Wrinkle treatment and skin tightening advice?

I am now at the point where I definitely don't want to undergo tons of expensive treatments, getting no results to speak of. Does anything greatly tighten undereye skin and upper lids, or greatly reduce deep wrinkles above the mouth? Should I just bite the bullet and resign myself to an upper and lower eyelid surgery? I am worried about the downward pulling of the eye that I've heard can happen.

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5 answers to “Wrinkle treatment and skin...”

A: Upper and lower blepharoplasty

William Portuese, MD

The upper and lower blepharoplasty with incision at surgery is designed for removal of mostly excess skin on the upper lids with a small amount of puffiness or fat underneath the eyelids. The lower lids can also be tightened at the subciliary or lash line for excess skin. This must be done conservatively so... more

A: You're not ready for surgery

Christopher L. Hess, MD

By the tone in your question I can tell that you're not as open as you need to be.  There are many options to treating the periorbita or eyelids.  Some are as simple as Retin-A or skin care and others as complicated as surgery.  You need to have a long consultation with a plastic surgeon who... more

A: Careful planning required

Robin T.W. Yuan, MD

In general, there is a difference between skin laxity or loss of elasticity, and skin excess. If it is mainly loss of elasticity as evidenced by fine or coarse lines, then a resurfacing such as laser peel would be recommended. If it is excess of skin as evidenced by small rolls of skin or hanging of skin, then... more

A: Skin Care, Blepharoplasty & Lip Resurfacing most cost effective.

Robert T. Buchanan, MD

Unfortunately, the only thing that will tighten the skin and reduce muscle folding around the eyes is a blepharoplasty. Although transconjunctival removal of fat can work on people with inherited extra fat, this probably will not work for what you describe. This should not be a problem, however, if the surgery... more

A: Blepharoplasty is best option for wrinkling and laxity of eyelid skin

Brooke R. Seckel, MD

Laser resurfacing can help wrinkles around the eyes and mouth but results are disappointing if you have puffiness and excess eyelid skin. Blepharoplasty is effective if done by an experienced board certified plastic surgeon. Worry about the downward pull of the eyelid after blepharoplasty can be eliminated by... more

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