My eyes have always had a hollow look with wrinkles since childhood. They are very noticeable when I smile. I had a doctor suggest fat transfer to my cheekbones/ undereye to provide support for rest of my face and improve the area. Should i also consider bleph or laser to address the wrinkles?
April 22, 2025
Answer: CO2 Laser Resurfacing Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. CO2 laser can be a great starting point, especially if fine lines and wrinkles around your eyes are a major concern. It works by resurfacing the skin, stimulating collagen production, and tightening the delicate under-eye area, which can soften the appearance of wrinkles and crepiness. Since you've had hollowing and wrinkling since childhood, the issue may be both structural (lack of volume) and skin quality-related—so while laser won’t add volume, it can definitely improve the texture and firmness of the skin, making the area look smoother and more refreshed. That said, if there's a significant degree of hollowness or shadowing that laser alone can't fix, fat transfer can be a smart complement. It’s particularly useful for someone like you who has long-standing volume deficiency, as it can restore fullness to the tear troughs and upper cheek area, creating better support under the eyes and improving how light reflects off your face. When done carefully, it can make the under-eye area look less sunken and reduce that tired appearance. Blepharoplasty (eyelid surgery) is more appropriate if you have excess skin, significant under-eye bags, or true fat herniation. I hope this helps and best of luck!
Helpful
April 22, 2025
Answer: CO2 Laser Resurfacing Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. CO2 laser can be a great starting point, especially if fine lines and wrinkles around your eyes are a major concern. It works by resurfacing the skin, stimulating collagen production, and tightening the delicate under-eye area, which can soften the appearance of wrinkles and crepiness. Since you've had hollowing and wrinkling since childhood, the issue may be both structural (lack of volume) and skin quality-related—so while laser won’t add volume, it can definitely improve the texture and firmness of the skin, making the area look smoother and more refreshed. That said, if there's a significant degree of hollowness or shadowing that laser alone can't fix, fat transfer can be a smart complement. It’s particularly useful for someone like you who has long-standing volume deficiency, as it can restore fullness to the tear troughs and upper cheek area, creating better support under the eyes and improving how light reflects off your face. When done carefully, it can make the under-eye area look less sunken and reduce that tired appearance. Blepharoplasty (eyelid surgery) is more appropriate if you have excess skin, significant under-eye bags, or true fat herniation. I hope this helps and best of luck!
Helpful
