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There comes a point when Botox and fillers are just not producing the same or enough of an improvement anymore. Botox might get rid of lines on the forehead, and give the brows a bit of lift, but excess skin and fat cannot be treated with fillers. Because Dr. Glicksman sees every patient, and does all her own injecting, she is honest about transitioning her patients from “renting” products, to “buying” a more permanent facial rejuvenation procedure.

Many of Dr. Glicksman’s patients who have used Botox and fillers for years, start to notice the skin on their upper eyelid overhangs or droops and there may be puffiness or bags under their lower lid. For these patients, she recommends eyelid surgery might be their best option. A blepharoplasty, or eyelid lift, gets rid of skin and fat in the upper and lower eyelid and the results are very long lasting.