I'm 26 with lower eyelid wrinkles - which procedures can I do to look younger? (photos)

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

To keep skin youthful we recommend using medical grade skin care products like Transform MD and wearing sunscreen every day. Getting regular skin care treatments such as peels and microneedling treatments can keep skin healthy and youthful. See an experienced provider at a board certified plastic surgeon's office to learn more.

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.

Hi Lady B,
I would say that "Nothing beats being young!" You are beautiful as you are. If you must do anything you may do a little bit of Botox at the corners of your eyes. For the skin under your eyes, a light laser treatment. Good luck and be well.
Michael Persky, MD
Encino, CA

First off, you look amazing! however, as we age, and even in our 20s we start to see some changes. As for the under eyes, we start to get some thing wrinkles and can get some hollowness. The lines you're showing on the side of your eyes are from the underlying muscle, and when it contracts it forms these lines, commonly called crows feet. First things first, I always recommend sunscreen/SPF for the face, usually 50 or higher. This can present damage from the sun and UV rays. Secondly, a good medical grade skin care routine can help with fine lines and wrinkles, as well as malasma or discoloration. Third, for the crows feet, botox is a great option, which will relax the underlying muscle. For under the eye, you can do filler. I recommend all of this be done at a Board Eligible/Board Certified Plastic Surgeon's Office