Under eye wrinkles
I think the first approach should be trying a chemical peel. It would be the least invasive and potentially have great results. If that doesnt meet your needs, then I would consider something like a fraxel laser or a sublative laser. Sublative lasers dont have the downtime of fraxel and can be just as beneficial. I would talk to a dermatologist and see what their recommendation for your particular skin would be.
Under eye wrinkles does great with a combination of procedures.
The under eye creases often need a combination of botox, filler and/or several chemical peels/laser treatments. Usually when you do eye peels you often do 3-5 peels at 30-35%TCA 2-4 weeks apart at a cost of roughly $350 each. Dysport or regular botox works 50% of the time under the eyes and is very helpful when it works. Sometimes you need a filler such as belotero to smooth out creases. And last but not least, a lower bleph where the skin is excised works well. Sincerely, David Hansen,MD
How can I get rid of wrinkles under eyes without Botox? Should I try Fraxel Laser or a Peel?
It is very hard to make specific recommendations based on a single photo. However, Botox can be very helpful in this area. If you do have excessive crêpe paper skin the lower eyelid then you might be a candidate for ablative laser resurfacing of the eye area or a skin pinch lower blepharoplasty. In my experience, neither Fraxel not the typical facial peel are aggressive enough to achieve the results that you are looking for. For more specific answers, please seek a consultation to determine what the best option will be to achieve your goals. I hope this information is helpful for you.
Stephen Weber MD, FACS
Denver Facial Plastic Surgeon
Laser resurfacing can improve eyelid wrinkles that appear at rest
Laser resurfacing can improve what we call "static" wrinkles that is wrinkles that we see in the skin when her eyelids are at rest and not smiling or squinting.
However eyelid wrinkles that appear 1 smiling or squinting are called "dynamic" lines because they're caused by the contraction of muscles. Botox not laser resurfacing is the best treatment for dynamic wrinkles of the eyelid.
My guess is that you require higher doses of Botox to reduce the wrinkles or wrinkles that you seek 1 smiling or squinting. However be aware that she can only treat the crows foot area and may be the outer third of the eyelid.
If you have loose eyelid skin which exaggerates the wrinkles by causing folds of skin then a skin only blepharoplasty may help.
Botox, Dysport, Xeomin, Laser or Fractional Radiofrequency resurfacing can help.
If the lines are present only when you have facial expression, Botox, Dysport or Xeomin can help if there is a squint component to the lines. You may benefit from a small amount of Botox in the middle of the lower eyelid immediately below the eyelashes to relax the muscle bands immediately below the eyelashes.
If the lines only appear when you smile, as is true in almost everyone, I do not recommend Botox in the lower facial smile muscles as a means to stop the wrinkling under the eyes when you do smile. This can give your a weird expressionless face. If the lines are still present when you are not smiling, ablative or non ablative laser resurfacing would be helpful. Ablative Erbium or CO2 lasers work the best. Fillers are only helpful if you have hollow tear troughs without lower eyelid bags.