What treatment option is right to treat my under eye area? (Photo)

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

Thank you for your question and the photos you provided. I’m sorry that you had an unfortunate experience with filler treatments in the past. When injected by a skilled injector with a blunt-tipped microcannula instead of a needle, this option is effective at treating the under-eye area.
If you are hesitant to give fillers another try, you may benefit from RF microneedling treatments to increase collagen and elastin production. Radiofrequency energy is delivered to the skin through hair-thin needles to stimulate a healing response, resulting in smoother and firmer skin over the course of several months. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon and injector who can suggest the best approach to help you achieve your aesthetic goals.

Based on your photos the easiest way to improve this area is from well placed fillers. I'm not sure what caused the issues from your prior treatment. If you are wanting long term results you can consider fat grafting as an alternative. See a board certified plastic surgeon near you to learn more.