Under eye wrinkles - no results after Ultherapy and Botox. What else could I try? (Photo)

Question

Hello everyone . I’m 34 years old , and I do my best to take care of my skin . No matter what I do , I can not get rid of my under eye wrinkles ( especially under the right eye , cause I sleep on the right side) . I have tried Botox , I have tried Ultherapy - nothing worked so far . I would really appreciate recommendations, what else Could I try ? P.S. I’m not ready for the blepharoplasty yet. Thank you

Camille Cash, MD · Answer

A couple of options to consider are fillers to improve overall contour of the under eye and Morpheus8.  This treatment combines RF technology with microneedling to improve overall skin tone and texture.  It is safe to use around the eyes.  Treatment is done in the office with optimal results after three treatments.  See my website or a provider near you to learn more.

Donald B. Yoo, MD, FACS · Answer

Based on your photos I think you may benefit from additional volume in the undereye area. If you're hesitant about surgery, you could try a hyaluronic acid filler first to reduce the depression and hollowness along your lower lids and cheek junction. You do have some peri-orbital wrinkles (crow's feet) as well that would benefit from continuing on with your Botox treatments.

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

Charles Riccio, MD · Answer

Hi Rinochka, 
Thank you for your question. Based on your photos, you may be a candidate for periorbital rejuvenation with either HA filler, CO2 laser resurfacing, or a combination of both. Please reach out to a board eligible or board certified plastic surgeon for an in person consultation to discuss your options. Hope this helps!
Charles Riccio, MD

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin. This is a great question. I recommend treating the area of concern with several sessions of CO2 laser resurfacing. However, I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117, just call and ask for Jess :) I hope this helps and best of luck!

Under eye wrinkles - no results after Ultherapy and Botox. What else could I try? (Photo)

Answers (6)

Answer: Answer: Under eye wrinkles - no results after Ultherapy and Botox. What else could I try? (Photo)

Answer: Answer: Under eye wrinkles - no results after Ultherapy and Botox. What else could I try? (Photo)

Answer: CO2 laser resurfacing

Answer: CO2 laser resurfacing

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Everything you need to know about Skin Tightening

Our mission is to create a world where every investment in modern beauty is Worth It.

Under eye wrinkles - no results after Ultherapy and Botox. What else could I try? (Photo)

Answers (6)

Answer: Answer: Under eye wrinkles - no results after Ultherapy and Botox. What else could I try? (Photo)

Answer: Answer: Under eye wrinkles - no results after Ultherapy and Botox. What else could I try? (Photo)

Answer: CO2 laser resurfacing

Answer: CO2 laser resurfacing

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Recommended reading

Everything you need to know about Skin Tightening

Our mission is to create a world where every investment in modern beauty is Worth It.