Under eye wrinkles since I was young - what can I do at age 25 to make them better? (Photo)

Question

I’ve attached a picture of me from about the 4grade. As you can see, I have fine lines under my eyes. They’ve only gotten worse as I’ve gotten older. I also had a habit from the age of 10-24 that caused me to squint, smile, frown repetitively for hours on end. My question is: would those lines from under my eyes have disappeared as I got older, if I hadn’t had the habit that caused me to squint, etc a lot? Also, what can I do now at age 25 to make them better? They’re static lines/wrinkle now

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.

Paul Flashner, MD · Answer

Hi and thank you for your question.  Accutite is the smallest contraction device in cosmetic medicine, making it possible to treat hard to reach areas with pinpoint accuracy.  It is a minimally invasive procedure performed with a very small wand under local anesthesia or light sedation.  Using radiofrequency assisted lipolysis technology any areas with saggy skin or excess fat can be treated.  This will help tighten the skin around your eyes.  You can also get under eye filler as a maintenance treatment to maintain the results.  Have a consult with your physician to come up with a treatment plan that works for you.

Camille Cash, MD · Answer

Further photos would be helpful where you're not smiling for better evaluation.  If you have an issue with lack of volume then fillers can help.  If it is skin laxity you may have improvement with Morpheus8.  This treatment combines RF technology with microneedling to improve overall skin tone and texture.  We always recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Jordan Jacobs Medical Artistry · Answer

Under eye wrinkles can be treated with smoothing serum (botox) used superficially and in some cases under eye filler if the smoothing serum does not fully smoothing out those lines, depending on the patient and how deep their lines are. Either way we can get those lines to disappear so you can feel and look like your best self!

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Afternoon! The lines under your eyes could be related to your genetic predisposition or from the repetitive movements at a younger age. Regardless, there are options to pursue. I would advise against filler as it's too close to the eye and you run the risk of damage. Botox would be a good starting point. You can place a small number of units near the lower eyelid to soften the lines - not eliminate them. Light chemical peels and various skin treatments at your age are the safest. Hope this is useful!

Barry Kusman, MD, FACS (retired) · Answer

The answer to your first question is “no", they would not disappear as you got older.For your second question, you can try a little neuromodulator (Botox, Xeomin or Dysport) under the eye in the lower lid, and if that does not work, you could also try PRF.

Under eye wrinkles since I was young - what can I do at age 25 to make them better? (Photo)

Answers (6)

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