Lines under the eyes - can a chemical peel help?

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Good morning,
I hear this a lot with patients who are concerned about the appearance of lower eyelid skin. The location of the lines can determine which treatment option is best for you. If the lines are on the outside area of the lower eyelid/lateral canthus, then botox or neurotoxin may be able to relax the orbicularis muscle that is causing the dynamic wrinkles. However, if the lines are more central or towards the tear trough area, then a chemical peel (such as TCA) or a laser (CO2 resurfacing) may address your concerns. Finally, one other option to consider is surgery, which would include a transconjunctival lower eyelid blepharoplasty with a skin pinch to address any fat malposition in the eyelid and the excess skin on the anterior surface of the eyelid. As always, an in person consultation would be best to address your individual concerns.
I hope this helps.