Restylane, Botox, or Laser Treatment for Under Eye Wrinkles?

Hi GoGo.  While we have the option of suggesting injections, lasers or surgery at our practice, for you, we would recommend surgery first because of the amount of excess skin and laxity (looseness).  Lasers and injections are an option if you are absolutely unwilling or unable to consider surgery.  In this case, we would recommend a fractional laser resurfacing procedure like the Sciton Profractional and an injection product like Restylane.  Even with both of these on board, we would have very realistic expectations as it looks like the skin bunches up under your eyes when you smile.

A lower blepharoplasty surgery would be our first recommendation.  Good luck.

You might have improvement with a pinch of skin being excised by an oculoplastic surgeon followed by erbium laser treatment. Good luck!

There are various lasers and treatments such as botox that can used to treat wrinkles. I would advise you to schedule a consultation with a board certified plastic surgeon for a detailed examination to discuss all possible treatment options and what your expectations are. 

You have three options in my hands. 1. Superficial peel or micro laser to tighten the skin. This could also include thermismooth or some other radiofrequency options 2. Filler or botox to fill the wrinkles or manipulate the way the muscles contract or 3. (probably the best and most effective option) a small skin pinch with muscle suspension. If you have time flip through my photos. There is a very young and pretty girl about your age who I did just that on. She is very happy and it was a relatively straight forward procedure.  There is no problem with starting slow with the more simple options. Everyone is different. Some people want a big change and treatment others are willing to be patient with slower approaches. Find a surgeon you trust and be clear with your goals.Hope this helps,Best of luck,DrC

Botox or Dysport can be effective in softening  lines around the eys "crows feet",  the area directly under the eye may be treated with microbotox, a more dilute concentration that targets the muscle in the skin rather than functional muscle .A skilled injector may be able to provide more information on this treatment.BestDr. P

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer