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TDL: THE ULTIMATE EYE JOB Announcing A New Technique For Safer Under Eye Rejuvenation by California Institute of Cosmetic Surgery From the plastic surgery capital of the world comes the latest technique to safely correct undereye hollowness and darkness, taking years off of your appearance. "TDL" or (Transconjunctival Deep Lipotransfer), developed by renowned Oculofacial Plastic Surgeon Dr. Jonathan Hoenig, is "raising eyebrows" in elite Hollywood circles as this year's hottest plastic surgery procedure.

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Press release from California Institute of Cosmetic Surgery

LOS ANGELES, CA - From the plastic surgery capital of the world comes the latest technique to safely correct undereye hollowness and darkness, taking years off of your appearance. "TDL" or (Transconjunctival Deep Lipotransfer), developed by renowned Oculofacial Plastic Surgeon Dr. Jonathan Hoenig, is "raising eyebrows" in elite Hollywood circles as this year's hottest plastic surgery procedure.

Two main developments make Dr. Hoenig's TDL procedure unique and especially attractive to patients: 1) fat is added to the lower eyelid area rather than removed, thereby avoiding a skeletonized appearance as is common with traditional eyelid surgery and, 2) the transferred fat is placed deep beneath the eyelid muscle, ensuring a smooth, natural appearance.

"While many patients are concerned with 'bags' under their eyes, careful examination will usually reveal an actual absence or loss of fullness, not a bulging of fat, that creates this illusion. It used to be standard practice to remove any fat pockets, but this left the patient with even more hollowness, darkness, and a skeletonized appearance. If you add fat in the right areas, the so-called bags disappear," explains Dr. Hoenig. The surgery is performed by injecting the patient's prepared fat through the inside of the lower eyelid to the to the area where the cheek meets the lower eyelid and into the tear trough (where the tears fall beside the nose). Whether the hollowness is inherited or is a result of aging or previous traditional eyelid surgery, the TDL technique will effectively re-contour the lower eyelid.

With the revolutionary TDL technique, the eyelid surgery is safely performed in the office operating room with local anesthesia, thereby eliminating the cost of an outside surgery center and anesthesiologist and saving hundreds or thousands of dollars. "With TDL, I use a fraction of the medicine that would normally be used with traditional anesthesia," says Dr. Hoenig. His perfected technique does not allow the fat to get displaced and lumpy. It uses the patient's own tissue to prevent the chance of allergy or rejection, and the fat is not visible through the skin yielding dramatic, natural-looking results.

The technique of fat grafting or fat transfer surgery to add volume and contour to the face has been around for at least the last decade. Historically, many surgeons shied away from transferring fat to the eye area because of problems with fat reabsorption, shifting, and lumpiness. "After years of doing fat grafting surgery, I've discovered using the TDL technique that if I create a pocket for the fat and place it beneath the eyelid muscle, there is little chance of the fat shifting out of place or appearing uneven. Since there is relatively little muscle contraction in this area, the fat tends to last quite well," says Dr. Hoenig.

The TDL Procedure: Fat transfer surgery involves a mini-liposuction of the patient's own fat, usually taken from the abdomen or hips, careful preparation of the fat by spinning it in a centrifuge to separate the fat cells from the fluid, and then injection of the fat with a blunt needle and syringe into the desired locations. The procedure can be performed in the office operating room with local anesthesia and patients can usually return to work within a few days to a week, although swelling may take longer to subside. Since the fat, unlike other fillers, comes from the patient's own body, there is no chance of an allergic reaction. And by injecting through the inside of the eyelid, there are no external incisions and therefore, no scars to conceal.

Considered an expert in facial cosmetic and reconstructive surgery, Dr Hoenig has completed three separate fellowships to ensure that he is qualified to offer the most advanced techniques in facial surgery: cosmetic and dermatologic surgery, oculo-facial cosmetic surgery, and oculoplastic surgery. He is one of the few cosmetic surgeons who is a diplomat of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and the American Board of Cosmetic Surgery, as well as board certified by the American Board of Ophthalmology. Website: www.la-plastic-surgery.com
 

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