Do Deep Chemical Peels REALLY Get Rid of Eye Wrinkles?

I'm a 33 yr old female and have a tons of eye wrinkles: crows feet and under eye wrinkles which botox does NOT get rid of since these have actually become static wrinkles (wrinkles that show even when I'm not making facial expressions). It's really sad that I have so many wrinkles for such a young age! I'm blonde, very thin skinned, poor lasticity and bad genetics I'm skeptical that the peel would work in the sensitive eye area??? Thanks for any input, Lilly

Doctor Answers 11

A Chemical Peel Will Help

There are certainly options to improve the wrinkles under your eyes and various chemical peels are possible.  Don't stop with the neuromodulator (Botox), as if you are genetically prone to wrinkles and have a very active face, this will likely reduce the permanent wrinkling effect that will occur over time.  Some young people have redundant skin or even muscle (orbicularis) on their lower eyelids just under the lashes and can benefit from a blepharoplasty.  This doesn't have to be as extensive as a blepharoplasty on someone older.  Consult with a plastic surgeon who offers all these treatments to get an unbiased opinion on what would be best for you.

Chemical peels and Botox for undereye wrinkles in Los Angeles

Chemical peels can improve skin texture and quality.  I would combine a MelaPeel with Botox injections to improve skin wrinkles around the eyes. Raffy Karamanoukian, Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 85 reviews

Yes chemical peels really can improve eye wrinkles.

Jessner's +35% TCA is a very helpful peel to improve eye creases but needs to be done 3-5 times about 2-4 weeks apart and run $350/session. A good cortisone cream such as triamcinolone cream applied twice a day helps reduce the redness and SPF every morning is important. Sincerely,

David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 35 reviews

Fine eye wrinkle correction

Treatments such as chemical peels and lasers are great for fine line improvement when done correctly by a licensed provider. Other procedures such as facial fat grafting can be very beneficial on skin that lacks elasticity and volume. Always consult with your aesthetician or doctor providing these treatments before deciding. It can be difficult to make an exact recommendation without seeing your "problem areas".

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 38 reviews

Chemical Peel for Eyelid Wrinkles

Many treatments for lower lid wrinkles and crow's feet are available, and they each have pros and cons. Much depends on whether or not there is excess loose skin. The gold standard that most other treatments are compared to is the carbon dioxide laser. This gives very good, long lasting results at the expense of a prolonged recovery period. Generally, this means 7-10 days of healing with several weeks of redness. Fractionated carbon dioxide laser has a shorter recovery but will take several tretmemnts to complete.Laser treatments heat up the skin and cause some shrinkage which may tighten up loose skin. A chemical peel is less useful for this problem but does improve the appearance of wrinkles alone. 

Gustavo E. Galante, MD
Schererville Plastic Surgeon
5.0 out of 5 stars 47 reviews

Eye Wrinkle Correction

Peels absolutely can greatly reduce eye wrinkles.   I prefer the Phenol -Croton Oil peel but the TCA p[properly done is excellent also.  Peels can be done much more cost efficient than Laser.   Consult with an ELITE surgeon in your area.  I have done wrinkle correction on 33 year olds and even 25 year olds so age is not an issue.   REMEMBER THE WORD GET RID OF IS NOT APPROPRIATE HERE.  GET GREAT IMPROVEMENT IS FINE.   Also never forget Botox and Retin A considerations for eye area wrinkles.  My Best,  Dr C

TCA for Eye Wrinkling

When done correctly, TCA peeling (at appropriate strength in hands of an experienced user) can yield excellent results for eye wrinkling. Laser treatments can also be very helpful. I must say that you are rather young and it would be helpful to see what it is you are calling "eye wrinkles."

TCA peel vs Fractionated CO2 laser resurfacing for peri-orbital wrinkles

A chemical peel such as a TCA peel are better for texture, pigmenation and very fine wrinkling.  A better procedure for tightening the skin is fractionated CO2 laser resurfacing such as SmartSkin or SmartXide.  This will give you the best result with about the same amount of down time, 6 - 7 days, as a chemical peel.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 14 reviews

The punishment needs to fit the crime.

Yes, chemical peels are very effective at improving lower eyelid wrinkles.  The key is peeling to the right depth.  Generally to improve lower eyelid wrinkles, one needs a peel that is of sufficient depth.  This means that the light peels performed by your aesthetician are not going to get the job done.  Several light peels can't do the job on one stronger peel.  TCA is good for minimal lines.  However, phenol is my preferred peeling agent for this purpose.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 22 reviews

TCA peels work well for rejuvenation of undereye skin

TCA peels work very well to improve  laxity and wrinkles in the under eye region, though they are more superficial than phenol peels. With both, the texture of the undereye skin improves considerably;  the latter is more effective, the former, however, is the safer option. You may need a series of peels with TCA to see and maintain good improvement.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.