Fraxel Laser Q&A
56%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers
that stated the procedure was "Worth It" or not.
See more RealSelf Worth It Ratings
or Add Your Review
View Before and Afters
Average Fraxel Laser Cost: $1,775
Learn about Fraxel Laser
1,958 people and 240 doctors are talking about Fraxel Laser
Get Free Email Updates
Is the fraxel laser good for under eye wrinkles?
asked 3 years ago by CaliFitGirl in Roseville, CA
Latest answer by Misbah Khan, MD
Question viewed 13,553 times
Tags: crows feet, under eyes, wrinkles, fine line
I have fine lines directly under my eyes. My doctor applied Botox to the outer eye area (where the lines were very minimal); but I still have fine lines. I've tried Fraxel under my eyes about 6 times last year, and saw a vast improvement. They still bother me though. Should I go back for more Fraxel to build more collagen? Thanks.
15 answers to Is the fraxel laser good for under eye wrinkles?
+2
Eye lid skin
Dear Healthoneforlife, there are many good options for your eyelid skin as you can see from the multiple answers. Sometimes a simple pinch blepharoplasty is all that it takes to clean up some fine lines. This is done with a litle freezing and removing a small amount of skin and sutrures for 4 days.
With Warm Regards,
Trevor M Born MD
Trevor M. Born, MD
Toronto Plastic Surgeon
Toronto Plastic Surgeon
+1
Lines under the eyes
My favourite laser for treating lines under the eyes is a combination of Fraxel Re-Store and Fraxel Re-pair. some patients might only need one or the other but I have seen better much lasting results with a combination treatment.
additionally Botox is a great adjunct to the laser treatment
Misbah Khan, MD
New York Dermatologic Surgeon
New York Dermatologic Surgeon
+1
Yes, you may need another fraxel for the lines under your eyes
In my experience, you need both Botox and the Fraxel to have a nice cosmetic result. The area under the eye is an area that shows aging easily. Repeat treatments may be needed. Also, some filler may need to be injected under the trough area as well to have excellent results
Michele S. Green, MD
New York Dermatologist
New York Dermatologist
+1
Fraxel and under eye wrinkles
This device is great for improving under eye wrinkles. In a younger patient with early lines, I would recommend the Fraxel Restore device. For deeper wrinkles, it may be time for you to try the Fraxel Repair device to achieve the best results.
Lori Stetler, MD
Dallas Dermatologic Surgeon
Dallas Dermatologic Surgeon
+1
Fraxel works for fine lines and wrinkles
Fraxel works for fine lines and wrinkles but if your wrinkles are right under your lashes they aren't reached by the laser. These types of wrinkles are best treated by lower eyelid lift. Lower lid blepharoplasty is a surgery that involves bruising and a week or two of recovery, longer for all of the swelling to down. If surgery isn't for you, continuing to do the Fraxel is fine. You have a lot of experience with it and should know what to expect.
more
+1
Fraxel for wrinkles below the eyes
Based on your previous treatments and results with Fraxel, additional sessions with this laser may give you further improvement. Your doctor may also choose to inject a few units if Botox on the lower eyelids, to minimize lines there. Topical creams with growth factors and hyaluronic acid may help you maintain these results. Two companies that make such creams are SkinMedica and NeoCutis.
+1
The more laser treatments, the better the results
The more treatments you get the better. Remember, the more aggressive the treatment (ablative CO2 laser is more aggressive than non-ablative lasers) the better the results. If you want almost no downtime it will take many treatments to get the same results as a ablative laser which will have 1-2 weeks of redness and healing.
Mitchel Goldman, MD
San Diego Dermatologic Surgeon
San Diego Dermatologic Surgeon
+1
If you liked past Fractional Laser results, I would suggest another treatment, however,
You may wish to discuss the treatment settings with your physician. If you are doing 6 treatments per year, it is likely you could adjust the settings to get a bit more dramatic result. That said, and without seeing you in person, your physician may have good reason to keep you a lower setting with more frequent treatments. Just talk about it with him/her. Communication is the key to get the results you want. Good luck.
Peter Schmid, DO
Longmont Facial Plastic Surgeon
Longmont Facial Plastic Surgeon
+1
Laser Resurfacing AND Botulinum Toxin May Be Useful For Periorbital Wrinkles
It sounds like you might be a candidate for carbon dioxide laser resurfacing and botulinum toxin. The laser resurfacing can help with lines present at rest and after the botulinum toxin has taken affect and the botulinum toxin can help the lines created by the muscle motion.
D.J. Verret, MD
Dallas Facial Plastic Surgeon
Dallas Facial Plastic Surgeon
+1
Fraxel for Fine Lines Under The Eyes
Hi,
It sounds like you have had several Fraxel Restores. Fraxel Restore is a great technology with minimal downtime for fine lines, tightening of pores, and removal of brown spots. I would say that if you had the Restore treatments on increasing energy settings from 40 J and up and still have the fine lines despite Botox, you may want to consider Repair. Fraxel Repair is a one time, one week indoor down time for both fine and deep lines on the face and overall...
more
+1
Re:store is a good option
It is a great idea to do more Fraxel Re:store. Fraxel Re:pair can also be done, but there is more down time and risk. The latter is a more aggressive procedure. With any resurfacing, fine lines will continue to form because we can not “freeze” the muscle underneath the eyelid without causing a problem.
+1
Thermage and ActivFX are alternative
Many patients experience significant improvement in periocular wrinkles with radiofrequency tightening devices such as Thermage. It has the advantage of having no downtime, rapid recovery. Results take up to 3 to four months to be complete. Another alternative to Fraxel is the fractional CO2 laser, ActivFX. It has similar to better results than Fraxel, but usually only requires a single treatment which takes about 20-30 minutes. Discomfort is similar to Fraxel and Thermage, and is...
more
Stephen Mandy, MD
Miami Dermatologist
Miami Dermatologist
+1
Consider a fractional CO2 laser
If you had some improvement with the fraxel, but the wrinkles have now returned only after a year, then I would consider something more aggressive. I would reccommend a fractional CO2 laser, which will tighten the skin more than the Fraxel will. There are a number of lasers to choose from, including the DOT, Fraxwl repair, Deep Fx etc. Talk to your Plastic Surgeon and see what they have to offer.
+1
Maybe blepharoplasty (eyelid surgery) is right for you
Botox does wonders to the lines on the side of the eyes, but we typically do not use it for lines under the eye (in the lower eyelid area). Fraxel is an excellent tool and can certainly improve this area. If you have had 6 treatments, then I do not suggest additional treatments as you may have reached a plateau with what Fraxel can do for you. I have many patients that fall under this situation, and I frequently suggest lower belpharoplasty (eyelid surgery). This is a very common procedure...
more
Sirish Maddali, MD
Portland Plastic Surgeon
Portland Plastic Surgeon
+1
Fraxel for Fine Lines Under the Eyes
Hi Healthy 1,
If you have had past success with Fraxel re:store for fine lines under your eyes, then yes, further treatment would likely help.
Fraxel re:pair (fractionated CO2 laser) is more powerful and works well for fine lines under the eyes, usually in a singel or two treatments.
Lastly, a "skin pinch" of the excess lower lid skin will also tighten the area and decrease wrinkles.
Good luck and be well.
Dr. Persky
