Wrinkle Treatment: Q&A

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I Hate the Wrinkles Under and Around my Eyes. What Are My Options? (photo)

I hate the wrinkles under and around my eyes. I am faithful retin-a user but it's just not enough. I have tried laser (fraxel repair) but no improvement. Any recommendations for treatment? Bleth? Filler? Botox? I'm considering a pinch bleth but would be interested in something less aggressive and cost effective. Please advise

4 Doctor Answers | Asked by VP5 in NYC
+1

I like to use a combination of Botox or Dysport and EndyMed Fractional radiofrequency resurfacing.

I like to use a combination of Botox or Dysport and EndyMed Fractional radiofrequency resurfacing. This combination with help fine lines caused by skin laxity and eyelid muscle contractions. Laser resurfacing is used in more severe cases with great results.
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Improve skin quality

Lines inevitably occur when you have expression. You may want to consider a more aggressive laser than Fraxel such as the fractional CO2 laser as well Pelleve'. The goal is to improve your skin quality so the lines are less prominent. I've also experienced good results with PRP or "platelet rich plasma".
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Volumizers, Fillers, & Dysport Work Well For Nonsurgically Rejuvenating the Eyes

Unfortunately, I have not been impressed with any of the so-called "energy-based" modalities, such as fraxel lasers and radiofrequency devices. Often these require a series of treatments, spaced several weeks apart, and in the end the results are at best subtle, as in this case. Fortunately, we do have a number of nonsurgical techniques that I have personally found to yield consistently gratifying results for rejuvenating the eyes. Dark Circles and hollows under the eyes,... more

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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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