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Best Way to Refresh Eyes After Lower Bleph (S. CA Expert)? (photo)

I had a lower bleph in 07. Now Im 34 and look much older then my years around the eyes. I have darkness and deep set wrinkles (under and at crows feet) especially when I smile. Im looking for treatment suggestions (from lasers to surgery) and recommendations for Dr.s who have extensive practice with this area in the S. CA area. Any advice would be great and would love to do a consult. Thx

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5 Doctor Answers | Asked by question4ya in San Diego, CA

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Possible causes and a combination of non-surgical treatments

It’s important to understand that when people consider blepharoplasty, the puffiness can artificially make the wrinkles look smoother. Just like when someone is obese, their skin can look smooth without wrinkles even when they don’t look healthy. When dealing with fine lines and wrinkles under the eyes, my approach depends on a couple of factors with one being skin type. For light skin and skin that may be sensitive to the sun, I do a couple of key procedures. The first is a... more

Skin texture

The problem here is mostly skin texture and wrinkling. Dynamic wrinkles can be improved with botox, but the static wrinkles [that don't go away when you are not smiling] will need resurfacing. Whether you achieve this with a laser or chemical peels depends on the degree of your wrinkling and redundancy of the lower eyelid. AN inperson consultation is required for that.

A.J. Amadi, MD

14 reviews

Seattle Oculoplastic Surgeon

seattleface.com

Multi-modality treatment to rejuvenate periorbital area

I think there are a number of nonsurgical treatment options available to you that will significantly refresh your eyes. Botox and Dysport will be excellent to soften your crow's feet. Even if some of the lines have been etched into the skin, starting a consistent regimen of Botox/Dysport will help to improve those lines. A series of medium depth TCA peels or fractional resurfacing laser treatments will help to reduce the appearance of the fine lines under your eyes,... more

Donald B. Yoo, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.donyoomd.com

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Your best bet is a very detailed assessment of your eyelids.

This needs to be correlated with your concerns. Based on this an appropriate plan can be made. The photograph you have provided makes it difficult to know what options will be right for you. While you do have fine lower eyelid lines, your lower eyelids look pulled down and I suspect that you are relatively short of skin in the lower eyelid. The important thing is to understand that less is more. At 34, you need improvement and not surgical procedures that make... more

Kenneth D. Steinsapir, MD

9 reviews

Los Angeles Oculoplastic Surgeon

Options to improve eyes after lower blepharoplasty in past

It appears that the main issue with your lower eyelid area is excess skin. Your options for improvement would be to have some of the skin surgically removed or to have laser resurfacing or a chemical peel to tighten up the skin. All of these procedures could potentially help, but there are differences in terms of recovery and cost with them.

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Eye Bags Treatment: Q&A

Best Way to Refresh Eyes After Lower Bleph (S. CA Expert)? (photo)