23, CO2 for mild under eye tightening & what can remove darkness? (Photos)

Question

I’m 23 and have had fat transfer under eyes last year as I had deep set hollow under eyes. The results went well but I would still like to tighten up under one eye ever so slightly. I’ve seen videos for co2 when the laser hits and the skin shrinks. Is that permanent shrinkage? If so will co2 help my under eye. Also, I have darkness under my eyes that makes my eyes look more hollow than they actually are. The dark line casts a shadow on my under eyes. What can I do to get rid of it? Are there any lasers that can lighten it?

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

23, CO2 for mild under eye tightening & what can remove darkness? (Photos)

Answers (1)