Prasad Cosmetic Surgery

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Pelleve Skin Tightening

Pelleve™ Skin Tightening & Wrinkle Reduction for the Face


is a new technology that gives you smoother tighter skin and treats facial wrinkles without surgery. At Prasad Cosmetic Surgery in Garden City & Manhattan, NY Pellevé™ is safe and FDA-approved for the non-invasive treatment of mild to moderate facial wrinkles for certain skin types. Pellevé™ comfortable heats the deep layers of your skin using advanced radiowave technology without damaging the epidermis, or top layer. The heat causes the collagen in your skin to contract and tighten. After the treatment, collagen production is boosted. The result is an overall improvement in skin quality, firmness and tightness you can see and feel.

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You asked:

Best Way to Refresh Eyes After Lower Bleph (S. CA Expert)?

I had a lower bleph in 2007. Now I’m 34 and look much older than my years around the eyes. I have darkness and deep set wrinkles (under and at crows feet) especially when I smile. I’m looking for treatment suggestions (from lasers to surgery) and recommendations for Doctors who have extensive practice with this area in the S. CA area. Any advice would be great and would love to do a consult. Thanks!


Thank you for your question!

Regarding how to deal with wrinkles after eyebag surgery is clearly one of the most common issues that we deal with our practice every day. Having the procedure in ’07 and as you can see your skin continues to age and you’re dealing with some wrinkles. I’ll tell you a little bit about my approach to my initial consultation with anyone who has bags as well as wrinkles as well as the ongoing treatment of wrinkles under the eyes.

First of all, it’s important to understand when people consider blepharoplasty that the puffiness can sometimes artificially make the wrinkles look more smoother. It’s kind of when someone is obese, their skin can look smooth, they really don’t look healthy but their skin can look like they don’t have wrinkles. In isolation they look younger.

So when you are dealing with fine lines and wrinkles under the eyes, my approach depends on a couple of factors. One is the skin type. So for your skin type, light skin, skin that maybe sensitive to the sun, I go to a couple of key procedure. We first go to a procedure which is a fractional C02 laser. Now, the fractional C02 laser is a laser that is based on a principle of applying thermal energy to the backbone of the skin called the dermis so that new skin or new collagen is generated. And by doing that, there’s actually some contraction and flattening of the skin or smoothing of the skin so the wrinkles become less deep. It’s important to understand that the goal is not to get porcelain flat skin. Regardless of how smooth your skin is at rest, when you smile, there will be some wrinkling.

So now, in addition to the fractional C02 laser, we employ a technique of application called platelet-rich plasma. Now platelet-rich plasma is getting very popular as procedures such as vampire facial or vampire facelift procedures are getting well known thanks to some celebrities. And what it actually mean is, we actually draw blood like a typical blood draw that you’d have for your doctor visit or going for routine labs, and we spin down the blood to isolate platelets. Now this part of the blood which is used for healing actually work very well in our practice for the treatment of wrinkles, fine lines, acne scars, small pox scars, things like that when we want to generate collagen. What’s nice also is that the platelet-rich plasma stimulates blood supply to the area something that fillers can’t really do. So a typical patient like you would actually, in my practice, I would use a combination of platelet-rich plasma and fractional C02.

Last in this equation is to diminish the depth of the wrinkles by the activity of a muscle. And that muscle is called the orbicularis oculi muscle. This is the muscle that when you smile, it causes the wrinkles to form. And so, I would use botox or dysport to relax the muscle so that as time goes on, the skin does not wrinkle continuously and cause this creasing effect. So these are my typical go to procedures.

In addition to these other procedures, let’s say you had some fine lines and you didn’t have the down time available to you, we actually use a radio frequency device called pelleve. Now pelleve is a non-surgical radio frequency technology using frequency and the skin is heated at the level of the dermis similar to the CO2 laser. Unlike the CO2 laser, we don’t have to penetrate the skin so you can come in and have the treatment and have no sign that you had anything done. And like the C02 laser, the skin generates collagen to help improve the quality of the wrinkles.

So, in summary, the options and combinations, for me the combinations are always better than the treatments at the individual basis. So fraction CO2 laser, platelet-rich plasma, dysport or botox as well as pelleve are options to help the fine lines under the eyes.

I hope that was helpful and thank you for your question!

Pellevé™ is used to effectively treat the skin on the face, including frown lines, eye area, nasolabial folds and marionette lines. It can also be applied to the neck. The Pellevé™ procedure is quick and typically about an hour for a full facial treatment. There is no anesthesia, no pain, and no downtime associated with Pellevé™. Many of our patients see results after just one treatment, with lasting improvement for up to 6 months as your skin produces new collagen. Based on your skin type and condition, we will recommend a number of treatments during your Pellevé™

consultation with Dr. Prasad.

Pelleve Non Surgical Skin Tightening

Pelleve Treatment Results

Prasad Cosmetic Surgery
61 E 66th St. New York CityNY10021 USA 
 • 212-265-8877

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