Retin-A to Improve Loose, Crepey Eyelid Skin?

Retin-A is a powerful medication so use around the thin eye lid skin should be monitored carefully.  Retinols (Retin-A) are a product that shortens the time it takes for the maturation of the skin cells.  It causes the skin to cycle through in 90 days instead of 120.  This increases the thickness of the alive skin layer skin by 25% while also decreasing the dead skin layer.  This shortened cell cycle causes the skin to peel more easily and break out initially as all the new cells push away the old.  It also makes the skin more vulnerable to the Sun.  Once the product has been used consistently for 6 weeks it begins to take on a new look.  It looks healthier with a glow, less breakouts, evener skin tones, and thicker skin which improves the very fine wrinkles and crepe paper appearance to he skin.  These products in a strength that actually works are only available by prescription.  I recommend the product we carry by Skin Medica which uses a patented micro-sponge delivery system.  This causes a lot less skin irritation and redness during the initial phase of use.  It is never too early to use retinols so I would recommend starting once Acne starts.  Also the precancerous skin cells can not respond to the demand to turn over more quickly and therefore can be sloughed before becoming cancer

I would combine the RR Retinoid Repair Cream with a CO2 laser to tighten the skin around the eyes. The RR cream works well and is well tolerated for sensitive areas of the face. Raffy Karamanoukian Los Angeles

There is not a topical product, prescription-strength or OTC that has better science than topical retinoid in terms of reduction of fine lines, improvement of texture, and stimulation of collagen. Prescription-only Atralin (combination of topical tretinoin and hyaluronic acid) is a new generation of topical tretinoin that may be much better tolerated for lower eyelids than all prior predecessors. One should first allow the face get acclimated for a couple weeks prior to applying it to lower eyelids 2x/week and slowly increase the frequency to no more than once a day.

It is critical that one wears sunglasses whenever engaging in outdoor activities. Moreover, those with lower eyelid wrinkle concerns should be evaluated by a board-certified dermatologist as lower eyelid wrinkles may benefit from Botox or Dysport to address the dynamic nature of the wrinkle due to excessive contraction of orbicularis oculi muscles, hyaluronic acid fillers such as Restylane or Juvederm to address loss of volume, or referral to plastic surgeon for blepharoplasty if there is significant redundant lower eyelid skin.