Restylane, Botox, or laser treatment for under eye wrinkles?

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9 answers to “Restylane, Botox, or laser treatment...”

A: Combination approach for under-eye wrinkling

By David Goldberg, MD - Manhattan Dermatologic surgeon

For my patients with under-eye wrinkling, I have a combination of treatments, the first of which involves a laser to improve skin quality, decrease the wrinkles and improve the color. I generally use two laser light devices: an intense pulsed light treatment (IPL) device and an Erbium laser micropeel. Done... more

A: Lower Eyelid Wrinkles

By Christopher L. Hess, MD - Fairfax Plastic Surgeon

Dynamic wrinkles are much more difficult to deal with than static wrinkles. The reason is if you have severe static lower eyelid wrinkles then removal of skin will help. This can't be done with dynamic wrinkles. I recommend starting in a conservative, cheaper way first. Start with a... more

A: Crinkling lower lids

By Kenneth R. Francis, MD - Manhattan Plastic Surgeon

Dear GoGo, You didn't mention surgery in your list of possible treatments. Is this an option for you? If so, it would probably represent the best and most effective option. Botox, fillers and laser would not be mutually exclusive and could be used in any combination for maximal effect. ... more

A: Treatment of the lower eyelids

By Ronald Shelton, MD - Manhattan Dermatologic surgeon

Although some patients derive benefit from Botulinum toxin as an off-label use, when injected in the lower eyelid skin, it is done sparingly and closer to the eyelashes. The whole lower eyelid extending to the tear trough (the lowest crease between the eyelid and cheek skin) is not injected as that would cause... more

A: There are options for eye wrinkles that work differently

By Philip Young, MD - Seattle Facial Plastic Surgeon

Restylane is a filler and can be used to fill in the lost volume that is really the cause of the majority of the reason why your lower eyelid looks the way it does. Fat injections, the YoungLift, Juvederm, Perlane, Radiesse are other fillers that can be filled into the lower eyelid area. The temporary fillers... more

A: Those Darn Lower Eyelid Wrinkles

By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi Go Go, Restylane is good for filling the hollows under the lower lids. Botox in very low doses placed along the lower lash line will help a little with the wrinkles. Fraxel repair laser works very well in many patients (almost as good as surgical blepharoplasty), in other patients it just... more

A: Lower eyelid wrinkles

By Steven Wallach, MD - Manhattan Plastic Surgeon

The squinching of the lower lids wrinkles the skin. This is from the muscle tightening up and the skin being or poor quality. A skin excision is often the best solution.

A: Surgery Best for Lower Eyelid Wrinkles

By Tanveer Janjua, MD - Bedminster Facial Plastic Surgeon

Surgery (Blepharoplasty) remains to be the best option for reducing wrinkles in the lower eyelid. After that laser resurfacing or chemical peel would be the second best option. Fillers in that area are not good, they are only good for tear trough area. Botox can help some but not enough as too much Botox can... more

A: Lower eyelid wrinkles.

By Otto Joseph Placik, MD - Chicago Plastic Surgeon

This is a difficult problem because it appears that there are multiple associated conditions. There appears to be true hyperpigmentation but that may be due to the photograph. A light chemical peel or laser treatment could improve this. Botulinum Toxin may help the hyperdynamic component as well. Surgery with... more