I am 27 years old and have these wrinkles under my eyes. I feel like I am too young. Any professional recommendations? (photo)

Question

I am 27 years old and have these wrinkles under my eyes. I feel like I am too young to have these wrinkles. I am considering Botox but also feel like I am too young. I just did a chemical peel and am using vitamin c and hydrafirm vitamin a. What are my other options??

Aldo Guerra, MD · Answer

Thanks for your question.I believe a gentle chemical peel wound be the best, but you may need a series of peels for best results. You may also be a candidate for a dermal filler. See an expert injector/physician for the best recommendation. Best wishes. Dr. ALDO

Jason Emer, MD · Answer

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Jonathan Kulbersh, MD · Answer

Under eye wrinkles can be permanently corrected with surgery or temporarily camouflaged with fillers.There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eye-lift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression. Cost will vary and can be discussed at your consultation.
I hope this helps!

Ivan Vrcek, MD, FACS · Answer

Thank you for your question and photo.
I do see the lower eyelid wrinkles that you would like to address. In general, wrinkles have two components: dynamic and static. The dynamic lines are those that you see when the underlying muscle contracts, such as when you smile or squint. These can be softened with botox. The more static lines (those seen at rest) are best treated with chemical peels (which you have had) as well as other resurfacing options. A combination approach may be best in your situation and an in-person evaluation can help a lot.
Consider finding an ASOPRS oculoplastic specialist in your area.
Best of luck!

Shaun Patel, MD · Answer

When it comes to eye rejuvenation, combination treatments work best. This includes Botox/Dysport for dynamic lines and wrinkles, fillers for volume loss, chemical peels, fractionated lasers, microneedling and skincare. In your case, I would start with a small amount of Botox or Dysport around and underneath the eyes combined with a good skincare. I do not think you have volume loss and so filler would not help much.

Justin Harper, MD - Account Suspended · Answer

Hi mrskiss, You'd be surprised that a lot of millennials swear by preventative Botox. In your case, it would help but having fillers such as Restylane Refyne will result to a more refreshed look. It also produces the least swelling.All the best, Justin Harper, M.D.

I am 27 years old and have these wrinkles under my eyes. I feel like I am too young. Any professional recommendations? (photo)

Answers (6)

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