Will Fraxel Laser Provide Any Relief from Eye Deep Wrinkles?

Are injectable fillers the best options  for deep wrinkles, or is there a type of laser that can penetrate noticeable creases and lines around the eyes?

Doctor Answers 7

Fraxel Laser

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CO2 laser is the only laser I have consistently seen wrinkle improvement under the eyes. Thank you for your question and good luck with everything.

Danville Plastic Surgeon
4.9 out of 5 stars 26 reviews

Fraxel laser for eyelid wrinkles

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Certain eyelid lines don't respond well to Botox such as the lower eyelid. Skin removal with a surgical blepharoplasty can help, but often the lines, especially if related to bad sundamage, can come back quickly after surgery.  Resurfacing with a chemical peel or laser resurfacing or plasma resurfacing can help.  These are down-time procedures that need one to two weeks to heal.  Plasma Portrait resurfacing involves heat generated by plamsa energy and usually requires one week to heal for most patients.  Fraxel Restore done multiple times, once every three to four weeks, or less frequently, can improve the lines. Fraxel Restore induces some redness, swelling and flaking for about five days, but the swelling may be more.  Fraxel Repair, is a carbon dioxide fractional semi-ablative procedure and may require up to two weeks to heal after one treatment. This wound is an open wound and requires more thorough care and prevents you from doing your normal activities for at least one to two weeks, but the improvement is better than that from the Fraxel Restore but equivalent to Portrait Plasma.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Fraxel, eyelid wrinkles, lasers and peels

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When one uses any kind of laser, it, the laser, doesn't automatically know what to do. The doctor doing the procedure has to decide on what settings and how many passes to use. There are many variables in addition to the technical skill involved. The dual Fraxel laser is on the low side for getting wrinkle reduction. Exquisite care must be used to avoid injury to the eye itself when treating wrinkles on the lids. A fractionated CO2 (carbon dioxide) laser is one step up (made by many companies) and then there is the fully ablative CO2 laser, all of which have been shown to be effective; the stronger the laser, the better the results in most cases, but the longer the recovery. The regular Fraxel requires a series of sessions, whereas fractional and full CO2 can be done in one session. Chemical peels can also be done and vary in strength and results depending on the chemicals used, their concentration and the skill of the doctor.

Russell W. H. Kridel, MD
Houston Facial Plastic Surgeon
4.3 out of 5 stars 15 reviews

How to treat wrinkles around the eyes

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Essentially two things happen to the skin with fractional laser resurfacing:

  • Skin is tightened.  Fractional lasers vaporize tiny columns of skin in a grid pattern with variable percentage of skin vaporized, from 5% to 30%.  The skin around those vaporized columns contracts.  Because the damage (essentially what a laser does is burn a tiny amount of skin) to the skin is partial (not all the skin is vaporized), the healing is faster and there are fewer potential side effects.
  • The damage to the skin induces new collagen deposition, making the skin firmer and more resilient.

Eyelid skin does well with fractional laser resurfacing.  There are a few other things to mention.  If the creases are dynamic, that is if they are not there when the face is relaxed and appear with the muscles of facial expression contract, these are best treated with Botox injections.

If the creases are created by fat tissue under the eyes (under eye bags), then none of the methods - resurfacing, Botox or fillers - will improve the appearance completely.  A blepharoplasty will most likely be needed.

Under eye hollows will respond best to hyaluronic acid fillers, like Restylane.

Emily Altman, MD
Short Hills Dermatologic Surgeon

These wrinkles are best treated with full laser resufacing. I like CO2 erbium combination laser resurfacing.

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You have fairly deep wrinkles.  These are best treatment with full laser resurfacing.  The results should be very good in a single treatment if your procedure is performed by a skilled and experienced laser surgeon.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.2 out of 5 stars 18 reviews

Fraxel laser for deep eye wrinkles?

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  Fraxel would not be my first choice for periorbital lines.  Fillers and  Botox may be more beneficial.  But Fraxel does have a role and it is difficult to say without either seeing you or seeing high quality photos.  Good luck!

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
4.8 out of 5 stars 140 reviews

Eyelid lines

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There are different kinds of "lines" around the eyes.  There are dynamic lines which can be improved by botulinum toxin.  There are static lines which can be improved by laser, peel or surgery.  Fraxel can help with dynamic lines.  There are hollow areas, which can be improved by fillers.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 91 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.