How to treat wrinkles under the eyes after a lower bleph? Will Evolence work?

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7 answers to “How to treat wrinkles under the eyes...”

A: Laser resurfacing not fillers or skin excision is best for eyelid wrinkles after blepharoplasty

By Brooke R. Seckel, MD - Boston Plastic Surgeon

It is important to understand that wrinkles on the eyelid skin are actual indentations in the skin--permanent skin creases caused by sun damage and aging woith loss of skin collagen. Simply excisiong more skin or injecting Evolence, retsylane or other soft tissue filler will NOT remove a skin wrinkle. The lid... more

A: "Pinch" can help

By William Portuese, MD - Seattle Facial Plastic Surgeon

Wrinkles underneath the eyelids are caused from excess skin and muscle contraction of the orbicularis oculi muscle in the lower lids. The excess skin has to be measured at the time of repose (not animated). A small strip of skin can be pinched just immediately below the lash line and the subciliary area... more

A: Lasers not Fillers

By Edgar Franklin Fincher, MD, PhD - Los Angeles Dermatologic surgeon

Laser resurfacing is most often the answer to wrinkles under the eyes during or after lower eyelid blepharoplasty. Most patients find that their skin has many wrinkles or crinkles due to looseness or laxity of the skin. The CO2 laser does a wonderful job of smoothing and tightening skin. Generally htis is... more

A: Laser resurfacing can work well for eyelid wrinkles

By George J. Beraka, MD - Manhattan Plastic Surgeon

To lag, Hi! Hard to tell exactly without examining you, of course, but I have had good results in this situation with the dual modality erbium laser made by the Sciton Corp. If the wrinkles become worse when you smile (muscle activity), then Botox injections might help.

A: fillers probably not the best choice

By Richard Baxter, MD - Seattle Plastic Surgeon

As in the previous post, a skin tightening procedure is probably your best choice, whether by more skin removal, chemical peel, or laser. Fillers can help on occasion but I would assess this after addressing the skin laxity. Evolence is a good filler for some areas, because it integrates into the skin and... more

A: Resurfacing may be needed.

By Thomas T. Nguyen, MD - Orange County Plastic Surgeon

It is very common for patients to have all of the following components prior to eyelid surgery: excess skin, excess fat, and poor quality of skin. Unfortunately, only two of the three are treated with the eyelid surgery: excess skin & excess fat. In addition, the quality of skin is... more

A: There are several options

By David Shafer, MD - Manhattan Plastic Surgeon

Lag, In lower blepharoplasty, fat and or skin is removed to help improve the contour of the lower lids. In most cases, removing the fat turns convexity of the lower lid into a slight concavity. For this reason, not much skin needs to be excised. Occasionally, there is excess skin after the swelling has... more