Thank you for your question. I often use a CO2 laser to refresh the area under the eyes. This is a very effective method of skin rejuvenation - for the right concerns. In your case, I'm not sure laser resurfacing would produce the desired result. I recommend scheduling a consultation with an experienced, board-certified dermatologist for further assessment and treatment recommendations.
lower eyelid surgery is needed for you to be honest, but fillers and peels can be done for improvement.at home peels like cosmelan, enlighten and aerify along with dermarolling (emerageskin roller with anteage MD ampules) should be started now. elighten would do great for you and we can do that virtually.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, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora 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.
