Lower eyelid skin wrinkling and CO2 laser

Edward D. Buckingham, MD answers: Eyelid surgery to eliminate lower eyelid wrinkling?

I am 55. I have some crepiness, wrinkling, and now a slight laxity in my lower eyelid skin. I did have CO2 Laser under the eyes when I was 40, which did a miraculous job of tightening and eradicating undereye wrinkles. I've had several mild under eye TCA Peels also, with barely noticeable results. I would repeat the CO2 laser procedure except that I've heard it thins the skin. Would a lower lid blepharoplasty with some very minor skin removal at this stage be the best answer to tightening the skin and eliminating some wrinkling?


Edward D. Buckingham, MD
5 months ago
By Edward D. Buckingham, MD - Austin Facial Plastic Surgeon

CO2 laser does not thin the skin.  On the contrary it actually thickens the dermis over time as the skin repairs itselft from the procedure.  If the only issue you have with the lower eyes is skin wrinkling then a combination of good skin care and potentially adding botox and skin resurfacing with a modality that is significant enough to allow improvement should be beneficial.  This modality could be a chemical peel of sufficient depth or a laser.  Blepharoplasty might also be of benefit as well as a filler, but that would need to be determined at the time of consultation. 

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