Dr Brett S. Kotlus, MD, MS, FACS Oculoplastic Surgeon in New York, New York 10065

Name: Brett S. Kotlus, MD, MS, FACS
Last name: Kotlus
Gender: male
Began aesthetic medicine in: 2005
Years experience: 18
Primary Specialty: Oculoplastic Surgeon
Website: https://drkotlus.com
Business: Brett Kotlus, MD
Address: 20 E. 66th St.
Address suite: Ste. 1A
Phone: (646) 362-5312
International phone number: +16463625312
City: New York
State: New York
Zip Code: 10065
Country: US
Statement: Dr. Kotlus is dual fellowship-trained in oculoplastic surgery and cosmetic surgery. He specializes in cosmetic surgery of the eyes and face and is accredited by the American Society of Ophthalmic Plastic and Reconstructive Surgery. He authored two cosmetic surgery books for patients.
Consulting Fees: 350$
Consultation note: Consultation fee is applied to surgical and non-surgical procedure cost
Has Sponsored Offer : No

Special Offers:

Offer #1: Galderma Offer
Special Offer Treatments: All treatments
End Time: 12/31/2023
Detail: Sign up for Aspire Galderma Rewards prior to your appointment to receive $20 off on each treatment listed below: Dysport®, Restylane® family, Sculptra® Aesthetic.

Clinical Privileges:

New York Eye and Ear Infirmary of Mount Sinai

Education:

Undergraduate: BA, General Arts and Sciences, Pennsylvania State University, 1995
Graduate: MS, Genetics, Pennsylvania State University, 1997
Medical: MD, Sackler School of Medicine, 2001

Brett S. Kotlus, MD, MS, FACS

Postdoc Training:

Internship: Exempla St. Joseph’s Hospital, Denver, CO, 2002
Residency: Ophthalmology, Albert Einstein College of Medicine – North Shore / LIJ Hospital, NY 2005
Fellowships:
Oculofacial Plastic Surgery, University of Arizona, AZ, 2007
General Cosmetic Surgery, Arizona Centre Plastic Surgery, AZ, 2007

Member of:

asoprs

Board Certification:

Brett Seth Kotlus

(ABMSUID 827055)
Viewed: 3/25/2009
Day of birth 11/4/1974

Status Alive

Certification

American Board of Ophthalmology

Ophthalmology – General
Status: Certified
Active Time-Limited Initial Certification: 6/3/2007 – 12/31/2017
Education

201
MD
(Doctor of Medicine)

Location: PrivateRoyal Oak, MI 48067-4822 (United States)

GPS coordinates on map: 40.7679888,-73.9688267

Primary location:

Location name: New York
State: NY
Country: US
Map point: 40.7561,-73.98699951

Google plus: https://plus.google.com/u/0/b/112125735375191143419/+DrkotlusNYC

Treatments:

ActiveFX
Areola Reduction Surgery
Belotero
Body Lift
Botox
Botox for Gummy Smile
Brazilian Butt Lift
Brazilian Butt Lift Revision
Breast Augmentation
Breast Fat Transfer
Breast Implant Removal
Breast Implant Revision
Breast Implants
Breast Lift
Breast Lift with Implants
Breast Reduction
Brow Lift
Cheek Augmentation
Cheek Lift
Chemical Peel
Chin Implant
Chin Liposuction
Clear and Brilliant
CO2 Laser
Contour Thread Lift
Deep Plane Facelift
DeepFX
Dermal Fillers
Dermapen
Double Eyelid Surgery
Dysport
Ear Surgery
Earlobe Repair
Eyelid Retraction Repair
Eyelid Surgery
Facelift
Facelift Revision
Facial
Facial Fat Transfer
Facial Reconstructive Surgery
Fractional Laser
Fraxel Laser
Genioplasty
Hair Loss Treatment
Hand Rejuvenation
Hyaluronidase
HydraFacial
IPL
Jessner Peel
Juvederm
Kybella
Laser Peel
Laser Resurfacing
Latisse
Lifestyle Lift
Lip Fillers
Lip Lift
Lip Surgery
Lipodissolve
Lipoma Removal
Liposculpture
Liposuction
Liquid Facelift
Lower Facelift
MACS Facelift
Micro Botox
Microneedling
Mini Facelift
MiXto Laser
Mole Removal
Mommy Makeover
Neck Lift
Nonsurgical Facelift
Nonsurgical Neck Lift
Nonsurgical Nose Job
NovaThreads
Photodynamic Therapy
PRP for Hair Loss
PRP Injections
Ptosis Surgery
QuickLift
Radiesse
Restylane
Restylane Defyne
Restylane Lyft
Restylane Refyne
Restylane Silk
Retin-A
Revision Rhinoplasty
Rhinoplasty
Scar Removal
Sclerotherapy
Sculptra
Silicone Injections
Silikon 1000
Skin Lightening
Skin Rejuvenation
SkinCeuticals
Subcision
TCA Peel
Teeth Whitening
Thermage FLX
Thigh Lift
Thread Lift
TotalFX
Tummy Tuck
Ultherapy
Vampire Facelift
Volbella
Vollure
Voluma
Xeomin
YAG Laser

RealSelf Info

Awards:

Awards:
Robert Jackson Award, American Board of Cosmetic Surgery, 2008
Individual Research Grant, Cosmetic Surgery Foundation, 2006
Achievement Award, American Academy of Ophthalmology, 2009
Professional Recognition:
Trustee, American Academy of Cosmetic Surgery, 2013 – present

Rating: 4.8
Profile views: 69096
Answer count: 268
Review count: 189
1 star count: 7
2 star count: 2
4 star count: 1
5 star count: 72
Total star count: 82
Star rating: 4.2614552579518
Lead count last three months: 19
Anonymous votes: 167
Offer count: 1
Profile created: Apr 7, 2008
Profile modified: Jul 12, 2023
Profile promotion: Yes
Profile inactive: No
Premier status: Performance
Tier: Pro
RealCare Promise: Yes
Directory link: Oculoplastic Surgeon, Board Certified in Ophthalmology
RealSelf’s PRO: Yes
Doctor Designation Start Time: Mar 24, 2019
Doctor Designation End Time: Jan 1, 2033

Locations

New York, NY, US. GPS coordinates: 40.7561,-73.98699951

Latest ratings of treatments

Eyelid Surgery (Mar 2023) – Overall rating: 5/5
Eyelid Surgery (Mar 2023) – Overall rating: 5/5
Eyelid Surgery (Mar 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Eyelid Surgery (Mar 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Eyelid Surgery (Mar 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Eyelid Surgery (Mar 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Eyelid Surgery (Mar 2023) – Overall rating: 5/5
Eyelid Surgery (Mar 2023) – Overall rating: 5/5
Eyelid Surgery (Feb 2023) – Overall rating: 5/5
Eyelid Surgery (Oct 2020) – Overall rating: 1/5
Eyelid Surgery (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Restylane (Oct 2015) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Eyelid Surgery (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Restylane (Mar 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Eyelid Surgery (Feb 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Restylane (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
Restylane (Sep 2023) – Overall rating: 5/5
Restylane (Sep 2023) – Overall rating: 5/5
Restylane (Sep 2023) – Overall rating: 5/5
Restylane (Sep 2023) – Overall rating: 5/5
Mohs Surgery (Sep 2023) – Overall rating: 5/5
Eyelid Surgery (Sep 2023) – Overall rating: 5/5
Eyelid Surgery (Sep 2023) – Overall rating: 5/5
Nonsurgical Nose Job (May 2018) – Overall rating: 5/5
Eyelid Surgery (May 2018) – Overall rating: 5/5
Restylane (Sep 2023) – Overall rating: 5/5
Restylane Lyft (Apr 2018) – Overall rating: 5/5
Juvederm (Mar 2018) – Overall rating: 5/5
Restylane (Mar 2018) – Overall rating: 5/5
Injectable Fillers (Sep 2023) – Overall rating: 5/5

Latest Prices

Eyelid Surgery Prices

$5000 – Oct 1, 2020
$850 – Jun 4, 2018 – New York
$750 – Aug 7, 2018
$4000 – Apr 12, 2019
$850 – Mar 28, 2018
$7000 – Feb 10, 2021
$7000 – Jun 21, 2021
$4500 – Feb 15, 2023
$4500 – Feb 15, 2023
$4500 – Feb 15, 2023
$4500 – Feb 15, 2023
$5500 – Apr 12, 2017 – New York, NY
$7500 – Feb 2, 2022
$7000 – Feb 10, 2021
$7000 – Feb 10, 2021
$7000 – Feb 10, 2021
$5400 – Feb 16, 2015 – Manhattan, NY
$7000 – Dec 23, 2020
$5000 – Oct 1, 2020
$5000 – Oct 1, 2020
$5000 – Oct 1, 2020
$7500 – Feb 2, 2022
$7500 – Feb 2, 2022
$7000 – Jun 21, 2021
$7000 – Jun 21, 2021
$3800 – Jun 23, 2015 – Shelby Township, MI
$6750 – Jun 25, 2018 – New York, NY
$7000 – Feb 10, 2021
$7000 – Feb 10, 2021
$7000 – Feb 10, 2021
$7000 – Feb 10, 2021
$7000 – Feb 10, 2021
$7000 – Feb 10, 2021
$7000 – Feb 10, 2021
$10000 – Oct 28, 2020
$7000 – Dec 23, 2020
$10000 – Oct 28, 2020
$7000 – Dec 23, 2020
$7000 – Dec 23, 2020
$7000 – Dec 23, 2020
$7000 – Dec 23, 2020
$750 – Aug 7, 2018
$6000 – Nov 28, 2018
$4000 – Apr 12, 2019
$6000 – Nov 28, 2018
$6000 – Nov 28, 2018
$4000 – Apr 12, 2019
$4000 – Apr 12, 2019
$4000 – Apr 12, 2019
$4000 – Apr 12, 2019
$5499 – May 1, 2017 – New York, NY
$750 – Aug 7, 2018
$6750 – Jun 25, 2018 – New York, NY
$6750 – Jun 25, 2018 – New York, NY
$6750 – Jun 25, 2018 – New York, NY
$4500 – Aug 14, 2013 – Shelby Township, MI
$850 – Jun 4, 2018 – New York
$850 – Jun 4, 2018 – New York
$4500 – Apr 12, 2017 – New York, NY
$850 – Mar 28, 2018
$850 – Mar 28, 2018
$7000 – Apr 12, 2017 – New York, NY
$3800 – Oct 2017 – Shelby, MI
$3500 – Oct 30, 2014 – Shelby Twp, MI
$5499 – May 1, 2017 – New York, NY
$7000 – Apr 12, 2017 – New York, NY
$7000 – Apr 12, 2017 – New York, NY
$2500 – Apr 4, 2014 – Shelby Township, MI
$3800 – Jun 23, 2015 – Shelby Township, MI
$3800 – Jun 23, 2015 – Shelby Township MI
$5400 – Feb 16, 2015 – Manhattan, NY
$5400 – Feb 16, 2015 – Manhattan, NY
$5400 – Feb 16, 2015 – Manhattan, NY
$3500 – Oct 30, 2014 – Shelby Twp, MI
$3500 – Oct 30, 2014 – Shelby Twp, MI
$3800 – Aug 2014 – Shelby, MI
$3800 – Aug 2014 – Shelby township, Michigan
$4500 – Aug 14, 2013 – Shelby Township, MI

Restylane Prices

$750 – Oct 9, 2015 – New York, NY
$1300 – Mar 1, 2016 – New York, NY
$675 – Sep 2023 – New York, NY
$800 – Mar 22, 2018
$850 – Jun 14, 2018 – New York, NY
$750 – Dec 21, 2015 – Manhattan, NY
$850 – Mar 29, 2018
$850 – May 15, 2018
$675 – Jul 2022 – New York, NY
$750 – Dec 21, 2015 – Manhattan, NY
$1250 – Mar 28, 2022
$1250 – Mar 28, 2022
$1250 – Mar 28, 2022
$1250 – Feb 1, 2022
$1250 – Feb 1, 2022
$1250 – Feb 1, 2022
$850 – Jun 14, 2018 – New York, NY
$850 – Jun 14, 2018 – New York, NY
$850 – Jun 14, 2018 – New York
$850 – May 15, 2018
$850 – May 15, 2018
$850 – Mar 29, 2018
$850 – Mar 29, 2018
$850 – Mar 29, 2018
$800 – Mar 22, 2018
$800 – Mar 22, 2018
$800 – Mar 22, 2018
$2400 – Apr 26, 2017 – New York, NY
$2400 – Apr 26, 2017 – New York, NY
$2400 – Apr 26, 2017 – New York, NY
$800 – Jun 21, 2016 – New York, NY
$800 – Jun 21, 2016 – New York, NY
$800 – Jun 21, 2016 – New York, NY
$750 – Oct 9, 2015 – New York, NY
$1300 – Mar 1, 2016 – New York, NY
$1300 – Mar 1, 2016 – New York, NY
$675 – Jan 2016 – Long Island Office
$750 – Dec 21, 2015 – Manhattan, NY
$750 – Dec 21, 2015 – Manhattan, NY
$750 – Oct 9, 2015 – New York, NY
$1251 – Apr 24, 2015 – Woodbury, NY
$1251 – Apr 24, 2015 – Woodbury, NY
$1251 – Apr 24, 2015 – Woodbury, NY

Nonsurgical Nose Job Prices

$850 – May 22, 2018
$500 – Aug 14, 2014 – Rochester, MI
$850 – May 22, 2018
$850 – May 22, 2018
$500 – Aug 14, 2014 – Rochester, MI
$500 – Aug 14, 2014 – Rochester, MI

Restylane Lyft Prices

$1800 – May 24, 2018
$1800 – May 24, 2018
$1800 – May 24, 2018

Juvederm Prices

$1000 – Jun 26, 2014 – Washington, MI
$1000 – Oct 9, 2014 – Shelby, MI
$500 – Sep 17, 2014 – Scarsdale, NY
$1000 – Oct 9, 2014 – Shelby, MI
$1000 – Oct 9, 2014 – Shelby, MI
$1000 – Sep 17, 2014 – Shelby, MI
$1000 – Sep 17, 2014 – Shelby, MI
$500 – Sep 17, 2014 – Scarsdale, NY
$1000 – Sep 17, 2014 – Shelby, Michigan
$500 – Sep 17, 2014 – Allure medical spa
$1000 – Jun 26, 2014 – Washington, MI

Injectable Fillers Prices

$1250 – Jan 7, 2022
$1150 – Aug 26, 2022
$1150 – Aug 26, 2022
$1150 – Aug 26, 2022
$1250 – Jan 7, 2022
$1250 – Jan 7, 2022
$1500 – Dec 27, 2019
$1500 – Dec 27, 2019
$1500 – Dec 27, 2019

Other Prices

$800 – Mar 18, 2019
$1250 – Jan 7, 2021
$1250 – Nov 17, 2020
$1250 – Dec 15, 2020
$1250 – Feb 16, 2021
$800 – Mar 18, 2019
$1250 – Feb 16, 2021
$1250 – Dec 15, 2020
$1250 – Jan 7, 2021
$1250 – Nov 17, 2020
$100 – Feb 7, 2015 – New York, NY
$1000 – Oct 9, 2014 – Shelby, MI
$1000 – Oct 9, 2014 – Shelby, MI
$1000 – Oct 9, 2014 – Shelby, MI
$1000 – Oct 9, 2014 – Shelby, MI
$1000 – Oct 9, 2014 – Shelby, MI
$500 – Sep 17, 2014 – Scarsdale, NY
$500 – Aug 14, 2014 – Rochester, MI
$500 – Aug 14, 2014 – Rochester, MI
$500 – Jul 25, 2014 – Shelby, MI
$500 – Jul 25, 2014 – Shelby, MI
$9500 – Jul 8, 2013 – Clinton Township, MI

Ptosis Surgery Prices

$3000 – Dec 9, 2016 – New York, NY
$3000 – Dec 9, 2016 – New York, NY

Botox Prices

$100 – Feb 7, 2015 – New York, NY
$300 – Sep 2023 – New York
$400 – Aug 3, 2023
$400 – Aug 3, 2023
$300 – Jun 2018 – New York
$300 – Jun 2018 – New York
$750 – Feb 18, 2016 – New York, NY
$750 – Feb 18, 2016 – New York, NY
$750 – Feb 18, 2016 – NYC
$350 – Apr 4, 2015 – New York, NY
$350 – Apr 4, 2015 – New York, NY
$350 – Apr 4, 2015 – NY NY
$100 – Feb 7, 2015 – New York, NY
$100 – Feb 7, 2015 – New York, NY
$100 – Feb 7, 2015 – New York, NY

Lip Surgery Prices

$2000 – May 2, 2013 – Shelby, MI
$2000 – May 2, 2013 – Shelby, MI
$2000 – May 2, 2013 – Shelby, MI

Lip Augmentation Prices

$500 – Jul 25, 2014 – Shelby, MI
$500 – Jul 25, 2014 – Shelby, MI

Chemical Peel Prices

$1200 – Oct 8, 2018 – New York, NY
$1200 – Oct 8, 2018 – New York, NY
$1200 – Oct 8, 2018 – New York

Facelift Prices

$7500 – May 1, 2014 – Michigan, MI
$12500 – Mar 2022
$12500 – Mar 2021
$7500 – Dec 2, 2013 – Washington, MI
$11000 – Jun 2, 2014 – Detroit, MI
$15700 – Apr 17, 2015 – New York, NY
$15700 – Apr 17, 2015 – Office
$11000 – Jun 2, 2014 – Shelby Township, MI
$11000 – Jun 2, 2014 – Shelby Township, MI
$11000 – Jun 2, 2014 – Shelby Township, MI
$11000 – Jun 2, 2014 – Allure Medical Spa, 26 mile road Shelby township Michigan
$7500 – May 1, 2014 – Michigan, MI
$7500 – May 1, 2014 – Michigan, MI
$7500 – May 1, 2014 – Michigan, MI
$7500 – Dec 2, 2013 – Washington, MI
$9500 – Jul 8, 2013 – Clinton Township, MI
$9500 – Jul 8, 2013 – Clinton Township, MI

Lower Facelift Prices

$12 – Oct 9, 2015 – Woodbury, NY
$12 – Oct 9, 2015 – Woodbury, NY
$12 – Oct 9, 2015 – Woodbury, New York

TCA Peel Prices

$1200 – Oct 8, 2018 – New York, NY
$1200 – Oct 8, 2018 – New York, NY
$1200 – Oct 8, 2018 – New York, NY
$1200 – Oct 8, 2018 – New York, NY
$1200 – Oct 8, 2018 – New York, NY
$1200 – Oct 8, 2018 – New York, NY
$1200 – Oct 8, 2018 – New York, NY

Hyaluronidase Prices

$250 – Jan 13, 2021
$250 – Jan 13, 2021

Eye Bags Treatment Prices

$1250 – Feb 16, 2021
$1250 – Jan 7, 2021
$1250 – Dec 15, 2020
$1250 – Nov 17, 2020
$1250 – Nov 17, 2020
$800 – Mar 18, 2019
$850 – Mar 29, 2018

Perlane Prices

$1000 – Nov 1, 2014 – Washington, MI
$1000 – Nov 1, 2014 – Washington, MI

Practice Locations

Name & Website

, https://drkotlus.com

Address

20 E 66th St.1A, New York, New York, US, 10065 (GPS coordinates: 40.7679988,-73.9688194)

Phone

+12128821011

Working Hours

Created / Modified

Sep 28, 2016 / Apr 11, 2018

Special Offers

Heading
Start Time / End Time

Detail

Treatments

Galderma Offer
Feb 15, 2019 /
Dec 31, 2023

Sign up for Aspire Galderma Rewards prior to your appointment to receive $20 off on each treatment listed below: Dysport®, Restylane® family, Sculptra® Aesthetic.

Specific treatments

Doctor's answers

Question

Answer Header & Date

Answer Snippet

What can I do about downturned, tired, sad-looking eyes?

Downturned eyelids
Apr 11, 2020

In this situation a lateral canthoplasty may be a reasonable option. You should have an in-person consultation with an oculoplastic surgeon for the best advice.

Is it possible to have Lasik surgery and eyelid surgery at the same time?

Lasik and blepharoplasty
Apr 29, 2019

The answer depends on your situation but most surgeons will advise you don't do these procedures at the same time. Primarily because each can cause dryness of the eye surface. With lasik, some of the corneal nerves can be temporarily injured, reducing your motivation to blink and distribute tears over the surface of the eye. It's not worth the risk of causing a problem that could potentially be avoided by doing these at separate times, preferably at least 6 months apart.

If I get Botox just in my elevens will it cause the rest of my forehead to wrinkle more t

Forehead after Botox
Mar 25, 2019

Hi,If you treat the glabella (the 11 lines) only, the forehead should not worsen, in fact it often gets better because the eyebrows lift slightly, eliminating the drive to raise the brows by tightening the forehead (frontalis muscle). Some people exhibit something called muscle recruitment when the eyelid closing muscles try to take over for the glabella muscles that are not working as well. But this doesnt impact the forehead.

Why are my eyes lower and higher then each other?

Eye asymmetry
Mar 25, 2019

It's difficult to tell from your photo but the most common cause of eye position asymmetry is a difference in the position of the orbit which is the bone around the eye. If there is a skeletal asymmetry (very common) the eye height will appear different as will the hollowness around the eyes. There are some treatments to disguise the asymmetry (e.g. fillers) but the treatment for skeletal asymmetry may not be appropriate for everyone.

Do I need surgery to remove my eye bags?

Eye bags
Mar 25, 2019

The best remedy for your eye bags depends on the underlying cause. It could be allergy, prominent fat pads, or other issues that are best determined when you have an in-person consultation with a cosmetic eyelid specialist physician. Based on your photo it is difficult to determine the cause.

Do lumpy results need more dissolving or more filler?

Lumpy after under-eye filler
Mar 25, 2019

Seeing lumps after under-eye filler could be from the filler itself or the filler's tendency to attract and retain water locally. It can be difficult to disguise lumps with more filler- often the best treatment is to dissolve the existing filler and then refill after the area has recovered, sometimes several weeks later. It's possible more than one session of dissolving is required. This is all assuming you have an HA or hyaluronic acid based filler.

Suggestions on how to make my under eye area look better? I always look so tired. Had the

Under eye dark circles
Dec 24, 2018

You appear to have under-eye hollows that may be best reduced with fillers. Because you don't have any photos from the front view (they are all from above or below) it's difficult to give a definitive suggestion. Your best option is to have a consultation with an oculoplastic surgeon who specializes in cosmetic procedures and offers both non-surgical and surgical treatments. It's unlikely that PRP will help with your lower eyelid shadows and hollowing.

Is there any treatment that could make my downturned eyes look more cat-eye?

Lower eyelid / outer corner shape
Dec 24, 2018

The procedure you are simulating in your photos is a lateral canthoplasty. This repositions the outer corner eyelid angle.

I want to enlarge my eyes, but I don't want double eyelids. What can I do?

Larger eyes without double eyelids
Dec 24, 2018

Without seeing your images it is nearly impossible to give you a specific answer, but you should consider if you have ptosis and if you are looking for an enlargement of the eyelid aperture versus an apparent enlargement of the eyes by altering the eyelid platform/eyebrow relationship. An in-person consultation with an oculoplastic surgeon will help to analyze your needs.

Which blepharoplasty approach is best for me?

Blepharoplasty approach
Dec 24, 2018

It's clear that you have lower eyelid bags secondary to the fat pads. These can be directly improved with a transconjunctival blepharoplasty (behind the eyelid). It's difficult to determine the quality of your skin and degree of looseness based on your image which is not great resolution. I'd suggest an in-person consultation to decide on techniques that can be combined with the fat pad reduction or repositioning.

What can be done about my bulgy eye?

Fillers instead of decompression
Dec 24, 2018

You should definitely have an evaluation by an oculoplastic surgeon to determine if you have proptosis, eyelid asymmetry, or both.It's possible that filler above the right eye could reduce the "platform show" and the upper lid sulcus to provide some improvement in symmetry. Another consideration is a fat decompression instead of a full bony decompression.

Slight hooded eyes, will botox help lift and make my eyelids bigger?

Botox eyebrow lift
Dec 24, 2018

Botox or Dysport can give lift to the eyebrows but only if the eyelid closure muscle (orbicularis oculus) is pulling the brows downward and you haven't had a lot of Botox in the forehead muscle (frontalis). It can lift the eyelids secondary to lifting the brows. Based on your photos you don't have eyelid hooding, it's possible you would achieve a slight improvement of the amount of eyelid platform visible but it's likely that it wouldn't be dramatic. Upper eyelid surgery would be more ...

Can you add Juvaderm Ultra Plus to lips that are aleady filled with Juvaderm Ultra?

Layering different types of Juvederm for lips
Dec 24, 2018

You can combine different types of Juvederm in the lips. Ultra Plus is a thicker filler than your original product, while it can create a plumper look it can also be more prone to cause lumps that you can feel or possibly see.

Would eyelid excessive skin removal be sufficient for me?

Upper eyelid skin lift
Dec 18, 2018

It's difficult to assess your needs from you photo because the angle was taken from above you which makes it appear that you're looking down. It does seem that you have excess upper eyelid skin that would be corrected with upper blepharoplasty. Other related procedures could also be done but a full in-person consultation with an oculoplastic surgeon is advised.

Botox or fillers for skin bunching when smiling?

Bunching under eyes when smiling
Oct 24, 2018

Based on the photos you shared, your cheeks are elevating when you smile (this is normal) and with your anatomy, as the cheek mound moves upward it is accentuating the under-eye hollows. Dysport or Botox would reduce the "crow's feet" at the outer corners of the eyelids and could reduce the roll just under the eyelashes when you smile but it wouldn't affect the "cheek shelf". Some under-eye filler can blend the lower lid hollows to the cheek area to a degree but not completely. Surg...

Latest Before And After Photos

Under-eye Filler And Dysport Treatment Picture By Dr Kotlus, New York, New York (10065)

Upper Eyelid Sagging Surgery Under Eyes In A Man Candidate With Dr. Brett S. Kotlus, MD, MS, FACS, New York, New York (10065)

Dr Kotlus, New York, New York (10065) Lower Cosmetic Surgery Under Eyes From Behind Eyelid (transconjunctival) Picture

Upper And Lower Hooded Eyes Surgery In Male By Dr. Kotlus, New York, New York

Upper Eyelid Lift By Dr Brett S. Kotlus, MD, MS, FACS, New York, New York

Dr. Brett S. Kotlus, MD, MS, FACS, New York, New York 47 Year Old Miss Treated With Lip Augmentation

52 Year Old Female Treated With Lip Augmentation Photo By Dr Brett S. Kotlus, MD, MS, FACS, New York, New York (10065)

35 Year Old Mother Treated With Lip Augmentation By Doctor Kotlus, New York, New York (10065)

Dr Brett S. Kotlus, MD, MS, FACS, New York, New York 34 Year Old Ms. Treated With Lip Augmentation Candidate

Last updated on 11/22/2023