Under eye wrinkles - what can I do to fix this problem? (Photo)

Question

I am 30 years old and these ugly wrinkles under the eyes are starting to annoy me a lot. I have very light and sensitive skin and have always had a hard time finding a cream that suits me that doesn't cause me to have an allergic reaction. I would like to do something before this problem becomes too obvious as they are also static wrinkles. I would like something as permanent as possible. Thank you

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. You may benefit from a combination of Botox injections and RF microneedling to reduce the appearance of the under-eye wrinkles you’re referring to. Botox can target the muscles that form these lines by preventing movement of the muscle and smoothing the skin's surface. Results from Botox injections can last for up to four months or more. 
RF microneedling delivers radiofrequency energy to the skin through hair-thin needles, encouraging the body’s natural healing response and increasing elastin and collagen production. Over the course of several months, the skin will grow smoother and tighter and the lines diminished, with results lasting years for some patients. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector who can suggest the best course of action for you.

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.

Heather Levites, MD · Answer

Hi! I recommend you find a skilled neurotoxin injector who could try microdosing of Botox or equivalent to help paralyze muscle around the eye that is causing those wrinkles! It is important to use 1-2 units maximum by a skilled injector who is familiar with treating this area. Good luck!
- Dr L

Glenn Vallecillos, MD, FACS · Answer

For treatment of these under-eye wrinkles; I personally recommend Botox and Radio-frequency resurfacing lasers because of the level of results that you'll be able to achieve. 30 years old is young! It would be in your best interest to begin radio frequency laser treatment right away (as the skin is more malleable; the younger it is) and to find a botox specialist that is confident expunging these wrinkles for you.

In combination, these treatments will transform your under-eye and will create ever-lasting results - only maintenance would be required to maintain your transformation.

In combination, these treatments will transform your under-eye and will create ever-lasting results - only maintenance would be required to maintain your transformation.

Camille Cash, MD · Answer

You will likely find the best results from a combination of treatments.  Morpheus8 uses RF technology combined with microneedling to improve overall skin tone and texture.  It is safe to use under the eyes.  Using medical grade skin care products is also recommended as well as wearing sunscreen every day.

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