Can PicoSure laser make under eye crepiness get worse? 2 days p.o. (photo)

Question

I had PicoSure done underneath my eyes for the treatment of fine lines and crepiness two days ago and now the texture of my skin looks 10x worse! Help! Will it get better? Underneath my eyes did get puffy after treatment and I can tell there is still very minor swelling two days later. Crepiness is most obvious when I squint.

Brian K. Machida, MD, FACS · Answer

Picosure helps with tone and texture but is restricted to use over bone.  The lower eyelid skin can be pulled down over the cheek and treated but your lines appear to be close to the lash line.  It would be difficult to treat the skin so close to you eyelashes.

Lichun (Li) Huo, MD · Answer

HI!  Did you have eye shield on?  I'm not sure how close to the lash line was the PicoSure laser used.  I usually stay on the bony parts of face, and move the lower eye tissue slightly lower (keeping eye shield on pt) to get the fine lines.  This could also be dryness from the procedure in which case I advise you to use generous amounts of soothing moisturizer without any 'anti-aging' ingredients.   I personally like the Cicalfate emulsion or restorative cream from Avene.   In the future, you may consider a consultation with derm or plastics for injectables in the under eye area to fill the 'creepiness'.
Good luck,
Dr. Huo

Can PicoSure laser make under eye crepiness get worse? 2 days p.o. (photo)

Answers (2)