Best treatment for wrinkles around eyes - laser or Chemical peel?

Without having surgery, which one of these 2 eye wrinkle treatments gives the best results? I want to tighten the skin and get rid of the wrinkles around my eyes.

Editor's note

Learn more about CO2 laser and chemical peels for treating wrinkles around eyes.

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10 answers to “Best treatment for wrinkles around...”

A: Eye wrinkles

Shawn Allen, MD

Treating lines around the eyes are best approached with multiple modalities.  Botox can relax the muscles that cause dynamic wrinkles. Chemical peels of lasers can build collagen to fill in the static wrinkles. Topical products with antioxidants, vitamin K and moisturizing ingredients such as... more

A: Periorbital Wrinkles: Improving Wrinkles Around the Eyes

Raffy Karamanoukian, MD

Periorbital wrinkles can be either dynamic or static, resulting from overactivity of eyelid muscles or loss of collagen support within the skin. In most cases, periorbital wrinkles should be managed with a combination of Botox and improvement in wrinkling. Second stage improvement should be with chemical peels... more

A: Fraxel is likely best

Ronald Shelton, MD

Fraxel is expected to produce better tightening than a chemical peel, as the peels around the eyes should not be too strong . Superficial peels - which only exfoliate - would definitely not induce any tightening.  

A: There are different kind of chemical peels and different types of Fraxel

Stella Desyatnikova, MD

There are many kinds of chemical peels, starting with a fairly superficial peels done by aestheticians, and up to medium and deep peels done by a surgeon. The deeper the peel, the better your result will likely to be in terms of tightening and wrinkle improvement, but you are also likely to experience longer... more

A: Neither optimal for "crow's feet" but both good for skin toning

Richard Baxter, MD

It depends upon what you are treating. Generalized skin laxity can be improved with either Fraxel or a TCA chemical peel, with about the same down time and risk profile in my opinion. The difference is that Fraxel is a lot more expensive. However, if you are concerned about crow's feet, you need to understand... more

A: Fraxel re:pair and Chemical Peels can be effective.

Bryan K. Chen, MD

Fractionated CO2 lasers such as Fraxel re:pair as well as deeper chemical peels such as modified phenol can be used for re-surfacing and tightening of the skin around the eyes. Recovery (about 1 week) is similar for both procedures. Post-procedure redness/pinkness can persist for several weeks. For best... more

A: Fraxel Repair is better for eye area wrinkles

Michael A. Persky, MD

Hi L, My experience with Fraxel Re:pair is that the improvement around the eyes (both upper and lower eye lids) is very impressive. To get equal results with chemical peeling, the peel would have to be very aggressive which could lead to hypopigmentation and lines of demarcation, as well as increased risks of... more

A: Fraxel improves lines around the eyes

Brenda Dintiman, MD

I would recommend Fraxel to help the lines around the eyes.  I would also start you on tretinoin to help stimulate collagen formation and to compliment the collagen productions that Fraxel is producing.  You will probably need 5-6 treatments.  Also consider botox to diminish the muscle activity... more

A: Both chemical peel and Fraxel are effective

David Shafer, MD

L.Stark, Both chemical peels and Fraxel are effective in treating wrinkles around the eyes. Without a picture of your specific situation it is hard to give you specific advice on which treatment would be best for you. It is best to go to a surgeon who offers both treatments. Good luck.

A: CO2 Resurfacing is best for eye wrinkles

Mary Lupo, MD

The amount of tightening I have seen after fractional CO2 resurfacing is quite impressive. It is the only thing I have seen that really lifts and tightens both upper and lower eyelids without cutting. It also improves crows feet BETTER than surgery. The best options are Fraxel Repair and Active FX... more

Comments

laserdoc
43 posts
31 Jan 2009

C02 lasers tighten the skin beautifully around the eyes. There are several fractional C02 lasers available including Fraxel Re:pair and Active FX. The reason for the tightening is the thermal and ablative effect on the tissue which tightens it. A peel does not have this double effect. Traditional Fraxel Re:store (erbium laser) wouldn't tighten the tissue like a C02 laser can. It's the fractional ablation that is the trick. The computer fires the laser in a random pattern to ablate a fraction of the tissue, leaving intact tissue bridges behind. These help heal the laser holes and tighten as healing occurs. An added effect of the heat is collagen building. You will notice improved texture and tone with a reduction in fine lines and wrinkles. Peels will also help texture and tone. It will take many treatments to achieve, and the result is not as dramatic.

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