Dr. Kotlus saw a need for a tool that helps cosmetic surgeons evaluate patients for upper eyelid lifts (blepharoplasty) and he created it using a 3d printer.  It is called the eyelid wand and it is available on a website called shapeways.com.  Other surgeons have already purchased their own 3d printed copy of the instrument to use with their own patients.  

Watch this video to learn how the eyelid wand is used:

In this video, Karen describes her experience after undergoing an upper blepharoplasty one week earlier. The eyelid lift procedure removes sagging skin to rejuvenate the upper eyelids and produce a less tired appearance.  As you can see, she is thrilled with her experience with Dr. Kotlus!

It is well known that subcutaneous fat, the fat under the skin, has abundant stem cells, the cells in the body that have the potential to grow into other types of cells.  Doctors are able to use these cells in other parts of the body with the hope that they will repair tissues that are damaged from injury or aging. 

In the face, fat transfer procedures help to accomplish revolumization (adding volume that was lost with age) and have the added benefit of delivering stem cells under the skin at the same time.  

In a recent news story reported on Yahoo!, Dr. Kotlus describes a fat transfer procedure that helped a woman who had Perry Romberg Syndrome, characterized by half of the face sinking in.  He used fat taken from around her belly button using a mini liposuction procedure and threaded the fat into the hollow and sunken areas of her face, helping to restore her symmetry.  Read more about this fascinating procedure on Yahoo! here. 

Dr. Kotlus routinely performs cosmetic facial fat transfer as a standalone procedure or in combination with eyelid lifts and face lifts in Allure Medical Spa's accredited surgical facility in Shelby Township, Michigan. 

According to recent data, male cosmetic surgery is on the rise.  Economic times may have influenced this statistic, as a competitive job market favors energy, youthfulness, and yes, looks.  The most popular cosmetic procedures for men include botox and fillers for wrinkles, chin implants to rectify a weak profile, hair transplants for a fading hairline, and liposuction for excess fat pouches.  Also at the top of the list is blepharoplasty to reduce sagging eyelid skin and eyelid bags.

Male blepharoplasty should be done in a more conservative manner than female blepharoplasty in most cases, to preserve masculinity.  The male eyelid anatomy can differ from that of a female, with the eyelid crease in a different position and the brow with more fullness. 

Blepharoplasty or eyelid lift can be done in conjunction with fat injections, laser skin tightening, and botox to acheive an enhanced result.  In Michigan, Dr. Brett Kotlus offers customized procedures for his extensive list of male patients.  Below is a video of Dr. Kotlus' patient who underwent upper and lower blepharoplasty 1 month earlier.  His masculinity was preserved and he certainly did not end up with the dreaded "Kenny Rogers" look!

Lower eyelid bags can make you look older and more tired than you actually are.  These bags and shadows are usually caused by lower eyelid fat pouches that are bulging in combination with hollowing of the upper cheek in an area called the "tear trough". 

There is a surgical option to correct these bags that removes and/or shifts the fat pouch.  The surgery may also involve fat injections and laser resurfacing to smooth the surrounding areas.  Surgery gives the most long-lasting benefit, but it also involves some downtime, usually a week (or a few) of swelling, bruising, and redness.

The non-surgical correction for eye bags involves filler injections to plump the hollow, sunken areas that create shadows under the eyes.  The fillers can last a year or more and have little downtime.  Most people can return to work after the treatment that takes about 15 minutes. 

The patient above (who generously allowed us to use his photos) had Juvederm Ultra placed by Dr. Brett Kotlus in the tear trough and upper cheek.  He was totally thrilled with the result.  Dr. Kotlus is one of the most experienced under-eye filler injectors in the state of Michigan and uses special techniques including blunt microcannula delivery systems to prevent bruising and reconstituted hyaluronic acid to ensure a smoother, more natural contour. He performs these treatments in the Macomb county office at Allure Medical Spa.