19 year old with under eye wrinkles, allergic reaction, permanent or not? (photo)

Question

19 year old girl who recently had an allergic reaction with caused my eyelids and under eye to puff up. Although the puffing went away, I am left with wrinkles on my top eye, crows feet, and a huge wrinkle on my bottom eye. It's been about one week after the reaction. I used to have only miniature wrinkles put the puffing made them form one huge wrinkle. Will it go away/back to original? Or should I look into laser resurfacing/creams/botox/blephplasty? If it is laser, which kind, CO2 or erbium?

Jessica Lattman, MD · Answer

Thank you for your question. Since the allergy only happened once and it was only a week ago I would wait to see if the wrinkles go away.  In my expereince permanent wrinkles from allergies develop over years of chronic attacks.

Alexander Rivkin, MD · Answer

Hello and thank you for your question. I recommend getting your allergies under control to reduce the effect it will have on your under eye area. Loss of volume to the tear trough (under eye area) occurs with aging (decrease in fat pads, muscle, and bone) and can also be attributed to genetics.  Fine lines tend to appear with repeated muscle movement and loss of skin elasticity and collagen.  Fortunately, there are several non-surgical options to help treat this common area of concern.  To address fine lines/crows feet (lines at the corners of your eyes when smiling or squinting), a small amount of botox can be injected into the obicularis oculi muscle to restrict your muscle movement and prevent the lines from becoming etched in.  Resurfacing lasers (i.e. fraxel or Clear and Brilliant) can also help treat fine lines and stimulate your body's natural collagen production.  For the sunken appearance to the tear trough, dermal fillers can be used to help replace volume.  In my practice, I specifically prepare Juvederm for injection into the tear troughs.  This preparation provides the most natural looking appearance and has a duration of 2 - 6 years.  Most importantly, it can be easily dissolved with an enzyme, making it a safe option.  In my office, this is a two stage procedure, with a touch-up visit 2-3 weeks after the initial one.  Make sure to seek out an expert injector for your care.  Best of luck!

Jason Emer, MD · Answer

A combination approach will give the most improvement under the eyes. 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!

Justin Harper, MD - Account Suspended · Answer

Hi azaidi, It is unlikely that the allergic reaction caused such a  massive change. After all, you're only 19 and your skin is pliable. That said, a combination of therapies can be done and you could start with microneedling with PRP and laser. The Lumenis and Cutera do a good job. However, if the line isn't softened to your liking, then a natural-looking filler like Restylane Refyne can be used. You'd be happy to know that Refyne produces the least swelling.All the best, Justin Harper, M.D.

19 year old with under eye wrinkles, allergic reaction, permanent or not? (photo)

Answers (5)

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