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.

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7 answers to “Mixto or Eyelid surgery for tired...”

A: Laser vs surgery for eyelid treatment

Brian Biesman, MD

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.

A: MiXto vs Surgery for Aging Eyes

Christopher L. Hess, MD

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... more

A: Careful what you look for!

Kenneth D. Steinsapir, MD

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... more

A: Sculptra Is Best For Non-Surgical Eyelid Rejuvenation

Michael C. Pickart, MD

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... more

A: eyelid surgery, mixto, tired eyes, blepharoplasty

Trevor M. Born, MD

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... more

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

L. Mike Nayak, MD

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... more

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

Scott Trimas, MD

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... more

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