Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery
Albert J. Dal Canto, M.D. -- Oculoplastic Surgery Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery
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Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery
Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery
Fillers and
Botox® Cosmetic
Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery
Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery
Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery   Fillers and Botox® Cosmetic Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery
Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery
 

As an oculoplastic surgeon, Dr. Dal Canto is not only expert in facial anatomy but has a deeper understanding of the interaction between the deeper muscles and soft tissues and the different aesthetic units (cheeks, eyelids, mouth, etc) compared to many other physicians or spa technicians who may offer fillers and botox. Understanding these interactions is key in formulating the most effective treatment plan consisting of fillers, botox, or both in combination.

Fillers

By far the most commonly used fillers in Dr. Dal Canto’s practice are the hyaluronic acid fillers, such as Juvederm® , Restylane® , and Hydrelle® . These are all part of the “next generation” of FDA approved dermal fillers. They are made of hyaluronic acid, a naturally occurring substance in your skin that helps add volume and hydration to your tissues. Besides being are safer than collagen, they provide a smooth, natural contour and feel. They are gently injected under the skin into the mid to deep dermis to smooth away facial wrinkles and folds. They are particularly good with “static” wrinkles, or ones which are present even when the face is relaxed and not talking, smiling, frowning, etc. The effects of hyaluronic acid fillers generally last 9-12 months.

Fillers are commonly used for treatment of wrinkles and folds or for “plumping” the following areas:

  • Lips
  • Nasolabial folds (the lines from the nose to the outside corners of the mouth)
  • Marionette lines (the lines just below the corners of the lips)
  • Cheeks
  • Tear trough (the area of the “dark circles” along the orbital rim)

While the “bags” and “dark circles” under the eyes are sometimes treated by surgical sculpting of the prolapsed fat creating the “bags”, some patients are better served or temporized by adding fillers to the hollow areas of the tear trough.  By filling out the area along the orbital rim, the dark circles are often less prominent and the bulging fat is masked as well, resulting in a pleasant more youthful appearance.  Since the area being injected is adjacent to both the orbit (eye socket) and eye, many doctors and spas will not treat the tear trough area.  However, with Dr. Dal Canto’s extensive oculoplastic training and experience, these injections can be safe and effective in the right patients. 

Botox® cosmetic

Botox® is commonly used for “dynamic” wrinkles, or wrinkles that become apparent or worsen with facial expression.  Botox® is used to weaken the offending muscles resulting in a more relaxed, refreshed look with smother skin.  The “Botox face” or “frozen face” appearance is a result of overly aggressive treatments that block not only the unwanted movements causing wrinkles but also all facial expression.  Dr. Dal Canto strives for a natural appearance in his patients with the ability to maintain facial expressions, but with a softer, rejuvenated underlying appearance. 

The most commonly treated areas are the forehead wrinkles, crow’s feet wrinkles (around the eyes) and frown lines (between the eyebrows).  A series of small injections with a very fine needle are given just under the skin into specific muscles.  Discomfort and downtime are minimal.  The effect is generally noticeable after 7-10 days and lasts about 3-4 months, at which point the injections can be repeated.  The lines and wrinkles often appear less severe after repeat treatments because the muscles are being trained to relax.

Dr. Dal Canto also uses Botox® for the treatment of blepharospasm (uncontrolled blinking and spasms of the eyelids).  Patients with blepharospasm often also have dry eye syndrome and poor tear film quality due to blepharitis.  It is important for patients to be evaluated and treated for these conditions in addition to the Botox® therapy. 

As a member of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), Dr. Dal Canto has extensive training and experience in the use of cosmetic fillers and Botox® .  He will evaluate your aesthetic concerns and recommend the most appropriate approach, whether it be injection of fillers and/or Botox® or surgery, such as blepharoplasty surgery.  He prides himself in personal service and does not relegate the task of the injections to a technician.

Before and After Photographs

Patient # 1 return to top

"Dark circles" under eyes
BEFORE: 45 yo female with “dark circles” under her eyes from tear trough hollows.
AFTER: Four months after Belotero filler injections to the tear trough


Patient # 2 return to top

"Dark circles" under eyes
BEFORE: 35 yo female with “dark circles” under her eyes from tear trough hollows.
AFTER: One year after Juvederm filler injections to the tear trough.
Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery
Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery
Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery
Albert J. Dal Canto, M.D. -- Cosmetic & Reconstructive Eye Surgery