Wrinkly skin on eyelids and dark circles - what procedure(s) can help? (photos)

Thank you for your question and photo. You may benefit from a combination of laser resurfacing and dermal filler injection to rejuvenate the skin around your eyes. Laser resurfacing treatments can improve your skin’s laxity and reduce lines and wrinkles, while dermal filler tear trough injections can improve the appearance of dark circles. While filler treatments are not surgery, they still require a great deal of skill and precision to achieve the best possible results. In my office, we use a micro-cannula to inject this area, which minimizes bruising and swelling and ensures the smoothest outcome.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or expert injector. They will be able to discuss your concerns and aesthetic goals with you to determine the best treatment plan.

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. 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 lower eyelid blepharoplasty with or without fat pad repositioning 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 (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells 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. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Hello! Thank you for your question.As far as I can see from your photo you have extra saggy skin under and above your eyes. Also you have so many wrinkles in that area. I highly recommend you upper and lower eyelid blepharoplasty. In addition to these surgeries with the fat injection to your under eye area for the wrinkles and dark circles. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation.Best Regards!

It looks like you would be a good candidate for a blepharoplasty in combination with laser resurfacing.

It is best to consult with a skilled board certified plastic surgeon.

Best of luck !

Thank you for your question. Photographs of both eyes with the eyes open as well as close would be helpful. Obvious an examination in person is required to properly answer your question.

Only crows feet, wrinkles outside the corner of the eyes may be treated with Botox.

If with eyes open you have excess upper eyelid skin an upper blepharoplasty could possibly be a solution for this.

Correction of dark circles is more complex but in my experience response to a transconjunctival lower blepharoplasty with arcus marginalis release and fat grafting.

It is very important that you consult an experienced plastic surgeon with experience in eyelid surgery for proper diagnosis and treatment recommendations.