Under eye laxity and wrinkles

Question

I’m 49 yo. I had lots of sun exposure as a kid and also lost over 100 pounds in my 20’s. I now have that awful crepiness under my eyes with even some extra laxity/redundancy in skin. I’ve done retinols, Botox and even co2 laser with no real improvement. Any other suggestions? Is this something that can be improved? It’s all I see when I look in the mirror

Eric M. Joseph, MD · Answer

Morpheus 8 is fractionated radio frequency microneedling. We have seen very nice results insofar as tightening under eye skin. We perform these procedures with local anesthetic and there is very little if any downtime. I hope this helps! Sincerely, Dr Joseph

Glenn Lyle, MD · Answer

Thanks for your inquiry. After review of your photos, there are a few treatments that we could try that would help. Under eye filler is an option, however it will not take care of ALL of the creases an folds. Surgery may be another option in the future but start with non-invasive hyaluronic acid filler could do the trick. I would also still add a neurotoxin to help with the muscle dynamic.

Robert Singer, MD · Answer

Most expert experienced artistic plastic surgeons have a variety of procedures, both non-surgical and surgical, at their disposal to produce excellent cosmetic results in the appropriately selected patient: temporary fillers, micro-fat grafts, and blepharoplasties.  Each has benefits and drawbacks and depends on desired outcome and individual anatomy.

In a patient with your inherited anatomy, a blepharoplasty will produce the best and longest lasting cosmetic result.

Following the advice of anyone who would presume to tell you what to do without seeing photos and without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Under eye laxity and wrinkles

Answers (3)

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