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

Question

I have had Botox several times for my crows feet, however over time this has caused more wrinkles underneath my eyes. I am bothered by the vertical lines on the inner corner under my eye, these are more prominent when smiling but also show when my face is relaxed. I have had Co2 laser resurfacing but have been told by the doctor this won’t really help these lines and I would perhaps need filler under the eye or Botox. What would be the best treatment for me?

Jonathan Kulbersh, MD · Answer

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.

Mahmood Siddique, DO · Answer

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

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.

Camille Cash, MD · Answer

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.

Rita Rakus, MBBS - Account Suspended · Answer

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

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

Answers (7)

Answer: Aging around the eyes

Answer: Aging around the eyes

Answer: Under eye lines

Answer: Under eye lines

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Everything you need to know about Botox

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

Answers (7)

Answer: Aging around the eyes

Answer: Aging around the eyes

Answer: Under eye lines

Answer: Under eye lines

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Recommended reading

Everything you need to know about Botox

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