Conveniently located to serve Honolulu and Hawaii
Extremely professional and caring. Highly recommend Dr. Melanie as she really cares about her patients care and comfort. Really impressed and pleased with her level expertise in helping you look natural and refreshed.
Plus she is a wonderful person that strives to bring out the best in your appearance as you would like to see yourself.
By Paula Gaillard
Effective Eyelid Lift Without Surgery
Melanie Tantisira, MD is the first physician in Hawaii to perform the “Madonna Lift”, an alternative to eyelid surgery for patients who want minimal downtime, natural looking results, with effective eyelid rejuvenation for either upper and/or lower eyelids.
This innovative procedure tightens the skin on the eyelids by stimulating collagen production. The result is not only a tighter, more open appearance to the eyes, but also improvement in skin texture and fine lines. Since no cutting is needed, downtime and risks are minimized. Dr. Tantisira has been doing this procedure for many years and is able to predict which laser settings will improve your skin the fastest while minimizing the risk of side effects.
Recapturing Youthful Skin
Typically, the first area we notice skin aging on our face is around the eyes. It may appear as crow’s feet around the outer corners of the eyes. The upper eyelid area may begin to sag or look hooded. Under-eye circles and bags may appear and result in a tired or aged look. As we mature we produce less collagen and experience significant moisture and elasticity loss.
The Fractional CO2 laser stimulates collagen production which rejuvenates the skin. In addition to the eyes, fractional CO2 may be applied to the face, neck and other parts of the body. The fractional CO2 is less invasive than the original full CO2 treatment, which essentially removed the entire top layers of the skin. With the fractional method, columns of laser penetrate very deeply but leave untreated skin in between the laser columns. This leaves the untreated skin between columns intact and speeds the process.
The results with Fractional CO2 laser skin treatment are amazing skin improvement with minimal downtime.
The “Madonna Lift” – How It Works
The “Madonna Lift” is named after the pop star who had this non-surgical laser treatment to reduce the signs of aging around her eyes. The procedure yields visible results – a youthful, refreshed look without undergoing traditional eye surgery while preserving the original look of the candidate.
The “Madonna Lift” also enhances skin elasticity. It promotes smoother, tighter skin with better texture around the eye area and eyelids. Dr. Bruce Katz of the New York Juva Skin and Laser Center pioneered the procedure and demonstrates the lift on TV’s The Doctors.
Prior to the “Madonna Lift,” Fractional CO2 lasers were not used directly on the eyelids for fear of damaging the patient’s eyes. Dr. Katz led the way through his innovative use of protective metal eye shields inserted into the eyes, like large contact lenses, effectively preventing damage to eyesight.
The Madonna Lift tightens the skin on the eyelid and surrounding areas by heavily stimulating collagen production. Treatment with Botox Cosmetic or Dysport to relax the muscles that pull the brow downward further enhances the eyelid lift. All of this is done without surgery while down time and risks are minimized.
Dr. Tantisira first introduced the “Madonna Lift” to Honolulu in 2010. She is the only doctor in Honolulu, Hawaii performing this breakthrough treatment – offering a natural, youthful result, instead of drastic change.
Her training in Ophthalmology and specialization in surgical and non-surgical cosmetic facial treatment make her uniquely qualified to perform the “Madonna Lift”.
Prior to any laser treatment, Dr. Tantisira requires darker-skinned patients to complete a strict pre-treatment preparation with physician-grade sunscreen. Patients with an history of severe pigmentation irregularities also need to pre-treat with an anti-pigmentation medication prescribed by Dr. Tantisira. Proceeding with a laser treatment without strict compliance, with these pre-treatments may result in avoidable pigmentation issues.
A topical anesthetic is applied for 30-60 minutes, eye shields are inserted, and the procedure itself takes 10-15 minutes. Patients will “rest” afterward for a few minutes. Some redness and swelling will occur immediately afterwards, which usually resolves in 24-48 hours. A full lift requires a series of 3-5 treatments, usually scheduled 2 to 8 weeks apart, depending on each patient’s circumstances. During the consultation, Dr. Tantisira will design a treatment plan for each patient based on anatomic and scheduling needs.
The Fractional CO2 laser may also be used on the face, neck and other parts of the body to address skin texture irregularities, aging damage, fine lines, acne scars and sun damage.