Eye Wrinkles at 25. What Are my Best Options? Botox, Fillers, Laser or Surgery?

Question

When I smile the skin under my eyes crinkles up and causes serious wrinkling. On the right eye a wrinkle goes all the way down on my cheek and on the same eye there are 3 wrinkles even when my face is still. I'm praying there is something out there that can help.

Kenneth D. Steinsapir, MD · Answer

It would be helpful to examine you.  Without the benefit of that examination, it looks like your safest and best option will be under eye fillers.

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.

Nelson Lee Novick, MD · Answer

Puffiness under the eyes ressembling "jelly rolls", whichs result from hypertrophic, hyperactive muscles, can be effectively treated with a tiny droplet or two of a neuromodulator, such as Dysport, Xeomin or Botox. A few additional microdroplet amounts of these materials injected on the sides of the eyes can also be helpful for reducing the crow's feet wrinkling that may extend downward from the corners of the eyes to the upper cheek. Finally, tiny droplets of a hyaluronic acid filler placed in a beadlike fashion along the tiny, superficial lines radiating from the corners of the eyes (my favorite in this delicate region being Belotero Balance) can further improve and smooth the sides of the eyes. in my experience, lasers have proven expensive and  disappointing and surgery either not indicated or premature in this case. Consultation with a board certified aesthetic physician with extensive experience in treating this area is a must.

Kenneth Hughes, MD · Answer

This will require a physical exam, the photo provided I can see you would benefit from 8-16 units applied to each eye to soften the lines until you're ready for a blepharoplasty. Find board certified physician who can deliver the results you wish to achieve. 

	Best wishes

David W. Bray, MD · Answer

Your photos show some wrinkles, some skin laxity, and some volume loss, all of which could be improved fairly easily. Potentially, these could be corrected by a botulinum toxin product to relax the wrinkles formed when you move your eyelids), a tightening procedure (laser resurfacing or blepharoplasty) to remove some of the laxity of skin seen at rest, and/ or a filler to replace lost volume of the sunken areas under your eyes. An exam with a provider skilled in these procedures could sort out which of these would be best and in which order of priority.

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Eye Wrinkles at 25. What Are my Best Options? Botox, Fillers, Laser or Surgery?

Answers (7)

Answer: Eye Wrinkles at 25. What Are my Best Options?

Answer: Eye Wrinkles at 25. What Are my Best Options?

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