Best Laser Treatment for Loose Skin Under Eyes?

Question

I have very loose skin under my eye and eye bags due to a little bit of fat deposit under them. These make my under eyes look very baggy. I am 49 years old. I want to know which laser procedures can help tighten loose skin my under eyes.

Larry S. Nichter, MD, MS, FACS · Answer

CLEAR
& BRILLIANT and the PERMEA is a revolutionary, gentle
laser skin care treatment, clinically proven to fight the effects of aging skin.
The laser is a safe, non-surgical option with little-to-no downtime after
treatments.  Skin tone and texture is noticeably
improved after each treatment and best of all, it  is safe for all skin types and the treatment
of melasma.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Otto Joseph Placik, MD · Answer

I am not a personal fan of lasers for skin tighthening. If you have anything other than minor laxity, it is likely that you will experience a minor improvement. If you decide to proceed with laser treatment, please set your expectations low so as to not be disappointed.

Theodore Katz, MD, FACS (retired) · Answer

Lasers are good for certain things but you must understand that they have limitations. I have had good results with mild bagginess beneath the eyes with the Fraxel re:Pair, but only in mild cases of sagging. It is great for fine wrinkles and crepiness. You should consult with a board certified plastic or facial plastic surgeon who performs lower lid surgery and who also uses the laser, and then he/she could assess your concerns and your anatomy and tell you which procedure would best meet those needs and expectations. If a surgeon only performs surgery, or a laser physician only does laser, that is the route they will choose for you. Again, seek a physician who does both. Ask to see before and after photos. Ask about the limitations and risks of all procedures and if the surgeon can handle any complications if they arise.

Best Laser Treatment for Loose Skin Under Eyes?

Answers (5)

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