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Mixto or Eyelid Surgery for Tired Looking Eyes?

I am 38 and my biggest concern is with my eyes. I have a tired look. I don't have lots of fat under my eyes, not too much wrinkling but some. I just look tired. My upper lids are starting to droop. I have some wrinkles on face and neck as well. I have fairly sensitive skin and a red tone. Will MiXto help me with my under eyes and wrinkles or should I just pay more money and get eyelid surgery? Even if I still did procedures, I'd want to fill my laugh lines. I'm trying to get a picture on here soon to show my facial skin.

Asked 27 months ago by Tony2009 in Texas

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age 35-44 eyelids eyes wrinkles laugh lines sensitive skin tired eyes

Eyelid surgery is the most predictable way of really improving your tired appearance

While fractionated lasers like Mixto can improve skin darkness and mild wrinkling, they really cannot address true upper eyelid skin drooping/excess. For that, an upper blepharoplasty is the easiest, most comfortable, and most predictable way to get visible and aesthetically pleasing results. For lower eyelid wrinkling, with no real bulging fat, that can be treated surgically, with a very judicious amount of skin excision, or with full-field (ie, not fractionated) skin resurfacing. I... more

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Laxmeesh Mike Nayak, MD

Saint Louis Facial Plastic Surgeon

MiXto vs Surgery for Aging Eyes

Again of the eyes, especially the "tired" look, is usually the result of descent of the upper eyelids. Brow ptosis or descent pushes down on the upper lids causes dermatochelasis or extra skin in the upper lids. In addition the lid margin can descend due to the added weight and gradual loss of levator muscle tone. Your lower lids don't sound bad other then descent of your cheeks. So with few wrinkles it sounds like you probably need an upper lid lift with either an internal... more

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

Careful what you look for!

Hi Tony The Mixto laser before and after pictures are impressive. However, recognize that a couple of before and after pictures is no guarantee that the procedure for you will produce the dramatic results seen in a before and after picture on a website. Generally to fufill the promise of minimal down time and procedure comfort fractional C02 lasers the energy setting is reduced to the point where these treatments can be expected to improve skin quality in most patients but not necessary... more

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Sculptra Is Best For Non-Surgical Eyelid Rejuvenation

Without photos, I cannot give you many specifics. However, I have had terrific results with Sculptra for filling the upper cheeks. Volumizing the upper cheeks will probably minimize the appearance of bags. Moreover, there is good evidence that Sculptra will increase the apparent thickness of the skin, and will provide improvement in skin texture. I have been unimpressed with many of the fractional resurfacing lasers, like the MiXto. They work great for removing freckles, and they do... more

Michael C. Pickart, MD

Ventura Plastic Surgeon

ASPS

Eyelid surgery, mixto, tired eyes, blepharoplasty

Dear Tony, eyelid surgery and Mixto will yeild different results in regards to the skin and the shape of your eyelids. Mixto will help with the skin texture, fine wrinkles and perhaps some color change- if there is sun damage. Eyelid surgery will help with the skin- lines, loosenes, the puffing fat and the shaping of the lower and upper eyelids...... the result may be more dramatic than Mixto alone. So the choice will depend on the features of your eyes and the changes you want to make. With more

Trevor M. Born, MD

Toronto Plastic Surgeon

ASAPS

Eyelid surgery if done correctly can have dramatic effects in improving your tired appearance

Eyelid surgery if done correctly can have dramatic effects in improving your tired appearance. Unfortunately, there are no creams or fillers that can plump up the skin enough to take away the puffiness or drooping of the lids. One thing you can do at night time that often helps is wet your lower eyelids with water and then cover with vaseline and for several hours when you wake up the wrinkles will be gone. However, surgery done correctly so that it is not over done can last you from 12 to... more

Scott Trimas, MD

Jacksonville Facial Plastic Surgeon

Eyelid surgery for tired eyes

The goal of upper eyelid surgery is to remove excess skin and a small amount of fat and puffiness that is present on the medial or nasal side of the eyelids. The goal on the lower eyelid surgery is primarily to remove excess fat and puffiness, which creates the tired look, and occasionally remove some excess skin if over age 50.

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William Portuese, MD

Seattle Facial Plastic Surgeon

Laser vs surgery for eyelid treatment

Laser smooths wrinkles in the skin while surgery removes or redistributes skin, muscle, and/or fat. Sometimes surgery and laser are performed simultaneously. Which procedure you choose all depends on what you need to accomplish.

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