Treating eye wrinkles?

Usually there are several options to address this skin condition. Much will depend on patient expectations, whether or not they would be agreeable to downtime, budget, skin laxity, etc. In our practice, we have a few treatment modalities that have provided good and consistent patient satisfaction: Botox helps to relax the muscle around the eyes that contracts. These contractions cause a pulling down effect to the skin lateral (to the side) and below the eyes. Aramis Quantel - This is a non-ablative (non-invasive, no downtime) laser that effectively stimulates collagen. Research supports that the periorbital (eye) area benefits the best from a series of Aramis treatments. This particular laser is safe for all skin types and causes little to no discomfort when used for this type of condition. Erbium MicroLaserPeel - This treatment removes the top layer of the epidermis as well as promoting collagen stimulation and mild skin tightening. Usually a series of three treatments is recommended. Because this is invasive, there is a short amount of downtime from 4-5 days. Topical products such as retinoids, Prevage, Glycolic Acid may also prove helpful. However, I would discourage spending too much money on over the counter products as they are more designed for preventative measures vs. correcting an existing problem. Because a treatment plan must be tailored to the individual, most patients find value in utilizing a combination of modalities such as Aramis laser treatments with Botox.

Aging, environmental exposure and muscles that fold the skin around the eyes hundreds of times a day provide a triple threat to the tissue around the eyes.  The results are wrinkles, textural changes, laxity and discoloration.  In order to get the best results in this area you need to treat both the skin and the underlying muscle.  I start my patients with Botox. This quick, effective and safe procedure treats the muscle under the skin and keeps it from folding the overlying skin.   This prevents further damage, gives an immediate decrease in the lines and provides a slight raise in the lateral height of the eyebrow all without making the face look altered or frozen. Next I turn to resurfacing in order to address the wrinkles, pigmentation, texture and laxity of the skin around the eyes.  We have used Titan, Laser Genesis, IPL, chemical peels, Fraxel and many other modalities all with modest results.  The combination of the Active FX with Deep FX (i.e. Total FX) is the only procedure outside of full CO2 resurfacing that I have seen consistently excellent results for fine, moderate and even deep lines.  Downtime should range from about 5 day to 2 weeks depending on how aggressively your provider performs the treatment.

What cream is the best in the market besides botox? And how much does botox treatment run for?

Hello, We have found that either full CO2 laser resurfacing or more commonly today fractional CO2 laser (Fraxel repair or Total FX) are the best treatments for eyelid wrinkles. Good luck and be well. Dr. P

When I smile I have subtle crows feet, but the skin under my eyes accumulates into excess skin puffing up making me look much older. What is the best treatment for under eye wrinkles?

Hi Keith87, A combination of low dose Botox and Fraxel repair works very well for lower eyelid wrinkles. Good luck and be well. Dr. P

What's the best treatment for wrinkles underneath your eyes. The ones you can only see when you smile (and not the crows feet on the side).

Hi anon, Lines that you can only see when you smile are caused by muscle movement. Therefore Botox in very small amounts can be used in this area. Good luck and be well. Dr. P

i am not really for botox. maybe because it's expensive and somehow painful? i really prefer using creams instead. i'm now on NeuCell anti-wrinkle cream. it reduces fine lines and even deep wrinkles. so far so good for this product.

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