Follow Us x
The Dry Eye and Rejuvenation Center at Excellent Vision
Advanced dry eye treatments and aesthetics
The clear choice for looking and seeing your best.
Excellent Vision's Dry Eye Center & Aesthetics services are led by Edward Jaccoma, M.D. who specializes in the diagnosis and treatment of dry eye disease.
Together with his experienced staff, Dr. Jaccoma provides comprehensive diagnostic and treatment services to manage symptoms of ocular conditions and restore eye health.
Dr. Jaccoma also performs cosmetic eyelid procedures to improve vision and enhance the overall look of the eyes. His practice even offers treatments for reducing the appearance of wrinkles and rejuvenating the skin.
Dry Eye Treatment Q & A
What is dry eye?
Dry eye happens when your eyes don't produce sufficient tears or if the tears evaporate too rapidly. As a result, your eyes don't receive the proper lubrication, protection, nourishment, and support offered by a healthy tear.
You may find it difficult to read, work on a computer or perform other activities when your eyes are dry. It may also be difficult to tolerate dry environments for extended periods of time.
Dry eye is a chronic, progressive condition. Without proper treatment, it worsens over time.
What treatments are available for dry eye?
Dr. Jaccoma offers many effective treatments for resolving the irritation of the dry eye and preventing a recurrence. He performs a full eye exam to confirm a dry eye diagnosis and determine the best treatment for you.
Treatment options may include:
* Prescription eye drops: includes Restasis® and Xiidra®
* Advanced artificial tears (such as Oasis products)
* BlephEx®: in-office treatments to clean eyelids
* Prokera®: therapeutic device to repair surface eye damage
* Intense pulsed light (IPL): a laser therapy effective in treating rosacea that affects eyelids and tear production
* Radiofrequency (using Ellman® and thermiRF® devices) to smooth the conjunctival surfaces when indicated (see below) and to assist in the heating and expressing of clogged oil glands while offering an aesthetic repair of thin, wrinkled skin. RF can also be used in certain surgical indications to bloodlessly remove skin lesions and alter the position of malpositioned lids or remove unwanted eyelashes
* eyeThera dry eye kits (designed to provide the products and supplements necessary for good lid hygiene and tear-gland nutrition, in an affordable, convenient, renewable kit)
* Eyeeco brand products, including sleep masks, heat masks, and tea tree oil cleansers
* Punctal plugs (small plugs designed to impede the flow of tears through the tear ducts, thereby allowing tears to remain longer on the surface of the eye)
* Prescriptive antibiotics (sometimes small doses of oral or topical antibiotics can help relieve inflammation and improve tear health. Dr. Jaccoma can help assess if these could be useful in each case.
* Regener-Eyes® ( a prescriptive eyedrop developed to help patients suffering from inflammation and dry eyes, it is a sterile, natural material made from placental-derived fluids that have been shown to reduce inflammation and help restore the ocular surface to health)
* Therapeutic contact lenses (unlike contacts used to replace glasses, these contacts help to stabilize the ocular surface while it is being repaired).
* Eyelid surgeries (when eyelids or eyelashes are misaligned or overly exposing the eye to trauma or dryness, then corrective procedures are often possible to realign the lids or lashes. Some procedures may be offered in-office and others may require more extensive and/or microscopic correction in the hospital OR setting).
If you're suffering from dry eye, book a consultation by calling the office.
Dry eye happens when your eyes don't produce sufficient tears or if the tears evaporate too rapidly. As a result, your eyes don't receive the proper lubrication, protection, nourishment, and support offered by a healthy tear.
You may find it difficult to read, work on a computer or perform other activities when your eyes are dry. It may also be difficult to tolerate dry environments for extended periods of time.
Dry eye is a chronic, progressive condition. Without proper treatment, it worsens over time.
What treatments are available for dry eye?
Dr. Jaccoma offers many effective treatments for resolving the irritation of the dry eye and preventing a recurrence. He performs a full eye exam to confirm a dry eye diagnosis and determine the best treatment for you.
Treatment options may include:
* Prescription eye drops: includes Restasis® and Xiidra®
* Advanced artificial tears (such as Oasis products)
* BlephEx®: in-office treatments to clean eyelids
* Prokera®: therapeutic device to repair surface eye damage
* Intense pulsed light (IPL): a laser therapy effective in treating rosacea that affects eyelids and tear production
* Radiofrequency (using Ellman® and thermiRF® devices) to smooth the conjunctival surfaces when indicated (see below) and to assist in the heating and expressing of clogged oil glands while offering an aesthetic repair of thin, wrinkled skin. RF can also be used in certain surgical indications to bloodlessly remove skin lesions and alter the position of malpositioned lids or remove unwanted eyelashes
* eyeThera dry eye kits (designed to provide the products and supplements necessary for good lid hygiene and tear-gland nutrition, in an affordable, convenient, renewable kit)
* Eyeeco brand products, including sleep masks, heat masks, and tea tree oil cleansers
* Punctal plugs (small plugs designed to impede the flow of tears through the tear ducts, thereby allowing tears to remain longer on the surface of the eye)
* Prescriptive antibiotics (sometimes small doses of oral or topical antibiotics can help relieve inflammation and improve tear health. Dr. Jaccoma can help assess if these could be useful in each case.
* Regener-Eyes® ( a prescriptive eyedrop developed to help patients suffering from inflammation and dry eyes, it is a sterile, natural material made from placental-derived fluids that have been shown to reduce inflammation and help restore the ocular surface to health)
* Therapeutic contact lenses (unlike contacts used to replace glasses, these contacts help to stabilize the ocular surface while it is being repaired).
* Eyelid surgeries (when eyelids or eyelashes are misaligned or overly exposing the eye to trauma or dryness, then corrective procedures are often possible to realign the lids or lashes. Some procedures may be offered in-office and others may require more extensive and/or microscopic correction in the hospital OR setting).
If you're suffering from dry eye, book a consultation by calling the office.
Ocular Disease
Ocular surface diseases are a group of disorders that affect the cornea, the transparent surface layer on the front of your eye. These diseases include:
* Dry eye syndrome
* Meibomian gland dysfunction
* Blepharitis
* Rosacea
* Allergies
* Basement membrane dystrophies
* Corneal infections, ulcerations, erosions
* Conjunctival chalasis, tumors, cysts
* Pingueculae or Pterygia (scar-like growths on the conjunctiva or cornea)
Ocular surface diseases negatively affect your eyesight and can interfere with your quality of life. They may limit your ability to wear contact lenses or receive laser refractive surgeries and require proper diagnosis and treatment to protect your vision and overall eye health effectively.
In many cases, ocular surface diseases go undiagnosed and untreated, leading to more health complications. Regular eye exams are essential and allow Dr. Jaccoma to identify potential eye health complications early so he can provide effective treatment.
What are the symptoms of ocular diseases?
Many of the ocular surface diseases have similar symptoms. It's important to schedule a comprehensive eye exam with Dr. Jaccoma to get an accurate diagnosis and receive effective treatment.
Common symptoms of ocular disease include:
* Irritation
* Redness
* Itching
* Discomfort or pain
* Watery eyes (especially in cold, dry, or windy conditions)
* Tired eyes
* Difficulty working on a computer, driving or watching TV
What are the risk factors for ocular surface diseases?
There are several risk factors for developing ocular surface diseases. These factors include:
* Age
* Certain medications (including some eye drops used to treat other eye conditions such as dry eyes and glaucoma - see below)
* Injuries
* Chronic disease
* Over-exposure to sun, wind, dry conditions
* Long periods of time working or playing on computers/video monitors or watching TV
* Poor nutrition (lack of sufficient Omega oils in the diet, or poor absorption as occurs with gallbladder disease and other intestinal ailments)
* Contact lenses (overwear, poor fit, some contact lens cleaners, improper contact lens hygiene, cosmetic contact lenses, etc).
Some ocular surface diseases are more prevalent in women than men due to hormonal changes during pregnancy and menopause. Makeup (some mascaras, certain makeup removers) can also play a role.
What treatments are available for ocular surface diseases?
Dr. Jaccoma offers innovative treatment solutions for a range of ocular surface diseases. He creates a customized treatment plan to improve your eye health based on your medical history and current symptoms.
Treatments for ocular surface diseases may include:
* Prescription eye drops: improves eye lubrication for diseases affecting tear production, such as dry eye
* Antibiotics: clears up bacterial infections causing inflammation and redness in the eyelids
* BlephEx: in-office eyelid cleaning treatment to remove harmful bacteria and irritants
* Prokera: therapeutic device to repair surface eye damage
* LipiFlow: uses heat to increase the release of tears from the eye glands
* Intense pulsed light (IPL): a laser therapy effective in treating rosacea that affects eyelids and tear production
* Radiofrequency (Ellman® devices) to smooth the conjunctival surfaces when indicated (see below) and to assist in the heating and expressing of clogged oil glands while offering an aesthetic repair of thin, wrinkled skin. RF can also be used in certain surgical indications to bloodlessly remove skin lesions and alter the position of malpositioned lids or remove unwanted eyelashes.
* "Bandage" or Therapeutic contact lenses
* Surgical removal or debridement of abnormal tissues
* Laser treatments
What do I do if I think my current eye drops are causing me to have ocular surface diseases?
Certain eye medications used to treat other conditions such as dry eye and glaucoma may actually worsen some ocular surface diseases. This may be because they contain products your eyes are allergic to, or because they contain preservatives that are harsh chemicals designed to inhibit germs from infecting the product. Since each squeeze of the dropper bottle dispenses a drop, that drop is replaced in the bottle by room air. Room air can contain germs, dust, mold, pollen and a host of other unhygienic things. These harsh chemicals may "clean" these contaminants at the expense of hurting your eyes. Lastly, these products contain the "active ingredients" that are nothing like a human tear and at best, replace your tear with materials that can be unfriendly. At worst they can cause tear glands to whither and surface eye cells to suffer.
Treatments for ocular surface diseases caused by eye drops may include:
* Preservative Free eye drops: improves eye lubrication for diseases affecting tear production, such as dry eye without the toxic preservatives. These typically come in small plastic vials that are designed for single use applications.
* Laser treatments for glaucoma: Dr. Jaccoma is one of the first doctors to have offered the revolutionary Selective Laser Trabeculoplasty (SLT) treatment for glaucoma in Maine and has treated thousands of eyes with this novel technology. SLT targets the debris clogging the filter over the drain inside the eye. This clogged filter is the most common cause of the buildup of excess internal eye fluid that raises pressure and damages the eye nerve. Since the drain now works better, it is common to have patients drop one (and sometimes two) glaucoma medications. The benefits can last for years and are commonly covered by most insurance plans. It takes only minutes to do, is not painful and can be repeated in appropriate cases. Not every glaucoma patient is a candidate for SLT, so Dr. Jaccoma can help you to decide if SLT may be right for you.
Dr. Jaccoma may also recommend corrective surgery to improve the eye structure or gland functioning to help increase natural tear production or repair eye damage. He discusses all of your treatment options during your eye evaluation.
* Dry eye syndrome
* Meibomian gland dysfunction
* Blepharitis
* Rosacea
* Allergies
* Basement membrane dystrophies
* Corneal infections, ulcerations, erosions
* Conjunctival chalasis, tumors, cysts
* Pingueculae or Pterygia (scar-like growths on the conjunctiva or cornea)
Ocular surface diseases negatively affect your eyesight and can interfere with your quality of life. They may limit your ability to wear contact lenses or receive laser refractive surgeries and require proper diagnosis and treatment to protect your vision and overall eye health effectively.
In many cases, ocular surface diseases go undiagnosed and untreated, leading to more health complications. Regular eye exams are essential and allow Dr. Jaccoma to identify potential eye health complications early so he can provide effective treatment.
What are the symptoms of ocular diseases?
Many of the ocular surface diseases have similar symptoms. It's important to schedule a comprehensive eye exam with Dr. Jaccoma to get an accurate diagnosis and receive effective treatment.
Common symptoms of ocular disease include:
* Irritation
* Redness
* Itching
* Discomfort or pain
* Watery eyes (especially in cold, dry, or windy conditions)
* Tired eyes
* Difficulty working on a computer, driving or watching TV
What are the risk factors for ocular surface diseases?
There are several risk factors for developing ocular surface diseases. These factors include:
* Age
* Certain medications (including some eye drops used to treat other eye conditions such as dry eyes and glaucoma - see below)
* Injuries
* Chronic disease
* Over-exposure to sun, wind, dry conditions
* Long periods of time working or playing on computers/video monitors or watching TV
* Poor nutrition (lack of sufficient Omega oils in the diet, or poor absorption as occurs with gallbladder disease and other intestinal ailments)
* Contact lenses (overwear, poor fit, some contact lens cleaners, improper contact lens hygiene, cosmetic contact lenses, etc).
Some ocular surface diseases are more prevalent in women than men due to hormonal changes during pregnancy and menopause. Makeup (some mascaras, certain makeup removers) can also play a role.
What treatments are available for ocular surface diseases?
Dr. Jaccoma offers innovative treatment solutions for a range of ocular surface diseases. He creates a customized treatment plan to improve your eye health based on your medical history and current symptoms.
Treatments for ocular surface diseases may include:
* Prescription eye drops: improves eye lubrication for diseases affecting tear production, such as dry eye
* Antibiotics: clears up bacterial infections causing inflammation and redness in the eyelids
* BlephEx: in-office eyelid cleaning treatment to remove harmful bacteria and irritants
* Prokera: therapeutic device to repair surface eye damage
* LipiFlow: uses heat to increase the release of tears from the eye glands
* Intense pulsed light (IPL): a laser therapy effective in treating rosacea that affects eyelids and tear production
* Radiofrequency (Ellman® devices) to smooth the conjunctival surfaces when indicated (see below) and to assist in the heating and expressing of clogged oil glands while offering an aesthetic repair of thin, wrinkled skin. RF can also be used in certain surgical indications to bloodlessly remove skin lesions and alter the position of malpositioned lids or remove unwanted eyelashes.
* "Bandage" or Therapeutic contact lenses
* Surgical removal or debridement of abnormal tissues
* Laser treatments
What do I do if I think my current eye drops are causing me to have ocular surface diseases?
Certain eye medications used to treat other conditions such as dry eye and glaucoma may actually worsen some ocular surface diseases. This may be because they contain products your eyes are allergic to, or because they contain preservatives that are harsh chemicals designed to inhibit germs from infecting the product. Since each squeeze of the dropper bottle dispenses a drop, that drop is replaced in the bottle by room air. Room air can contain germs, dust, mold, pollen and a host of other unhygienic things. These harsh chemicals may "clean" these contaminants at the expense of hurting your eyes. Lastly, these products contain the "active ingredients" that are nothing like a human tear and at best, replace your tear with materials that can be unfriendly. At worst they can cause tear glands to whither and surface eye cells to suffer.
Treatments for ocular surface diseases caused by eye drops may include:
* Preservative Free eye drops: improves eye lubrication for diseases affecting tear production, such as dry eye without the toxic preservatives. These typically come in small plastic vials that are designed for single use applications.
* Laser treatments for glaucoma: Dr. Jaccoma is one of the first doctors to have offered the revolutionary Selective Laser Trabeculoplasty (SLT) treatment for glaucoma in Maine and has treated thousands of eyes with this novel technology. SLT targets the debris clogging the filter over the drain inside the eye. This clogged filter is the most common cause of the buildup of excess internal eye fluid that raises pressure and damages the eye nerve. Since the drain now works better, it is common to have patients drop one (and sometimes two) glaucoma medications. The benefits can last for years and are commonly covered by most insurance plans. It takes only minutes to do, is not painful and can be repeated in appropriate cases. Not every glaucoma patient is a candidate for SLT, so Dr. Jaccoma can help you to decide if SLT may be right for you.
Dr. Jaccoma may also recommend corrective surgery to improve the eye structure or gland functioning to help increase natural tear production or repair eye damage. He discusses all of your treatment options during your eye evaluation.
Eyelid Surgery
What is eyelid surgery?
Eyelid surgery is an oculoplastic plastic surgery procedure Dr. Jaccoma uses to improve the appearance or functionality of the upper or lower lids of your eye, especially if the skin interferes with your vision.
Conditions eyelid surgery can treat include:
* Wrinkles
* Puffiness
* Eye bags
* Droopy eyelids
* Sagging skin
As an alternative to traditional eyelid surgery, Dr. Jaccoma may also recommend the Pellevẻ® wrinkle reduction system to reduce the appearance of wrinkles and under-eye bags.
Am I a good candidate for eyelid surgery?
If sagging skin on your eyelids is interfering with your vision, eyelid surgery may be necessary.
You may also be a good candidate if:
* You're a non-smoker
* Are in good general health
* Have no serious eye conditions
* Have reasonable expectations for surgery outcomes
Dr. Jaccoma discusses your options and cosmetic goals before recommending the procedure.
What can I expect during eyelid surgery?
Traditional eyelid surgery is an outpatient surgical procedure performed with mild sedation.
During the surgery, Dr. Jaccoma makes the necessary corrections to your eyelids, which may involve removing excess fat or skin tissue and tightening surrounding muscles. He makes incisions that are hidden in the natural folds of your eyelid to prevent visible scarring.
Once the surgery is complete, Dr. Jaccoma closes the incisions with sutures. After a week of healing, he removes the sutures and ensures you're healing properly.
What can I expect after eyelid surgery?
Following your procedure, you may experience swelling and bruising around your eyes. Dr. Jacomma may recommend cold compresses to minimize swelling. He may also recommend medications to prevent infection or relieve discomfort.
As the surgical area heals, the swelling and bruising dissipate, and you begin to see the results. It's essential to wear protective sunglasses and high-quality sunscreen when you go outdoors as your eyes heal.
For patients who want to avoid surgery, Dr. Jaccoma also provides Pellevẻ® as an alternative.
What is Pellevẻ?
Pellevẻ is a noninvasive cosmetic treatment Dr. Jaccoma uses to reduce the appearance of wrinkles, bags, and fine lines around your eyes. The procedure uses radio frequency energy to heat the deep layers of your skin and trigger your body's natural healing reaction.
Over time, your body begins to produce new collagen cells that fill in wrinkles and improve the overall look of your skin. Pellevẻ is safe and effective at treating your facial skin, including:
* Loose skin below and above your eyes
* Crow's feet
* Forehead lines
Schedule a consultation online or by phone to learn more.
Eyelid surgery is an oculoplastic plastic surgery procedure Dr. Jaccoma uses to improve the appearance or functionality of the upper or lower lids of your eye, especially if the skin interferes with your vision.
Conditions eyelid surgery can treat include:
* Wrinkles
* Puffiness
* Eye bags
* Droopy eyelids
* Sagging skin
As an alternative to traditional eyelid surgery, Dr. Jaccoma may also recommend the Pellevẻ® wrinkle reduction system to reduce the appearance of wrinkles and under-eye bags.
Am I a good candidate for eyelid surgery?
If sagging skin on your eyelids is interfering with your vision, eyelid surgery may be necessary.
You may also be a good candidate if:
* You're a non-smoker
* Are in good general health
* Have no serious eye conditions
* Have reasonable expectations for surgery outcomes
Dr. Jaccoma discusses your options and cosmetic goals before recommending the procedure.
What can I expect during eyelid surgery?
Traditional eyelid surgery is an outpatient surgical procedure performed with mild sedation.
During the surgery, Dr. Jaccoma makes the necessary corrections to your eyelids, which may involve removing excess fat or skin tissue and tightening surrounding muscles. He makes incisions that are hidden in the natural folds of your eyelid to prevent visible scarring.
Once the surgery is complete, Dr. Jaccoma closes the incisions with sutures. After a week of healing, he removes the sutures and ensures you're healing properly.
What can I expect after eyelid surgery?
Following your procedure, you may experience swelling and bruising around your eyes. Dr. Jacomma may recommend cold compresses to minimize swelling. He may also recommend medications to prevent infection or relieve discomfort.
As the surgical area heals, the swelling and bruising dissipate, and you begin to see the results. It's essential to wear protective sunglasses and high-quality sunscreen when you go outdoors as your eyes heal.
For patients who want to avoid surgery, Dr. Jaccoma also provides Pellevẻ® as an alternative.
What is Pellevẻ?
Pellevẻ is a noninvasive cosmetic treatment Dr. Jaccoma uses to reduce the appearance of wrinkles, bags, and fine lines around your eyes. The procedure uses radio frequency energy to heat the deep layers of your skin and trigger your body's natural healing reaction.
Over time, your body begins to produce new collagen cells that fill in wrinkles and improve the overall look of your skin. Pellevẻ is safe and effective at treating your facial skin, including:
* Loose skin below and above your eyes
* Crow's feet
* Forehead lines
Schedule a consultation online or by phone to learn more.
Skin Rejuvenation
What is skin rejuvenation?
Over time, your skin develops irregularities and imperfections as the result of:
* Age
* Acne
* Sun damage
* Pigmentation changes
As your skin loses collagen and elasticity, it becomes saggy, and you lose fullness in your facial features.
Which skin rejuvenation services are available?
Skin rejuvenation services are available to treat these skin conditions and imperfections, including:
* Intense pulse light treatments (IPL): uses light wavelengths to reduce skin discoloration and tighten loose skin
* Chemical peels: removes the outer layers of skin to eliminate sunspots and acne scars
* Laser treatments: removes the outer layers of skin to reduce wrinkles and fine lines
* Dermal fillers: injectable treatments to add volume to skin and reduce wrinkles and lines
* Botox: paralyzes muscles that cause frown lines near the brow, mouth, and crow's feet
Dr. Jaccoma reviews your medical history and evaluates your skin to determine which resurfacing treatment is best for you. He provides comprehensive guidance to care for your skin properly following your rejuvenation procedure.
What can I expect from a chemical peel?
During a chemical peel, we use a chemical solution to remove the damaged outer layers of your skin to improve its texture. The solution is applied to appropriate areas of your face, with the concentration and length of time determining the depth of peel produced. We offer light, medium, and deep chemical peels to enhance your skin's look.
Chemical peels are an affordable way to repair skin issues like:
* Acne scars
* Fine lines
* Hyperpigmentation
* Scaly patches
* Sun damage
Chemical peels are fast and effective. You can even schedule a chemical peel appointment over your lunch break.
Following a peel, your skin may appear red and irritated for several days. Deep peels require the most recovery time, as redness and skin flaking can last for several weeks. Dr. Jaccoma and the staff recommend using a high-quality sunscreen following treatment to protect your skin as it heals.
Over time, your skin develops irregularities and imperfections as the result of:
* Age
* Acne
* Sun damage
* Pigmentation changes
As your skin loses collagen and elasticity, it becomes saggy, and you lose fullness in your facial features.
Which skin rejuvenation services are available?
Skin rejuvenation services are available to treat these skin conditions and imperfections, including:
* Intense pulse light treatments (IPL): uses light wavelengths to reduce skin discoloration and tighten loose skin
* Chemical peels: removes the outer layers of skin to eliminate sunspots and acne scars
* Laser treatments: removes the outer layers of skin to reduce wrinkles and fine lines
* Dermal fillers: injectable treatments to add volume to skin and reduce wrinkles and lines
* Botox: paralyzes muscles that cause frown lines near the brow, mouth, and crow's feet
Dr. Jaccoma reviews your medical history and evaluates your skin to determine which resurfacing treatment is best for you. He provides comprehensive guidance to care for your skin properly following your rejuvenation procedure.
What can I expect from a chemical peel?
During a chemical peel, we use a chemical solution to remove the damaged outer layers of your skin to improve its texture. The solution is applied to appropriate areas of your face, with the concentration and length of time determining the depth of peel produced. We offer light, medium, and deep chemical peels to enhance your skin's look.
Chemical peels are an affordable way to repair skin issues like:
* Acne scars
* Fine lines
* Hyperpigmentation
* Scaly patches
* Sun damage
Chemical peels are fast and effective. You can even schedule a chemical peel appointment over your lunch break.
Following a peel, your skin may appear red and irritated for several days. Deep peels require the most recovery time, as redness and skin flaking can last for several weeks. Dr. Jaccoma and the staff recommend using a high-quality sunscreen following treatment to protect your skin as it heals.
Dermal Fillers
If your skin has lost its elasticity due to the natural aging process, dermal fillers may be the solution you're searching for to improve the look of your skin without surgery. The staff offers a variety of effective dermal filler treatments at The OptiCare Dry Eye & Aesthetics Center.
Dr. Jaccoma is highly skilled in using dermal fillers to restore your skin to a younger, natural-looking state.
Schedule a consultation online or by phone to learn more about dermal fillers.
What are dermal fillers?
As you age, your skin naturally loses volume and elasticity as your body decreases its production of collagen and elastin. As a result, your skin becomes wrinkled and saggy.
Dermal fillers are FDA-approved materials that we use to restore volume in your face, reducing the look of fine lines and wrinkles without surgery. They inject the fillers into areas of your body where you want to increase fullness.
Dermal fillers can:
* Increase fullness of lips
* Improve facial contours
* Reduce crow's feet and lines
* Soften skin creases and wrinkles
* Improve appearance of scars
What types of dermal fillers are available?
We offer a variety of dermal fillers and aesthetic products from the Allergan, Galderma and Merz Aesthetics line of products to reduce sagging skin or plump lips and improve the appearance of the eyelids without makeup, including:
* Radiesse®
* Belotero®
* Juvẻderm®
* Voluma®
* Sculptra®
* Restylane®
* Botox® (a medication injected to reduce wrinkles by relaxing muscles - not a filler)
* Xeomin®(a medication injected to reduce wrinkles by relaxing muscles - not a filler)
* Dysport® (a medication injected to reduce wrinkles by relaxing muscles - not a filler)
* Latisse® (a topical prescription product to extend and volumize eyelashes - not a filler)
Dr. Jaccoma can evaluate the condition of your skin to determine which dermal filler treatment is right for you. Combinations of muscle relaxants that reduce the wrinkles caused by over-animation (like frowning) together with fillers that add volume can often offer optimal rejuvenation - sometimes augmented with IPL or radio wave treatments to stimulate natural rejuvenating processes. They also discuss your goals and expectations to ensure you're a good candidate for dermal filler treatments.
What are the risks of dermal fillers?
Before your procedure, Dr. Jaccoma reviews possible risks of using dermal fillers. These risks include:
* Redness
* Swelling
* Lumps
* Ulcers
* Bruising
* Infection
* Skin rash
While dermal filler injections offer lasting results after the first treatment, it may be necessary to repeat the procedure over time as fillers dissipate. Avoiding blood thinners like aspirin, ibuprofen or naproxen - or stronger products like warfarin if OK'd by your doctor, may help limit the risk of bruising. Please tell us if you are on blood thinners or supplements that might complicate your treatments.
What can I expect during a dermal filler treatment?
Before the filler treatment, the staff cleans the injection site thoroughly and applies a numbing anesthetic medication to ensure your comfort during the procedure. Dr. Jaccoma then injects the fillers into the target areas.
Following your treatment, you may experience swelling and some discomfort. We may provide you with an ice pack to reduce swelling before allowing you to go home.
The injection site may feel uncomfortable for a day or two after treatment. Swelling should resolve within a few days.
You can return to your normal activities after treatment, although the we may recommend avoiding strenuous activity for several days to minimize your risk of bruising and swelling.
Initially, the treatment area may appear overfilled until the fillers settle into place. If approved, you can massage the area several times a day to aid in your recovery (please do not massage unless instructed to do so). Your results should be visible within a few days after the swelling goes down and any bruising fades.
To improve the look of your skin without surgery, schedule an appointment online or by phone.
Dr. Jaccoma is highly skilled in using dermal fillers to restore your skin to a younger, natural-looking state.
Schedule a consultation online or by phone to learn more about dermal fillers.
What are dermal fillers?
As you age, your skin naturally loses volume and elasticity as your body decreases its production of collagen and elastin. As a result, your skin becomes wrinkled and saggy.
Dermal fillers are FDA-approved materials that we use to restore volume in your face, reducing the look of fine lines and wrinkles without surgery. They inject the fillers into areas of your body where you want to increase fullness.
Dermal fillers can:
* Increase fullness of lips
* Improve facial contours
* Reduce crow's feet and lines
* Soften skin creases and wrinkles
* Improve appearance of scars
What types of dermal fillers are available?
We offer a variety of dermal fillers and aesthetic products from the Allergan, Galderma and Merz Aesthetics line of products to reduce sagging skin or plump lips and improve the appearance of the eyelids without makeup, including:
* Radiesse®
* Belotero®
* Juvẻderm®
* Voluma®
* Sculptra®
* Restylane®
* Botox® (a medication injected to reduce wrinkles by relaxing muscles - not a filler)
* Xeomin®(a medication injected to reduce wrinkles by relaxing muscles - not a filler)
* Dysport® (a medication injected to reduce wrinkles by relaxing muscles - not a filler)
* Latisse® (a topical prescription product to extend and volumize eyelashes - not a filler)
Dr. Jaccoma can evaluate the condition of your skin to determine which dermal filler treatment is right for you. Combinations of muscle relaxants that reduce the wrinkles caused by over-animation (like frowning) together with fillers that add volume can often offer optimal rejuvenation - sometimes augmented with IPL or radio wave treatments to stimulate natural rejuvenating processes. They also discuss your goals and expectations to ensure you're a good candidate for dermal filler treatments.
What are the risks of dermal fillers?
Before your procedure, Dr. Jaccoma reviews possible risks of using dermal fillers. These risks include:
* Redness
* Swelling
* Lumps
* Ulcers
* Bruising
* Infection
* Skin rash
While dermal filler injections offer lasting results after the first treatment, it may be necessary to repeat the procedure over time as fillers dissipate. Avoiding blood thinners like aspirin, ibuprofen or naproxen - or stronger products like warfarin if OK'd by your doctor, may help limit the risk of bruising. Please tell us if you are on blood thinners or supplements that might complicate your treatments.
What can I expect during a dermal filler treatment?
Before the filler treatment, the staff cleans the injection site thoroughly and applies a numbing anesthetic medication to ensure your comfort during the procedure. Dr. Jaccoma then injects the fillers into the target areas.
Following your treatment, you may experience swelling and some discomfort. We may provide you with an ice pack to reduce swelling before allowing you to go home.
The injection site may feel uncomfortable for a day or two after treatment. Swelling should resolve within a few days.
You can return to your normal activities after treatment, although the we may recommend avoiding strenuous activity for several days to minimize your risk of bruising and swelling.
Initially, the treatment area may appear overfilled until the fillers settle into place. If approved, you can massage the area several times a day to aid in your recovery (please do not massage unless instructed to do so). Your results should be visible within a few days after the swelling goes down and any bruising fades.
To improve the look of your skin without surgery, schedule an appointment online or by phone.
Botox
If you're dissatisfied with wrinkles and frown lines taking over your face, Dr. Edward H. Jaccoma and his staff offer Botox® and other neuromodulatory treatments at The OptiCare Dry Eye & Aesthetics Center
Botox and related compounds are safe and effective at reducing the look of fine lines and wrinkles on your brow lines, around your mouth, and near your eyes. To learn more about the benefits of Botox, schedule an appointment online or by calling the office.
What is Botox?
Neuromodulators are wrinkle-relaxing injections used to treat wrinkles and fine lines on your face. Common neuromodulators are well-known to the world as Botox, Dysport®, and Xeomin®.
Botox and similar neuromodulators are injectable drug treatments that Dr. Jaccoma and his staff use to improve the appearance of moderate to severe lines and wrinkles. Made of purified proteins, Botox works by reducing activity in the muscles responsible for causing:
* Frown lines
* Crow's feet
* Wrinkles
* Brow lines
* Some "smoker's lines" around the mouth area.
Botox weakens the muscles causing the wrinkles, and the results can last for several months, providing you with smoother-looking skin.
If you suffer from excessive sweating under your arms and on your hands and feet or experience chronic migraine headaches, Botox may also be effective in treating these conditions.
How do Botox injections work?
Dr. Jaccoma inserts Botox injections in the treatment area, targeting the underlying muscles that are responsible for wrinkles and frown lines. Botox relaxes the muscles to reduce the appearance of the fine lines.
To determine if Botox is right for you, Dr. Jaccoma reviews your medical history and current medications. We may recommend that you stop taking certain medications before the procedure, including allergy and sleep medications, and blood thinner drugs.
We will also discuss your desired results and expectations for treatment.
What can I expect after Botox treatments?
Following your Botox injection, the treatment area may have swelling or slight bruising. You can return to your normal activities right after the treatment.
While rare, side effects of using Botox include:
* Pain
* Nausea
* Headache
* Facial asymmetry
* If injected around the mouth area for smoker's lines, it is possible to soften certain sounds like the letter "P" or reduce the puckering in a kiss or whistle.
Temporary eyelid drooping is also possible and should resolve on its own in a few days. (Medication is available to assist if this occurs or lasts for a few days).
Once swelling resolves, you notice younger-looking, smoother skin in and around the treatment area. Results are most noticeable about four weeks after your initial treatment and should last for 3-6 months depending on the treatment area.
What are the benefits of Botox?
Botox eliminates wrinkles and frown lines and gives you a more youthful appearance without surgery.
Other benefits include:
* Noninvasive treatment
* Comfortable in-office procedure
* No recovery time
* Lasting results
* Increased confidence
To learn more about the benefits of Botox for reducing wrinkles and fine lines, schedule a consultation online or by phone.
Botox and related compounds are safe and effective at reducing the look of fine lines and wrinkles on your brow lines, around your mouth, and near your eyes. To learn more about the benefits of Botox, schedule an appointment online or by calling the office.
What is Botox?
Neuromodulators are wrinkle-relaxing injections used to treat wrinkles and fine lines on your face. Common neuromodulators are well-known to the world as Botox, Dysport®, and Xeomin®.
Botox and similar neuromodulators are injectable drug treatments that Dr. Jaccoma and his staff use to improve the appearance of moderate to severe lines and wrinkles. Made of purified proteins, Botox works by reducing activity in the muscles responsible for causing:
* Frown lines
* Crow's feet
* Wrinkles
* Brow lines
* Some "smoker's lines" around the mouth area.
Botox weakens the muscles causing the wrinkles, and the results can last for several months, providing you with smoother-looking skin.
If you suffer from excessive sweating under your arms and on your hands and feet or experience chronic migraine headaches, Botox may also be effective in treating these conditions.
How do Botox injections work?
Dr. Jaccoma inserts Botox injections in the treatment area, targeting the underlying muscles that are responsible for wrinkles and frown lines. Botox relaxes the muscles to reduce the appearance of the fine lines.
To determine if Botox is right for you, Dr. Jaccoma reviews your medical history and current medications. We may recommend that you stop taking certain medications before the procedure, including allergy and sleep medications, and blood thinner drugs.
We will also discuss your desired results and expectations for treatment.
What can I expect after Botox treatments?
Following your Botox injection, the treatment area may have swelling or slight bruising. You can return to your normal activities right after the treatment.
While rare, side effects of using Botox include:
* Pain
* Nausea
* Headache
* Facial asymmetry
* If injected around the mouth area for smoker's lines, it is possible to soften certain sounds like the letter "P" or reduce the puckering in a kiss or whistle.
Temporary eyelid drooping is also possible and should resolve on its own in a few days. (Medication is available to assist if this occurs or lasts for a few days).
Once swelling resolves, you notice younger-looking, smoother skin in and around the treatment area. Results are most noticeable about four weeks after your initial treatment and should last for 3-6 months depending on the treatment area.
What are the benefits of Botox?
Botox eliminates wrinkles and frown lines and gives you a more youthful appearance without surgery.
Other benefits include:
* Noninvasive treatment
* Comfortable in-office procedure
* No recovery time
* Lasting results
* Increased confidence
To learn more about the benefits of Botox for reducing wrinkles and fine lines, schedule a consultation online or by phone.
IPL
If you're dissatisfied with the look of your skin due to areas of discoloration, intense pulsed light (IPL) therapies can help. Dr. Edward H. Jaccoma and his staff offer these treatments at The OptiCare Dry Eye & Aesthetics to reduce age spots, reduce redness and improve acne, giving your skin a more youthful, healthy look. Intense pulsed light therapy is also effective at reducing unwanted body hair with long-term results. IPL has been shown to reduce inflammation that can contribute to dry eye disease and ocular surface diseases. Schedule a consultation learn more.
What is intense pulsed light therapy?
Intense pulsed light (IPL) is a noninvasive therapy that uses different light wavelengths to treat skin discoloration caused by:
* Age spots
* Acne and some acne scarring
* Sun damage
* Skin disorders including Rosacea
* Birthmarks
It's a safe and effective treatment for improving the look of the skin on your hands, face, neck, and chest with no recovery or downtime.
The Aesthetic staff uses IPL treatments to effectively reduce or remove unwanted body hair on your legs, armpits, arms, and back. The light energy renders the hair follicle inactive without damaging the surrounding skin tissue.
How do IPL treatments work?
The Aesthetic staff reviews your medical history and current symptoms to determine if IPL treatments are right for you.
During the in-office procedure, the staff will clean the treatment area thoroughly and can provide a numbing anesthetic cream to prevent discomfort during the procedure. They then apply a cooling gel to the skin and provide you with a pair of dark glasses or eye shields to protect your eyes from the light.
Using a handheld device, we apply the light pulses to your skin. Treatments may take up to 30 minutes, depending on the condition treated and the size of the treatment area.
Dr. Jaccoma will determine how many treatments you need to achieve optimum results. In many cases, 3-6 treatments are necessary, spaced out in monthly appointments. For hair removal treatments, 8-10 treatments may be required to remove visible hair effectively.
What can I expect after treatment?
Immediately following your initial treatment, you may experience redness and slight bruising in the treatment area. Your skin may also develop darker skin patches, which will peel off in several days.
If your skin is sensitive following an IPL treatment, you may need to use a sensitive skin moisturizer for several days before returning to your usual skincare routine.
You can resume your normal activities after the procedure. We recommend avoiding the sun for several weeks after treatment. They also suggest using a high-quality sunscreen to protect your skin from UV rays.
IPL treatments offer long-lasting results. Depending on your skin type, you may need to return for touch-up treatments annually to keep your skin looking fresh.
What is intense pulsed light therapy?
Intense pulsed light (IPL) is a noninvasive therapy that uses different light wavelengths to treat skin discoloration caused by:
* Age spots
* Acne and some acne scarring
* Sun damage
* Skin disorders including Rosacea
* Birthmarks
It's a safe and effective treatment for improving the look of the skin on your hands, face, neck, and chest with no recovery or downtime.
The Aesthetic staff uses IPL treatments to effectively reduce or remove unwanted body hair on your legs, armpits, arms, and back. The light energy renders the hair follicle inactive without damaging the surrounding skin tissue.
How do IPL treatments work?
The Aesthetic staff reviews your medical history and current symptoms to determine if IPL treatments are right for you.
During the in-office procedure, the staff will clean the treatment area thoroughly and can provide a numbing anesthetic cream to prevent discomfort during the procedure. They then apply a cooling gel to the skin and provide you with a pair of dark glasses or eye shields to protect your eyes from the light.
Using a handheld device, we apply the light pulses to your skin. Treatments may take up to 30 minutes, depending on the condition treated and the size of the treatment area.
Dr. Jaccoma will determine how many treatments you need to achieve optimum results. In many cases, 3-6 treatments are necessary, spaced out in monthly appointments. For hair removal treatments, 8-10 treatments may be required to remove visible hair effectively.
What can I expect after treatment?
Immediately following your initial treatment, you may experience redness and slight bruising in the treatment area. Your skin may also develop darker skin patches, which will peel off in several days.
If your skin is sensitive following an IPL treatment, you may need to use a sensitive skin moisturizer for several days before returning to your usual skincare routine.
You can resume your normal activities after the procedure. We recommend avoiding the sun for several weeks after treatment. They also suggest using a high-quality sunscreen to protect your skin from UV rays.
IPL treatments offer long-lasting results. Depending on your skin type, you may need to return for touch-up treatments annually to keep your skin looking fresh.
.png)
- Copyright © 2024 Excellent Vision, all rights reserved.
- 155 Griffin Road, Portsmouth, NH 03801 (603) 430-5225