How can I get rid of wrinkles under eyes without Botox? Should I try Fraxel Laser or a Peel? (photo)
Doctor Answers (5)
Under eye wrinkles
Under eye wrinkles does great with a combination of procedures.
How can I get rid of wrinkles under eyes without Botox? Should I try Fraxel Laser or a Peel?
Stephen Weber MD, FACS
Denver Facial Plastic Surgeon
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Laser resurfacing can improve eyelid wrinkles that appear at rest
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 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.