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A woman has swollen dark under eye hollows. She wants to know the best treatment to address her under eye area. Dr. Amiya Prasad is a board certified cosmetic surgeon certified by the American Board of Cosmetic Surgery. He is a specialist trained in oculofacial plastic surgery by The American Society of Ophthalmic Reconstructive Surgery. That means that his background training was first in eye surgery before he specialized in surgery of the eyelids and the areas around the eyes and face. He has been in practice for over 20 years in Manhattan and Long Island. The puffiness or under eye bags represents lower eyelid fat prolapse. This means that the fat that is normally around the eyes pushes forward and creates a bulge that makes the eyes look puffy or swollen. The first line of treatment for a lot of people is they go to the store and buy various kinds of creams which claim to be able to solve these under eye puffy areas. Unfortunately they don’t work because the fat that is normally around the eyes is a volume and pushes forward like a hernia, so it also called herniated fat. Below the area of the herniated fat, the eyelid-to-cheek area and the cheek area have volume loss, which is consistent with normal facial aging. Dr. Prasad wrote about this in a book a few years ago. The concept of facial aging has two elements: volume loss, and descent or sagging. People lose bone, muscle and fat as they get older. In addition, there is descent or sagging especially when they get to their 50s or as early as the mid-40s. Depending on family history, they can start manifesting both. In Dr. Prasad’s practice, he first works on dealing with the dominant feature which is the puffiness under the eyes. The essential issue is to surgically correct that puffiness. When someone does research, they’ll learn about non-surgical options whether they’re thermal devices or injectables. However, judging by the amount of volume this woman has, Dr. Prasad doesn’t think that non-surgical modalities will be of value to her. Dr. Prasad would probably do a transconjunctival blepharoplasty. This is a procedure where he treats the fat pockets from behind the eyelid so no incision is made on the outside. He’ll also treat the skin quality and skin overall appearance with platelet-rich plasma (PRP). This is derived from the patient’s own blood and uses their own body’s growth factors and healing properties to stimulate and improve skin quality. In certain patients, Dr. Prasad uses radiofrequency or fractional CO2 laser to improve skin texture or resurface the top layer skin. This combined approach gets the maximal aesthetics. He also discusses a strategy on how to address the adjacent areas that are not as important for her right now, but may become important after the big dominant factor is reduced. That area is the eyelid-to-cheek junction and the cheek area. Depending on what’s the desired outcome, there are solutions that include improvement of volume and surgical elevation depending on how extensively they want to rejuvenate their face. Dr. Prasad does all these procedures under local anesthesia with LITE™ sedation. He has been doing this for many years and he has developed a very nice protocol so that his patients are able to recover faster and reduce the risks of having procedure compared to general anesthesia. He does the procedure in his own facility within both of his offices which are certified by the Joint Commission. This is the governing body that oversees hospitals and surgery centers for implementation of certain safety and protocols. There’s no difference between the quality of care regardless of the location as long as the safety focus standards are met and that’s of course of highest value. Dr. Prasad suggests that she meet with experienced, qualified cosmetic surgeons. These are people who specialize in eyelids, particularly cosmetic eyelid surgery, not just reconstructive but also a lot of cosmetic patients. Cosmetic surgery is its own specialty separate from other areas. It’s a matter of not just the name, but what kind of practice the doctor has. She should meet with a doctor, get comfortable, look at their before and after pictures, and understand what she could expect after the procedure. One of the most satisfying procedures surgeons do is to help people with under eye bags because people feel that they look tired. Once it’s done, it really has a transformative effect on the facial appearance. It’s almost like doing a facelift in the right candidate. For more information about eye bag surgery, please visit: http://prasadcosmeticsurgery.com/prasad-face-eyes/eyelifts/transconjunctival-blepharoplasty/ To know more about platelet-rich plasma: http://prasadcosmeticsurgery.com/dr-amiya-prasad-injectables-nyc-new-york/platelet-rich-plasma/
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Welcome to our comprehensive guide on buying keto gummies! Whether you’re new to the keto diet or a seasoned veteran, finding the right keto gummies can be a daunting task. With so many options on the market, it can be challenging to know which ones are truly keto-friendly and will help you stay in ketosis. In this article, we’ll break down everything you need to know about buying keto gummies, from understanding the ingredients to selecting the best brands for your dietary needs.
Understanding Keto Gummies
Keto gummies are a popular snack for those following a ketogenic diet. These gummies are typically low in net carbs and high in healthy fats, making them a convenient and tasty way to satisfy your sweet tooth while staying in ketosis. However, not all keto gummies are created equal, and it’s essential to look for specific ingredients to ensure that you’re getting a high-quality product.
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When shopping for keto gummies, be sure to check the net carb count per serving. Ideally, you’ll want to choose gummies that contain less than 5 grams of net carbs per serving to stay within your daily carb limit on the keto diet. Additionally, look for gummies that are sweetened with natural sweeteners like stevia or erythritol, rather than sugar or artificial sweeteners.
Another essential factor to consider when buying keto gummies is the type of fats used in the product. Opt for gummies that are made with healthy fats like coconut oil or MCT oil, as these fats can help support ketosis and provide sustained energy throughout the day. Avoid gummies that contain unhealthy fats like hydrogenated oils or trans fats, as these can negatively impact your health and weight loss goals.
Choosing the Best Brands
When it comes to buying keto gummies, the brand you choose can make a significant difference in the quality and taste of the product. Look for reputable brands that use high-quality ingredients and have positive reviews from customers. Some popular keto gummy brands to consider include Smart Sweets, Kiss My Keto, and VitaRaw.
Before making a purchase, be sure to read the ingredients list on the packaging to ensure that the gummies meet your dietary preferences and restrictions. Additionally, check for any certifications or endorsements from trusted organizations, such as the Keto Certified label or the Non-GMO Project Verified seal, to ensure that you’re buying a legitimate keto product.
If you’re unsure about which brand to choose, consider trying a variety pack that includes samples from different brands. This can help you compare the taste, texture, and quality of different keto gummies before committing to a larger purchase. Remember that everyone’s preferences are different, so don’t be afraid to experiment with different brands until you find the perfect keto gummies for your taste buds.
Tips for Buying Keto Gummies
Before buying keto gummies, consider your dietary goals and preferences to ensure that you’re selecting the right product for your needs. If you’re looking to lose weight on the keto diet, opt for gummies that are lower in calories and sugar to help support your weight loss efforts. Conversely, if you’re following a strict ketogenic diet for health reasons, choose gummies that are made with clean, whole food ingredients to support your overall well-being.
When shopping for keto gummies, be wary of products that contain hidden sugars or artificial ingredients that can sabotage your ketogenic goals. Read the nutrition label carefully to check for any hidden carbs or additives that could prevent you from reaching ketosis. If you’re unsure about a specific ingredient, do some research to determine whether it’s keto-friendly and safe to consume on a regular basis.
Lastly, don’t forget to consider the price and availability of keto gummies before making a purchase. While some brands may be more expensive than others, it’s essential to find a product that fits within your budget and is readily available for purchase. Look for discounts, promotions, or subscription options to save money on your favorite keto gummies and ensure that you always have a stash on hand for when cravings strike.
Frequently Asked Questions
Q: Are all gummies keto-friendly?
A: Not all gummies are keto-friendly, as many contain high amounts of sugar and carbs that can kick you out of ketosis. It’s essential to look for gummies that are specifically formulated for the ketogenic diet and contain minimal net carbs per serving.
Q: How can I tell if a gummy is keto-friendly?

A: To determine if a gummy is keto-friendly, check the nutrition label for the net carb count, sugar content, and type of sweetener used. Ideally, look for gummies that contain less than 5 grams of net carbs and are sweetened with natural sweeteners like stevia or erythritol.
Q: Can I eat keto gummies every day?
A: While keto gummies can be a convenient snack on the ketogenic diet, it’s essential to consume them in moderation to avoid consuming excess calories or carbs. Enjoy keto gummies as an occasional treat, rather than a daily indulgence, to support your weight loss and health goals.
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