Would PRP in the under eyes help minimize crepey texture? (photos)

Question

Hi, I’m 32, and my under-eye area looks awful. 2 years ago, I started getting a weird rash that made my face itchy and my eyes red, & dry/flaky. That rash is gone, but now my under-eye area has a crepey texture that won’t disappear. It makes me look much older than I am. I’ve tried Botox, and it only looked better for about a month before the wrinkles returned. Can PRP can help - based on my photos, does this look like a viable option?

Randal Haworth, MD, FACS · Answer

PRP, or Platelet-Rich Plasma, is a treatment that involves drawing your blood, spinning it in a centrifuge to separate the platelets and growth factors, and then injecting the resulting plasma into the area being treated. PRP is thought to promote collagen production and tissue regeneration, which can help improve the appearance of fine lines, wrinkles, and skin texture.

While PRP can be used to treat various skin concerns, including under-eye rejuvenation, it may not be suitable for everyone. It's best to consult with a licensed and qualified dermatologist or plastic surgeon who can assess your skin concerns, medical history, and suitability for PRP treatment. They may also recommend other treatments or a combination of treatments that may be more effective for your specific case.

In the meantime, you can try some non-invasive methods to improve the appearance of your under-eye area. These may include using a hydrating eye cream, avoiding excessive sun exposure, getting adequate sleep, and maintaining a healthy diet and lifestyle.

A better (surgical) alternative could be a lower blepharoplasty, which could be very efficient if performed correctly.

Best of luck !

Hung William Song, MD · Answer

The under eye areas is very sensitive, so you do have to be careful what you use to treat the skin in this area. Even topical skin care products can cause irritation and worsen the condition if you are really sensitive. PRP is great option because it is are made from your own blood with almost zero risk of having an adverse reaction. PRF is a preparation of PRP which does not even contain anticoagulants so it is even safer and may work better than traditional PRP. The trick is not to put in too much otherwise you can get swelling that lasts for days. There is also the risk of bruising from the needle. You need to do multiple treatments to get noticeable results. An even better treatment is a nanofat transfer. It works like PRP but is much more potent, you can see results after one treatment and it lasts for years.

Raffy Karamanoukian, MD, FACS · Answer

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.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. 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

Nima Shemirani, MD · Answer

Hi @Thriving683452. Thank you for sharing your photos. I recommend a combination treatment of PRP and Morpheus 8.

Best of luck,

Dr. Nima

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.

Anshul Gambhir, MD · Answer

Hello, thank you for your question! PRP or PRF could be good options for you. PRP and PRF utilized to the under-eyes helps with collagen growth, pigmentation, and helps with the integrity of the skin. The skin under the eyes is typically thinner and the fibrin factor will help strengthen the under eye. PRF has a higher concentration of blood platelets, inclusion of stem cells, white blood cells, and fibrin within the PRF solution. PRF is also a slower release of healing factors over a longer time frame and has faster healing potential. You should notice brightening to the under-eyes and better quality of skin. The result is a regeneration of natural collagen and an overall rejuvenation of the surrounding tissue. I think you would benefit from PRF injections to the under-eyes and would have best results after 1-3 sessions. Another option for you could be CO2 laser resurfacing which helps with crepey texture. I would recommend reaching out to a certified injector for an in person consultation!

Atlanta Innovative Medicine · Answer

Yes, PRP therapy is a great option for treating the under-eye area. The growth factors in PRP promote the growth of collagen which will fill in volume loss under the eyes to minimize the appearance of both crepey texture and dark circles.

PUR-FORM - Boca Raton · Answer

Yes! PRP/PRF is amazing for under eyes for both decreasing the appearance of dark under eye circles and improving the appearance of crepey skin in the area. Since you are so young, we would be able to get a lot of your own body's growth factors and stem cells from your blood for the treatments. For optimal results, it is recommended you complete 2 treatments 6 weeks apart. I use a cannula for the procedure and patients usually report little to no pain at all. You will be swollen the day of the procedure but you may resume all normal activity the following day (including exercise). The procedure takes about 15 minutes so it is simple enough to squeeze into a busy schedule.

Camille Cash, MD · Answer

You can consider PRP injections.  Another option may be Morpheus8 which uses RF and microneedling to build collagen.  Three treatments are recommended for optimal results in improving skin tone and texture.  See a board certified plastic surgeon's office for an evaluation.

Would PRP in the under eyes help minimize crepey texture? (photos)

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