Wrinkle Treatment and Skin Tightening Advice?

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 as not to change the shape of the lower eyelids. The skin tightening wrinkle treatments do not seem to work very well in the lower eyelid area.

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 will explain each and every alternative including their pros and cons. Once you have all the correct information than you and your surgeon can come to the best decision for you. So keep an open mind.... more

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 a skin excision type of blepharoplasty is indicated. Each procedure can substitute a bit for the other to some extent, but an accurate anaylsis and diagnosis will go a long way to... more

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 is done by someone experienced in this type of surgery. Modern blepharoplasty removes the tissue from beside the eye, not under it, and supports the eyelid. This will generally... more

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 finding a surgeon who is expert at transconjunctival blepharoplasty-the incision is placed on the inside pink portion of the eyelid thus no change in eyelid shape. Effective removal... more