How to fix under eye inner lines? (photos)

Question

I have dealt with lines under my eyes specially the inner part of my eye the line is very visible is their a possible way to get rid of them by fillers or any other treatment?

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.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. While it’s difficult to make an assessment based on the photo you provided, there are several options for treating the under-eye area. Dermal filler injected into the tear trough, often via a microcannula to ensure the smoothest result, adds subtle volume to reduce lines and discoloration in the area. For more permanent results, facial fat transfer uses fat from other areas of your body to treat the sunken area under the eye to create a more youthful facial appearance.

Lasers, Profound RF (microneedling combined with RF energy), and other procedures that boost collagen production can be very effective in tightening and refreshing the skin around the eyes too. A combination of procedures can provide you with optimal results. To determine the best treatment/s for you, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can do a proper evaluation, recommend the best treatment/s, and ensure the best possible results.

Michael A. Persky, MD · Answer

Hi SSS,
Fractionated CO2 laser (Fraxel repair) is the best treatment for these lines that are troubling you. I would combine your laser treatment with simultaneous platelet rich plasma topically and injected under the skin.  Choose your treating physician carefully.  Feel free to contact our office for an in person or virtual consultation. Good luck and be well.
Michael Persky, MD
Encino, CA

Geeta Yadav, MD · Answer

Thanks for your question! While it’s difficult to fully assess you from your picture, you might benefit from undereye filler, which can help smooth out the area and minimize any hollowness. Be sure to book a consultation with an experienced provider, who can help create a treatment plan personalized to your concerns.

Yao Wang, MD · Answer

Hi, based on your photo, if appears that you have hollow lower eyelids. It appears that you don't seem to have a lot of lower eyelid fat - which typically can be seen as "fat bags". If you have good amount of lower eyelid fat, this fat can actually be shifted to fill in to fill the follow, a procedure called fat repositioning. However, if you don't have fat, the only way would be to fill up the lower eyelid. There are generally two ways to do this. You can fill it with filler or inject some fat (fat grafting). Both procedures have possible risks. I would recommend against using too much filler in that area, as the skin is thin and you can get edema (swelling) from the filler. Hyaluronic filler, however, is reversible. Fat injections, because it's fat from one part of the body and placed in another, can be unpredictable. Generally we say about 50% takes or survives. This also has to be done very precisely, otherwise you may end up with lumps and bumps. I would recommend going to see an oculoplastic surgeon to see if which option might be best for you. Hope this helps!

Angelina Postoev, MD, FACS - Account Suspended · Answer

That is a normal line, but hard to tell fully on the cropped photo. It appears that the tear trough is more prominent, making that line more visible. Tear trough filler will help, in combination with cheek filler .

How to fix under eye inner lines? (photos)

Answers (6)

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