable