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Thank

you for your question.

You submitted your question with a close-up view of your eyes. And you're asking is

it better for you to have surgery or to have fillers. And you state that you have had under

eye bags since as far as you can remember, that both sides of your family have these

characteristic eye bags and dark circles. So you're trying to figure out what's

the best way to approach your situation and you're 24-years-old.

Well, I can certainly share with you the concepts I apply to my practice when I meet patients

like yourself every day in my office. A little bit of background, I'm a Board-certified

cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I have

been in practice in Manhattan and Long Island for over 20 years. Helping people with their

under eye bags with surgical and non-surgical solutions has been the core of my practice

for years. And it has certainly evolved over time with new technologies and newer strategies

which is of course why this is a point in time where you can ask a question between

surgery and filler.

So let's understand some basic concepts. First, what is it you are dealing with. You're

dealing with a condition called lower eyelid fat prolapse. Lower eyelid fat prolapse means

that the fat that's normally around your eyes pushes forward and creates these bulges

under the eyes and that's referred to as herniated fat. In the modern world, over the

past many years, the concept of helping camouflage the lower eyelid fat has certainly been a

very useful tool in our practice to help patients who have a minimal or moderate amount of fat

but it depends a lot on the anatomy, the bone structure and this is very important.

So when someone has a certain amount of limited fat prolapse pushing forward and they have

a certain amount of projection to the bone under the eyes, then you can fill that space

at the tear trough with fillers such as a hyaluronic acid filler in the Restylane or

Juvederm family and that can help buy a lot of time.

When I look at your photo and in the absence of a physical examination and looking at the

relative projection of your cheek, my leaning is more towards doing or approach your situation

surgically because the fat prolapse essentially is going to a level where there is not much

space to actually place a filler.

Further, in order to try to blend that area, I can tell you from patients who've come

to my office after having this done, a lot of times patients will get filler then they'll

get more filler placed on the front of their cheeks in order to blend with this bulge of

fat and that ends up being very much counterproductive. Very often, that's done by non-surgeons,

by doctors who cannot perform lower eyelid surgery.

Now of course at 24, you might be hesitant about doing a surgical procedure. Certainly,

we have dealt with this a lot over my decades of practice. In fact, we recently helped a

young woman who was 19-years-old and had a similar type of situation. Basically, the

approach in our practice is to do the procedure such as in your situation called a transconjunctival

blepharoplasty. Transconjunctival blepharoplasty means that the fat pockets are approached

from the inside of the eyelids. Years ago, I had advocated this procedure particularly

for darker skin types and that was after noticing a lot of people who have darker skin that

means anybody with an olive complexion or darker were getting surgery where incisions

were made on the lower eyelid and they were not having good outcomes with the scars and

their lower eyelids were becoming retracted and that was particularly true in people who

had very prominent eyes. So by doing this procedure from the inside of the eyelid, I'm

able to preserve the anatomy of the muscles that are critical for maintaining the eye

shape and aesthetics as well as function. And in so many ways, it's as minimally invasive

as you can get with surgery and still get a real outcome to address the underlying issue.

Now further in our practice, we do our procedures with local anesthesia and LITE™ sedation.

And we do it within our office, in our Joint Commission approved facility. So for many

patients, patients who come to us from all over the world for this procedure, they like

that they don't have to go to a hospital or surgery center and they can comfortably have

the procedure done and be discharged without having to go under general anesthesia.

Further, it is routine for us to also use something called platelet-rich plasma (PRP)

to help with those dark circles under the eyes, to help some of the skin quality. At

24, it may not be as critical but it might have some potential benefit at least at the

time of surgery. I find it to be very versatile and useful. It's derived from your own blood

and it contains the wound healing and growth factors that help address skin quality and

dark circles.

Now as far as the future is concerned even after you get the puffiness reduced, you may

want to consider other things such as fillers depending on your bone structure. So when

you ask a question like whether or not to do surgery or fillers, I often take the photos

of my patients and I take them from all angles. I try to explain to them that once you get

past the puffiness under your eyes, well if you need a little bit of volume in your cheeks

or anywhere else in your face to help create harmony, that might be something worth considering.

Generally speaking, younger people like yourself, at 24, that's not really an issue but I

want to at least mention that in case there is some other potential opportunities that

you may want to address.

So I think it's very important for you to get a proper evaluation by a qualified, experienced

cosmetic surgeon who performs lower eyelid surgery a lot and is comfortable with dealing

with all kind of skin types and is very good, in particular, the transconjunctival approach

from the inside of the eyelid. And I think you'll find that doing this will make a

real big impact. I have to say that in years and years of practice that helping someone

with under eye bags is one of the most satisfying things that we do. The patient's entire

face is like getting a facelift. The face opens up and brightens up. So, I think this

is worth pursuing just find a doctor you'll be comfortable with.

So I hope that was helpful, I wish you the best of luck and thank you for your question.

For more infomation >> Eye Bags Treatments for Dark Skin that Avoid Common Complications Like Scarring - Duration: 9:26.

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Captain Slug's Giveaway! Glow In The Dark Caliburn - Premade Unboxing - Duration: 2:31.

The Springs included are a K26, K25, and a 788.

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【兩儀評評你】這遊戲不只有難玩！《Dark Souls 黑暗靈魂》（中文字幕） - Duration: 9:12.

For more infomation >> 【兩儀評評你】這遊戲不只有難玩！《Dark Souls 黑暗靈魂》（中文字幕） - Duration: 9:12.

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"PUNISHER" Hard Trap Beat Instrumental | Dark Trap Rap Beat Instrumental | DLX Beatz & Meydmelody - Duration: 4:02.

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HIIT Smoothie Challenge 3: MIA Fitness Challenge & Dark Chocolate Mint Smoothie - Duration: 6:24.

what's going on guys and welcome back to the fit men cook kitchen so we are on

day three of our hitting smoothie challenge in honor of Heart Month here

in the u.s. we're challenging ourselves to get active for at least 15 minutes

each day and get ourselves to some good sweat and also in doing a heart-healthy

smoothie so today's workout is gonna be inspired by another person that I really

admire out there in social media his real thing was around the job

probably know him as mi-8 Fitness Mia Fitness he is straight out of Miami and

let me tell you this dude is a beast he does a lot of bodybuilding workouts but

he does these amazing track workouts where he's focused on the ABS and also

the quad so today's workout is going to be

inspired by him now as a reminder reach-around is five minutes we're going

to do the exercise for 50 seconds and then rest for 10 seconds in between but

take all the time that you need to recuperate just in case after the entire

round you're going to rest for one whole minute and then do the whole thing again

the challenge is to do this at least 3 times so that you can be active for 15

minutes today alright job let's get started

yeah

like you back

all right today we are making a decadent chocolate mint protein smoothie again

these are very simple ingredients that pack a whole lot of flavor so here's

what you're gonna need avocado avocado is gonna be our

heart-healthy star for this smoothie next we're gonna use some cacao I think

I love about cacao is that it's rich in fiber of magnesium and it's packed with

antioxidant but make sure that you get actual real cacao or at least 60% dark

chocolate powder next we're going to be using some protein powder now this is

vanilla whey protein powder because that's all I have but if you have some

chocolate protein powder you can use that you can also use collagen peptides

or some vegan plant-based proteins and now we're gonna add in the mint so

you're gonna toss in some fresh mint leaves about 2 or 3 now you can use some

water but I'm gonna be using some unsweetened almond milk instead

now the avocado is gonna make it really nice and creamy the cacao is gonna give

us that nice dark chocolate flavor and then the vanilla whey protein is going

to actually give us a boost of protein now it also is gonna serve to help to

sweeten this smoothie because cacao can be very very bitter if you're looking

for something sweeter then you can add in some stevia in the raw or toss in a

date and there's good at work

creamy dark chocolate mint smoothie look at that look how rich and creamy that is

that is a little piece of avocado at work oh this is good you're gonna live

at this movie let me know how to hit and smoothie challenge is going and let me

know how you enjoyed this smoothie because you will love it

alright y'all Cheers

I think the hardest part for me is just like make into balance because like

you're doing it it looks really easy but when you actually start doing it you're

gonna activate everything it's not the reason why I like to is he doesn't lot

of leg stuff but whatever you work your legs and work your core a lot yeah

because I've gotta keep it really tight I keep that cord again maintain balance

right I can't believe we're sweating this much and my abs are burning we get

to technically to epic than my abs are burning

yeah it's that this is why even when you do the squats

here's to engage your core the entire

selphie may be wrong I know

For more infomation >> HIIT Smoothie Challenge 3: MIA Fitness Challenge & Dark Chocolate Mint Smoothie - Duration: 6:24.

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The Long Dark Hikaye Modu |Acıklı Hikaye!| #16 - Duration: 38:59.

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10 Dark Conspiracies Surrounding Bill Clinton - Duration: 15:48.

There is no doubt that anyone in such a high position as president of the United States is going to have a few skeletons in the closet or a few questionable decisions he made in the past. And what's more, these things are very likely to raise their heads at some point in time, whether for legitimate reasons or through the opportunistic desires of others. Bill Clinton served two terms in the White House following election victories in 1992 and 1996. In his case, the closet contains quite a few skeletons. In fact, much like the connections between the Bush and Bin Laden families, the skeletons in Bill Clinton's past range from intriguing to deadly.

#10. The Arkansas Development Finance Authority.

The Arkansas Development Finance Authority  came into being in 1985 while Bill Clinton was the governor of Arkansas. Clinton was one of its biggest and most vocal supporters. The reason for its existence was to attract financial investors to the state by offering low-interest loans for businesses that would contribute to the overall development and regeneration of the region. That, however, wasn't how the setup worked.

Various investigations and whistle-blowers  would claim that the ADFA was, in fact, a complicated money laundering operation, with many of the businesses that applied for loans using the money to fund drastically different projects than what the paperwork stated.

Furthermore, there were ties to Bill Clinton's wife, Hillary Clinton, and the Rose Law Firm, for which she worked.

Not only did the Rose Law Firm underwrite all of these questionable loans and essentially "sign off" on everything , any business applying for a loan from the ADFA had to pay the Rose Law Firm a "fee" of $50,000.

#9. The Park-O-Meter Claims.

One of the first businesses to receive a "loan" from the ADFA was a company called Park-O-Meter, which, as the name might suggest, made parking meters. However, it soon came to light according to claims in a 1994 documentary called The Clinton Chronicles that Park-O-Meter wasn't just making parking meters. They also had a very lucrative sideline making very specifically designed nose cones.

What was special about these nose cones were the compartments built into them for the specific purpose of smuggling cocaine into the United States. These planes were "made available" by Bill Clinton for use at the Mena Intermountain Municipal Airport .

In addition to the nose cone contract, Park-O-Meter was discovered to have taken a contract from a company named Ivor Johnson Firearms.

The contract called for them to manufacture "untraceable custom weapons parts," which would be shipped to the Mena airstrip and would then be sent to the Contras in Nicaragua. All indications were that Ivor Johnson Firearms was a front for the CIA.

The person behind many of these initial claims is the next entry on our list.

#8. The Claims Of Larry Nichols.

Larry Nichols would claim to be at the "center of Bill Clinton's political machine. " He was originally employed as the marketing director of the ADFA, and while he approached the job expecting to find nothing out of the ordinary, he soon discovered that no repayments on any loans that had been made were coming back in.

He would claim to see all of the "pay-offs" and "backhanders" that went on.

He would see Clinton hand over piles of cash to "repay favors." It was also Nichols who discovered the "fees" paid to the Rose Law Firm as well as the vast amounts of loans personally signed off on by Hillary Clinton.

Not only was Bill Clinton involved in the smuggling and selling of cocaine, according to Nichols, "he was hooked on it" himself.

He would even go as far to say that he genuinely believed that Clinton "was planning to do the same thing in Washington" when he became president, which led to Nichols speaking publicly.

Incidentally, before going public with his claims, Nichols was fired by Clinton following reports that he had placed hundreds of calls from the ADFA offices to the Contras in Nicaragua.

Many researchers have suggested that these calls were made by Clinton himself  and that Nichols was the scapegoat.

#7. The Mena Airstrip .

One of the main hubs of Bill Clinton's apparently dodgy deals was supposedly Arkansas's Mena Intermountain Municipal Airport. It was here that most of the drugs entered the country, and with the help of the aforementioned ADFA, the money from the sales would be laundered and used for "other" purposes.

Although Clinton wasn't directly involved in the sense that he didn't personally smuggle the drugs into the country and out of the airstrip, the main charge from those who have researched his activities during this time  is that any evidence that did emerge was quickly suppressed or discredited.

As we will see later, it would also appear that anyone who witnessed the events that happened at Mena had a sudden impulse to commit suicide.

It was also from this same airstrip where many of the weapons used in the infamous Iran-Contra deal left the country. The next person on our list also shares connections to both Bill Clinton and Bush Sr.

#6. Barry Seal .

The person who "owned" the Mena strip was former airline pilot and drug and weapons smuggler Barry Seal. In reality, the airstrip was given to Seal by intelligence services which would use him for various operations. If the claims and investigations are to be believed, the intelligence services had the full support of Governor Clinton.

Seal would certainly operate his own dealings on the side , but the bulk of his work appears to have been through the CIA and, in turn, Clinton and Bush Sr.

Incidentally, fearing he had been "hung out to dry" following his photographing of Sandinista officials, which President Reagan used for propaganda purposes against the regime, Seal began to talk publicly.

He stated that the photograph didn't show the Sandinistas loading drugs onto the plane, and furthermore, he told of the links from the president to the Mena airstrip to the Contras and the drug cartels of Colombia.

Several weeks later, he was shot to death. Barry Seal and the Mena airstrip aren't the only connections between Bill Clinton and his apparent political opposite, George H.W. Bush.

#5. Jackson Stevens.

During Bill Clinton's campaign to become president of the United States in 1992, his biggest financial contributor was a billionaire businessman named Jackson Stevens. Stevens was the largest investment banker in the entire state of Arkansas. He was also a very close friend of the Bush family and had ventured into business arrangements with them before, even contributing substantial amounts Bush's presidential campaign four years earlier.

Stevens contributed over $3 million to the Clinton campaign, despite Clinton being a Democrat and Bush Sr. being a Republican. Without this contribution, it is widely accepted that Clinton would have had to drop out of the race.

Whether Stevens's switching of support was purely for his own ends or whether it was part of predetermined plan to have Clinton in the White House is up for debate.

Incidentally, one of Stevens's most questionable connections was to the Bank of Credit and Commerce International , which at the time of Clinton's campaign, had recently been labeled one of the most corrupt financial institutions in US history.

It was also through the BCCI that much of the apparent laundered money via the "loans" made through the ADFA would also travel to other destinations.

#4. He Was A Rhodes Scholar.

Although there is perhaps no conspiracy other than wanting to attend the prestigious college for "CV purposes," some who subscribe to such theories as those of the New World Order or the Illuminati believe that Clinton's decision to become a Rhodes Scholar is part of the predetermined actions of the elite who rule our world. Cecil Rhodes is a controversial character to some, mainly due to a line in the first draft of his will, which read of his desire to establish a secret society with the aim of spreading British influence around the world.

In truth, Rhodes made several drafts of his will, and by the final version, the secret society part was omitted in favor of the Rhodes Scholarship.

An interview Clinton gave in 1994 arguably did nothing to quash the conspiracy theories, however, when he stated he was aware of a "permanent shadow government of bankers and government officials" who control world events and political goals.

Furthermore, he was also aware that he would need to "gain access to this inner circle" if he was going to be a person of influence himself. Make of those comments what you will; some people certainly did.

#3. The Suicides.

Whether there are any connections to be made, and indeed whether the allegations are true, it would appear that a lengthy list of people who Bill Clinton was connected to  went on to commit suicide.  As you might imagine, many researchers have investigated these links. Just a few possible examples of these are the head of Bill Clinton's finance campaign, Ed Willey, who was discovered with gunshot wounds.

Kathy Ferguson, who openly spoke of Bill Clinton's sexual encounters in hotel rooms, was found dead with a gun in her hand.  And then there's John Wilson, who was voicing louder and louder concerns about Clinton's conduct.

He was found hanged soon after. All of these deaths were ruled suicides.

Maybe the most suspicious was the case of two young men, Kevin Ives and Don Henry, who had seemingly wandered onto the Mena airstrip late one evening. They were later discovered dead on nearby railway tracks.

The cause was again ruled suicide. When the families pressed for a second opinion , it was revealed that Ives had suffered a crushed skull, and Henry had been stabbed in the neck. The ruling the second time? Accidental death.

Perhaps the next entry on our list is part of the reason why some people are a little suspicious about some of these suicides.

#2. Clinton's Last Act As Governor Of Arkansas.

This law stated that any death ruled a suicide doesn't need to have an autopsy, even if the evidence points to murder. Considering the number of "suicides" that took place in Arkansas in the late 1980s and early 1990s, it is easy to see why an eyebrow or two would be raised.

This wasn't the only time that Clinton has been accused of manipulating laws to his own ends. During his time as governor, Clinton very publicly backed a law that would require public officials to be fully transparent in disclosures of their private interests.

When Clinton began his campaign for the presidency in 1992, his team would make substantial alterations to that law which made himself and others exempt from such transparency.

#1. The 1991 Bilderberg Meeting.

In the summer of 1991, upon the invitation of David Rockefeller, Bill Clinton attended the mysterious Bilderberg meeting. Of course, the following year, he was president of the United States. Coincidence ? Most probably, but to some who are suspicious of the Bilderberg Group, it is a sure sign of his selection for the presidency by the world's elite.

Clinton certainly isn't the only famous world leader to have attended the Bilderberg meetings immediately before taking such a prominent position. British prime ministers Margaret Thatcher and Tony Blair both attended before their respective election victories.

Also, such influential people on the world stage as Henry Kissinger and Paul Wolfowitz are said to be regular attendees to the yearly meetings, as are members of the Rockefeller and Ford families.

While it would perhaps make a certain amount of sense that such wealthy and influential people would want to meet once a year to discuss such things that may impact their interests, the absolute secretive nature of the meetings makes some people very suspicious of them.

For more infomation >> 10 Dark Conspiracies Surrounding Bill Clinton - Duration: 15:48.

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In 3 Days - Remove Dark Spots, Black Spots With This Simple Ways - Duration: 2:09.

Remove Dark Spots

causes of skin darkening and how to avoid them skin is the largest organ of

our body it clearly reflects what is going inside our body it's very easy to

judge your overall health by just looking at your skin so a healthy body

is a must condition if you want to have a glowing and flawless skin apart from

your internal health there are many other factors too that can cause

dullness of skin like excessive sun exposure pollution chemicals dust stress

etc to avoid these causes try below steps one have to eat healthy diet food

should be rich in vitamin A vitamin C and vitamin E these vitamins helps to

make skin healthy and prevent it from getting damaged also a healthy diet

should contain green vegetables fresh fruits beans etc necessary ingredients

for a healthy skin one vitamin C 2 nya Chien amide 3 licorice extract 4

glycolic acid 5 Sena moments IV neom 6 lactic acid 7 kojic acid so keep it diet

in such a way so that you get all necessary things for a healthy skin to

have to drink lots of water it helps to make skin moisturized and clean 3 should

use a good sunscreen lotion before facing Sun radiation it helps to protect

skin from UV rays coming from the Sun and further damage also for use lemon

thrice a week it helps to remove dead skin cells and to make skin brighter and

clean 5 also a good skin brighter can be used to get even skin tone with healthy

and younger looking skin skin lightening products can reduce the melanin

production which leads to darkness of the skin thank you for watching this

please subscribe for more tips and don't forget to Like comment and share

Remove Dark Spots, Remove Dark Spots

For more infomation >> In 3 Days - Remove Dark Spots, Black Spots With This Simple Ways - Duration: 2:09.

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amnesia the dark decent #2 - Duration: 39:49.

I had to go let my dog out right about here and i had to do this twice so bare with me

and here is the second time i had to let him out