Extreme crepey & wrinkled under eyes at 28! What can I do? (Photos)

We have had excellent success in smoothing the appearance of under eye crepey skin with Morpheus eight. Morpheus eight is radio frequency micro needling. If you are looking for a non-surgical approach with minimal downtime and risk, this may be worth investigating. Thank you for your question. Sincerely, Dr. Josep

Hello dear tegen1,I'm doctor Hong, from Fresh Clinic,Seoul Korea. So sad to hear that.
Based on picture, not only under eyes area, but nasolabial folds, Indian bands and middle of face look a little bit sagged (lose of skin elasticity). May be you have has some drastic changes in your life caused stress, that lead to those facial changes as well. Honestly, in this stage, it not easy to fix it by non-surgical approach. However, if you do not considering the surgery, I would recommend you Thermage for eyes and face overall.

A pinch blepharoplasty procedure that removes skin along the lash line with a TCA peel of the lower lids will smooth out your lower eyelids. The procedure can be done under local in the office.

You've got a few options in this situation.
First, being on good products - SPF, vit C, and retinol - for long-term prevention and improvement is important.

To help correct this, you could consider laser resurfacing (CO2 or Erbium), microneedling, chemical peels, or even fillers (HA or PRF).

Discuss with a local plastic surgeon or dermatologist for help.

Hello T,

I would recommend the injection of EZ Gel, it is made 100% from your own blood. Albumin and fibrin rich plasma are injected, the growth factors, stem cells, and exosomes help to regenerate the skin around your eyes. Another treatment that would help is fractionated CO2 laser. With either treatment, the most important aspect is that you choose your treating physician expert carefully. With respect to your use of retin a, patience is best. You should start with the weakest forumulation, and use it 3 nights a week before bed. It should be the first skincare product put on your skin after washing. If you use any other skin care, make sure that the retin a has had time to dry. Once your skin tolerates the weak retina for a few weeks (no redness, peeling, or dryness) then you may add another night per week. Eventually you should get to using it everynight. Good luck and be well.
Michael A. Persky, MD
Encino, CA. USA

It sounds like the Retin A you are using may be too strong for your skin. I encourage you to visit with an experienced aesthetician or dermatologist near you for an evaluation. Product selection for your skin type is key. We always recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.