Repairing fine lines caused by sun damage

I have fine lines below my eyes, where my cheeks would get sunburn summer after summer as a child. So, when I smile, I have lines. I am on Retin A (.05%) once nightly. My crow's feet are acceptable, just these fine lines from sun damage. I am early 40's with sensitive skin (cannot use Prevage, peels, or coffeebean based products due to severe reaction - pigmentation, excessive peeling,pruritis). Can I use Botox in that area or do I need to do something different?

4 answers to “Repairing fine lines caused by sun...”

A: Botox on lower lid not advisable

Steven Wallach, MD

First, everyone has lines when they smile. If the skin has some fine lines when static, I would consider a good skin care line that has Retin-A and hydroquinone, and possibly IPL or even carefully consider light peels. Botox in lower lid is not a good idea.

A: Botox, Obagi and IPL

Daniel Reichner, MD

Yoko I would have to look at your skin to give you my best answer.  Than being said, based on your description I would suggest the following.  Start with a skin analysis to determine the extent of your UV skin damage - the Visia system that we use at Spa Aesthetica is great for this. ... more

A: Might need a combination treatment

Farbod Esmailian, MD

Botox works well for wrinkles caused by muscles.  Areas that respond to botox include the forehead, the area between the brows, the area around the eyes (the crows feet) specially with smiling.  Some of the lines around the lips respond to botox as well.  However, the small fine line that you... more

A: Botox, fillers or skin resurfacing

Hisham Seify, MD, PhD

Botox will help with the crow feet area and the effect might extend medially for a little bit. I would not inject Botox close to the lid border or too medial. Resurfacing with a light laser treatment will help. I would test your skin reaction first with an application behind the ear. Good luck

Comments

sjepson
13 posts
14 Feb 2009

It would be best to avoid Botox in that under-eye area.  While Botox would work great around your eyes for the "crow's feet", Botox injected directly under the eye can cause the lower lid to droop.  Generally, my patients have had excellent results with the Active FX laser under the eyes.  But I would be very hesitant to recommend this or any other laser procedure in that area for you, given your history of hyperpigmentation with less aggressive procedures and products.  Since you are tolerating Retin A, continue using it.  You will see improving result with time.  You could also consider using an under-eye serum or cream containing Peptides (such as Argireline) as the active ingredients.  Peptides seldom cause any irritation and can help reduce wrinkling over time.  You will get better results if you get your peptide-containing product from a doctors office rather than at a department store (higher concentrations in doctor-grade products)

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