Fine lines and crepiness under eye area. Which treatment is most effective? (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. 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

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.

Hello, and thank you for your inquiry! Under eye issues can be treated in a multitude of ways. Firstly, you can do a series of PRP/PRF treatments. Your blood will be drawn, spun down, and then injected under the eyes. You will be swollen for a few days/up to two weeks. This procedure should ideally be repeated in a series of 3-4. Secondly, you can do a CO2 laser under the eyes. This will help tighten up the skin and help with those fine lines. Both are great options. Good luck on your journey!

Dear HappyDaneSana,Thank you for providing a photo. There are quite a few procedures that you could try to help tighten the skin and improve the overall texture under your eyes. Which procedure is best depends on your lifestyle and the amount of downtime you are up for. The non-surgical treatment which would provide the greatest improvement would be a CO2 laser. However, this fully ablative laser does come with some downtime (7-10 days) and does tend to give your skin a pink hue for anywhere from 1-6 months. Though it is an easy fix with makeup, some of my patients prefer to do something with less downtime. One step below the CO2 would be a fractionated CO2. This laser is partially ablative, meaning it leaves some of healthy skin intact. This is a good option for patients down for some downtime but not as much as the CO2. You will still get nice results, especially when done in a series of 3 or more sessions. The initial downtime is about 5-7 days with a pink hue that can last for a couple weeks to a month. Even less invasive than a fractionated CO2 will be the Potenza. This new RF microneedling system is quickly becoming a personal favorite of mine, particularly for patients that are not ready to commit to a more ablative technology. This treatment, done as a series of 3-6, has a special infusion tip that allows us to infuse PRP and other nutrients all the way up to your waterline, further enhancing the results of the radiofrequency microneedling, building more collagen, and tightening the skin from the inside out.

There are many treatments for fine lines and loose skin under your eyes. You state that you had one round of Pico laser with no result; however you need at least 3 treatments with any machine to see a difference. Another treatment to consider is RF energy. It can be used without needles (such as Thermage) or with needles (such as RF Micrnoneedling).