Fraxel for Fine Lines?

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.

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6 answers to “Fraxel for Fine Lines?”

A: re:store is a good option

Ronald Shelton, MD

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.

A: Eye lid skin

Trevor M. Born, MD

 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... more

A: Thermage and ActivFX are alternative

Stephen Mandy, MD

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... more

A: Consider a fractional CO2 laser

Robert M. Jensen, MD

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,... more

A: Maybe blepharoplasty (eyelid surgery) is right for you

Sirish Maddali, MD

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... more

A: Fraxel for Fine Lines Under the Eyes

Michael A. Persky, MD

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... more

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