Help with aging around the eyes. What would be the best treatment for me? (Photo)

Thank you for providing images along with your question. There are a lot of treatment options for treating signs of aging around the eyes. For a surgical approach, blepharoplasty and facial fat transfer can rejuvenate the eye area. For non-surgical options, lasers, RF devices, and dermal fillers are effective treatments with minimal downtime. In most cases, a combination of these treatments works best. To find out the best treatment plan for you, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon who can evaluate your face, determine the best treatments to address your concerns and goals, and safely deliver the best possible outcome.

Fillers would be the best treatment for you after the treatments that you have undergone for the crows feet.

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.

You will have the best result from a combination of treatments. Botox can help with the crow's feet area. Fillers under the eyes and in the cheek area can correct volume loss and improve contours. Treatments such as Morpheus8 can improve overall skin tone and texture. We also recommend using medical grade skin care products and wearing sunscreen every day.

Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case it is a challenging area. Botox lower and under the eye can help combined with a small amount of filler. Radiofrequency is all very good at tightening the area from a skin point of view. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes

From your photos, I note crepiness of the skin of the lower eyelid, perhaps associated with underlying fat pads. There is also crepiness of the skin overlying the nasolacrimal sulcus at the junction of eyelid and nose. The crepiness is caused by loose skin.I think that a blepharoplasty with skin excision and probable fat pad removal or repositioning would eliminate the lower eyelid bagginess, while adding filler to the nasolacrimal groove will lessen the crepiness. Visit a board certified plastic surgeon for evaluation, examination, and discussion.Best wishes...

Many things contribute to the lines around the eyes. Botox can treat the dynamic ones caused by the lateral orbicularis or glabella muscles. Laser or peel can treat significant static ones. Fillers can treat volume loss. Yours, however, do not fit into any of these categories and are caused by loss of collagen and elastin in the dermis, the support layer of the skin. Resurfacing procedures will improve this with time, but there is a better method. Unfortunately, this, too, takes time. You need tretinoin (Retin-A) to stimulate collagen and Obagi's ELASTIderm added to normal skin care to stimulate elastin. You can also use micro needling to Fraxel laser treatments to increase collagen production. See someone very experienced in skin rejuvenation.