My eyes show my age (42). What are my best options? These pictures don't show it well, but there is also significant fat loss below lower outer corner of the eye that has large wrinkles under it. (Pics are 1 week after botox in crows feet and frown lines. ) I don't have the ability to have long down time and I'm not sure I would be able to withstand lots of pain - especially for a long duration.
February 20, 2014
Answer: Rejuvenating under the eyes RF (Radiofrequency) is helpful for the wrinkles, but may take multiple treatments depending on severity of the wrinkles and healing. The IPL and 1064nm Yag laser is best, in my experience, at getting undereye redness and blue/purple veins. Filler is helpful to lift a hollowed under eye, and fill a tear trough groove, and mask some of the darkness, and I would recommend hyaluronic acid fillers for this - like Restylane, Perlane, Juvederm, all of which I have used with success in this area. In addition, a little Botox in the mid lower eyelid will help to open the eyes better, and reduce a roll of skin that many of us have in that area.Nowadays, physicians tend to advise the device that they carry in their office, and due to the high cost of these devices, the average cosmetic physician will have only one or two devices to choose from for a given cosmetic problem. Another factor, is the physicians skill and experience with the device. At my office, we have over 48 cosmetic devices, and conduct research of these devices for cosmetic treatments. We have had the most success for mild to moderate periorbital wrinkles with repeat treatments 3-5 of RF or a single more intense treatment (and more downtime) with either fractionated CO2 or Erbium/CO2 laser. We have also succeeded at eye wrinkle tightening with the gentle Fotona Yag laser, 3-5 treatments, with less downtime than RF, but crucial that it is done by a skilled laser surgeon, as Yag lasers can cause blistering/scarring in the wrong hands.
Helpful
February 20, 2014
Answer: Rejuvenating under the eyes RF (Radiofrequency) is helpful for the wrinkles, but may take multiple treatments depending on severity of the wrinkles and healing. The IPL and 1064nm Yag laser is best, in my experience, at getting undereye redness and blue/purple veins. Filler is helpful to lift a hollowed under eye, and fill a tear trough groove, and mask some of the darkness, and I would recommend hyaluronic acid fillers for this - like Restylane, Perlane, Juvederm, all of which I have used with success in this area. In addition, a little Botox in the mid lower eyelid will help to open the eyes better, and reduce a roll of skin that many of us have in that area.Nowadays, physicians tend to advise the device that they carry in their office, and due to the high cost of these devices, the average cosmetic physician will have only one or two devices to choose from for a given cosmetic problem. Another factor, is the physicians skill and experience with the device. At my office, we have over 48 cosmetic devices, and conduct research of these devices for cosmetic treatments. We have had the most success for mild to moderate periorbital wrinkles with repeat treatments 3-5 of RF or a single more intense treatment (and more downtime) with either fractionated CO2 or Erbium/CO2 laser. We have also succeeded at eye wrinkle tightening with the gentle Fotona Yag laser, 3-5 treatments, with less downtime than RF, but crucial that it is done by a skilled laser surgeon, as Yag lasers can cause blistering/scarring in the wrong hands.
Helpful
October 8, 2016
Answer: To rejuvenate the eye area, use Restylane and consider skin tightening with the Infini RF You have loss of volume around the eye which is best treated with Restylane. I would recommend using someone that uses blunt cannulas for this injection so the chance of bruising or complications is reduced. For crepey skin around the eye, I would use the Infini, which is a new microneedling RF device. Botox might help as well. I written a blog all about this very situation, see below. Steve Weiner, MD, Facial Plastic Surgeon, Destin, Florida.
Helpful 1 person found this helpful
October 8, 2016
Answer: To rejuvenate the eye area, use Restylane and consider skin tightening with the Infini RF You have loss of volume around the eye which is best treated with Restylane. I would recommend using someone that uses blunt cannulas for this injection so the chance of bruising or complications is reduced. For crepey skin around the eye, I would use the Infini, which is a new microneedling RF device. Botox might help as well. I written a blog all about this very situation, see below. Steve Weiner, MD, Facial Plastic Surgeon, Destin, Florida.
Helpful 1 person found this helpful
