Crepey, lower eyelid skin can be improved, but in my opinion it can't be removed permanently. The recommended treatment plan would depend upon the patient's age, the degree of wrinkling in the lower eyelid skin and the degree of improvement the patient desires. Perhaps the easiest way to improve these lines would be as follows with the less invasive option first.
FIRST CHOICEBOTOX injection on the side of the lid.
•A topical Tripeptide, Stemcell product used twice per day to maintain the results
For the older patient with significant lower eyelid wrinkling, that is seeking a longer lasting improvement, I recommend a more aggressive approach:Laser Resurfacing of the lower lid and an aggressive skin care maintenance program including a Tri-Peptide Wrinkle Reducing Serum. In most cases this approach can improve the wrinkles of the lower lid by 40 to 70%.
For the younger patient with less eyelid wrinkling and tear trough issues I would avoid lower lid blepharoplasty and suggest the following.Profractional Laser or Pellevé three times per yearTri-peptide Cell Activator (topical), a dermal filler (Restylane) placed in the tear trough will soften the folds of the lower lid.