Under eye wrinkle treatment with Blepharoplasty

I am scheduled for an upper Blephroplasty . For under my under eye wrinkle, what would be most effective and longer-lasting treatment? Will TCA Peel or Fraxel CO2 Laser work?

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6 answers to “Under eye wrinkle treatment with...”

A: Lasers go away!

Robert M. Freund, MD

Lasers have been unimpressive and any clinical data is lacking. The best you can say about lasers is that they sound cool! The best way to treat your lower lid wrinkles: Daily: Retin-A, anti-oxidants, and sunblock Weekly to monthly: chemical peels (many kinds - whatever you tolerate), Lactic acid, Jessner's,... more

A: Under eye wrinkle treatment: Depends On The Amount Of Wrinkles

Christopher L. Hess, MD

Wrinkles of the lower lids come from mild to severe. In severe cases only surgery will help.  If the wrinkles are mild to moderate than I'm a firm believer in first, tretinoin, then peels such as the Vi Peel, then possibly Botox.  I have yet to be thrilled by any laser.  Perhaps fractionated CO2... more

A: Chemical peel of the lower eyes is common for fine lines.

Thomas T. Nguyen, MD

I like to use TCA peel for the lower eyes.  The depth of the peel is fairly controllable and predictable and it works really well to get rid of fine lines on the lower eyes.  It also helps tighten the skin a little, which is an added benefit.  Chemical peel of the lower eyes is not a... more

A: Why don't you have your lower eyelids operated on also?

George J. Beraka, MD

Hi!   I don't think Fraxel does much. Peels can help.  But these things are promoted to avoid surgery. You are having surgery. A well performed lower blepharoplasty can create a smooth lower lid with a long lasting result. Most of our patients who have eyelid surgery have both the upper and... more

A: Ablative fractional laser resurfacing best for lower eyelid wrinkles

Brooke R. Seckel, MD

Chemical peeling can work very well for lower eyelid wrinkles. However, chemical peels can go too deep and cause pigmentation and or scarring if not done correctly. The same holds true for the fractional CO2 lasers, they must be done properly or complications can result. I personally use the Erbium fractional... more

A: Difficult to say

Leslie H. Stevens, MD

Without the benefit of a photo it is hard to say what would work best for you. Most fine superficial wrinkles or even crepey skin is best treated with skin resurfacing by chemical peel or laser. Redundant skin or lower lid bags is best treated by surgical intervention. Ask your surgeon. Good Luck.

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