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Sagging Eyelids

Sagging eyelids are a common problem as we get older. The loss of collagen, elastin and natural skin hydration leads to loosening of the skin. It can be particularly visible around the upper and lower eyelids, because the skin is very thin and delicate. Some people also have naturally hooded or heavy lids which are often inherited. Sagging of the upper or lower lids can give the appearance of fatigue and also affect the ability to wear makeup such as eyeshadow, eyeliner or foundation.

Sagging Eyelids

Treatment Options

Until recently, the only method of treating a sagging eyelid was to surgically cut away the loose skin. However, the advent of plasma-technology has enabled medical professionals to non-surgically tighten and remove excess skin of the upper and lower eyelids.

Drs Tatiana + Rishi Advanced Aesthetic was one of the first clinics in the UK to introduce plasma-technology in the treatment of upper and lower eyelids. We use the PLEXR plasma-pen to vaporise areas of skin, removing unwanted skin whilst also stimulating the production of new collagen, elastin and hydrators to tighten the skin.

Morpheus 8 is a device that combines microneedling with radiofrequency heat energy to smooth and firm the skin. As the small needles enter the skin, the tips of the needles heat up with radiofrequency energy. This sends controlled heat energy into the upper layers of the skin and stimulates collagen production, thus tightening, firming and smoothing the skin over several months after the treatment. Morpheus 8 is safe for any skin type and can be used alongside other treatments such as dermal fillers.

SecretRF is an evolution of microneedling with radiofrequency. This device works by precisely inserting small needles into different depths of the skin, creating microchannels, with the subsequent delivery of radiofrequency heat energy to stimulate the production of collagen and elastin, thereby tightening the eyelids. The motor mechanism of the SecretRF is extremely smooth and it’s needles particularly precise and well-insulated, resulting in minimal downtime and being suitable for all skin types.

This dynamic, non-ablative treatment, pairs RF microneedling with an erbium glass laser. The RF microneedles deliver heat to the deeper layers of the skin via precise needles, whilst the laser gently delivers powerful beams to the skin in microcolumns, creating bulk heating. This works to effectively target common signs of ageing and skin concerns in any skin type, with almost no downtime and an instant glass-like glow to the skin.

Drs Tatiana + Rishi Advanced Aesthetics pioneered this approach, whereby RF microneedling is immediately followed by CO2 laser. to provide a highly effective treatment for acne scarring, with minimal downtime. This combination approach has a synergistic effect, where the RF microneedling results in mechanical breakdown of scar tissue and fibroblast stimulation; whilst the CO2 laser causes epidermal neocollagenesis and resurfacing. Due to the re-modelling stimulated by the RF microneedling, less aggressive CO2 resurfacing is required to achieve comparable results, minimising downtime. 

Immediately following this treatment, we often recommend application of exosomes. Exosomes are micro-vesicles that contain thousands of growth factors, cytokines and nutrients that help to boost collagen, elastin and natural hydration. Exosomes work to regenerate skin cells, reduce inflammation and pigmentation, improve immune function and accelerate skin healing. 

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