41 y/o female. Will a lower blepharoplasty help remove genetic winkles from the under eye area?

Question

Hello, I am 41(f) and can’t stand the wrinkles under my eyes. Will a blepharoplasty remove the wrinkles? I do not have undereye bags. This is genetic. Thanks!

Camille Cash, MD · Answer

There are other options that will better address the wrinkles that concern you besides a blepharoplasty.  Laser resurfacing should improve them.  We also recommend using medical grade skin care products like Transform MD, and using sunscreen every day.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from your photos you have extra skin both under and above your eyes. Also you have wrinkles. For get rid of this old image, gain more fresh, young and stretched looking I can suggest you fat injection to under your eye area, upper and lower eyelid blepharoplasty. It would be more convenient to decide with face-to-face consultation. Best Regards!

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

Thank you for your question and photo. Lower blepharoplasty does not necessarily treat under-eye wrinkles, so one or more laser resurfacing treatments are often suggested to reduce their appearance. 
Laser resurfacing rejuvenates the skin by using a laser to remove the outermost layer of the skin and reveal the new, healthy skin below. At the same time, this treatment can boost collagen production for natural, long-lasting improvement. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to assess your concern and suggest the best course of action.

John Michael Thomassen, MD · Answer

A pinch blepharoplasty, fat grafting and TCA can help correct these lines.  You do not need fat removal during the bleph.

41 y/o female. Will a lower blepharoplasty help remove genetic winkles from the under eye area?

Answers (7)

Answer: How laser resurfacing may be right for you

Answer: How laser resurfacing may be right for you

Answer: Pinch blepharoplasty

Answer: Pinch blepharoplasty

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Everything you need to know about Eyelid Surgery

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41 y/o female. Will a lower blepharoplasty help remove genetic winkles from the under eye area?

Answers (7)

Answer: How laser resurfacing may be right for you

Answer: How laser resurfacing may be right for you

Answer: Pinch blepharoplasty

Answer: Pinch blepharoplasty

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.