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Phenol peel or laser resurfacing for sagging lower eyelids? (Photo)

Hi i am a 44 yo man and i would to know what would be the most efficient way to improve the appearance of my lower eyelids which start having many folds especially when i smile . are phenol peel or Laser resurfacing efficient in my case ? thank you very much in advance

Doctor Answers (12)

Phenol Peel or laser resurfacing for sagging lower eyelids...

The operative word in your question is efficient. Most definitions of efficient indicate achieving desired result quickly. I would have concern that even if the laser or peel caused the desired result quickly. Your recovery would be prolonged with red colored skin for several weeks. Dr Wong’s suggestion of the pinch blepharoplasty would also be my choice to correct you skinfolds in the most efficient manner.

Good luck
Michael Sadove, MD
Indianapolis Plastic Surgeon
5.0 out of 5 stars 3 reviews

Peels for Lower Eyelids?

Thank you for your picture.  I do not believe that peels are going to be your answer.  I feel that a thoughtful lower lid blepharoplasty will provide more improvement.  Consult with several BC PS.

Dr. ES
Atlanta Plastic Surgeon
5.0 out of 5 stars 6 reviews

Phenol peel or laser resurfacing

There is obviously some skin excess in the lower eyelid. Both Phenol peel and CO2 laser has some ability to contract the skin, but the downtime and risk far supersedes the benefit. On the other hand a Lower eyelid Blepharoplasty will give more definitive result which outweighs the risks in experienced hands.
Dubai Plastic Surgeon
5.0 out of 5 stars 6 reviews


would love to see some more pictures, with you not smiling and another with you looking up with your eyes, to see if this is a result of animation, a excess of skin or loss of skin elasticity
warm regards
India Plastic Surgeon
5.0 out of 5 stars 6 reviews

Phenol peel or laser resurfacing for sagging lower eyelids?

Non-surgical options are always very attractive. However, both deep chemical peels and laser resurfacing are unlikely to eliminate the crêpe paper changes that trouble you. Further, the downtime from these non-surgical procedures will likely be more significant than a lower blepharoplasty from which you would be well healed by 7-10 days. I hope this information is helpful.

Stephen Weber MD, FACS
Denver Facial Plastic Surgeon

Web reference:

Denver Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

Phenol peel or laser resurfacing for sagging lower eyelids? (Photo)

Your best option would likely be a surgical lower lid blepharoplasty.  Skin resurfacing procedures whether, chemical peels or lasers are best applied to an entire aesthetic unit such as the entire periorbital area (upper and lower lids).  Moreover, they are more effective for very fine wrinkles and skin discolorations, not excess lower eyelid skin folds which is what it appears is your issue.  Best of luck.

Web reference:

New York Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Phenol peel or laser resurfacing for sagging lower eyelids? (

I think they would both be bad choices with some risks that might require long term makeup to cover. With your lids a skin only resection carries very little risk and the scars are usually very hard to find and you will get a significant improvement.
Portland Plastic Surgeon
5.0 out of 5 stars 8 reviews

Tightening lower lid skin

can be accomplished with what you have mentioned but they come with longer healing times than most males can handle, including the possible use of make up to conceal color changes.  If you were in my office, I would be suggesting a pinch lower lid blepharoplasty as I have had one myself.  Could use another one though....
Redding Plastic Surgeon
4.5 out of 5 stars 15 reviews

Lower eyelid wrinkles treatment- LASER or surgery

It is normal and appropriate for the eyelids to wrinkle when smiling. even when there is no excess skin as in younger patients. The diagnostic question here is really "is there excess skin that can be safely corrected best by resurfacing (LASER or peel) or by surgery?  An experienced eyelid plastic surgeon will evaluate the skin particularly with the eyes looking up to see if there is a correctable problem. Often there is no excess skin in a 40 year old and the resurfacing is a better choice than surgery, particularly when the is no fat bulging or "tear trough" hollowing.

LASER resurfacing is safer than phenol and loss of pigment  rarely occurs but the degree of skin shrinkage is minimal but also uncertain with resurfacing compared to surgery.
Botox is appropriate for "crows feet" wrinkles but may cause the lower lid to droop if injected below the lid for wrinkles such as those depicted.

A consultation with an experienced eye lid surgeon who also does LASER would be appropriate.
San Diego Plastic Surgeon

Be very careful with laser, peels and skin tightening to the eyelid

I would strongly advise you to avoid all of the above.  noninvasive blepharoplasty replacements sound great and they can erase wrinkles and tighten things up considerably but unfortunately this is ALWAYS at the expense of eyelid function.  If you look carefully at any laser or peel results that show the entire face you will see development of an unattractive bowing of the lower lid and even lagophthalmos preventing complete eye closure.  Besides creating a saddened or aged eyelid shape this can also lead to painful dry eyes and even corneal opacification in some cases.  Patients are usually very happy immediately after these procedures as they do clean up the loose skin, but over time the scarring and dysfunction that is caused can be miserable.

There is no replacement for a well planned and executed blepharoplasty tuned to the aesthetic and functional needs of the individual patient.  Do not destroy your eyelids looking for an "easy way" as you will likely need a reconstructive blepharoplasty in the future if you do.

I hope this helps!

All the best,

Rian A. Maercks M.D.

Web reference:

Miami Plastic Surgeon
5.0 out of 5 stars 29 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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