Which laser treatment would address crepey under eyes? 50 y/o (photo)

Question

Hi I am a 50 year old who gats botox regurally however it does not touch the creepy wrinkles underneath my eyes. This creepiness really bothers me and I am looking at options to help smooth it or get rid of it . I am not sure which procedure would work the best

Anna Chacon, MD, FAAD · Answer

When considering laser treatments for crepey skin under the eyes, it's important to consult with a dermatologist or a qualified aesthetic practitioner to determine the best option for your specific needs. Several laser treatments can help improve the appearance of crepey skin:

Fractional CO2 Laser: This is a popular choice for treating fine lines and wrinkles, including crepey skin. It works by creating tiny micro-injuries in the skin, stimulating collagen production and promoting skin tightening and rejuvenation.

Erbium Laser: Similar to the CO2 laser, the Erbium laser is effective in treating fine lines and wrinkles with a slightly less aggressive approach, which may result in a quicker recovery time.

Non-Ablative Lasers: These lasers, such as Fraxel, target deeper layers of the skin without damaging the surface. They are effective for rejuvenating the skin and improving texture over time with minimal downtime.

Radiofrequency Treatments: Although not a laser, radiofrequency treatments like Thermage or Ultherapy use energy to heat the deeper layers of the skin, stimulating collagen production and tightening the skin.

Each of these options has its own set of benefits and potential side effects, so a thorough evaluation by a professional can help determine the most suitable treatment for your skin type and concerns. Additionally, maintaining a good skincare routine and protecting your skin from sun exposure can help enhance and prolong the results of any treatment you choose.

Hung William Song, MD · Answer

Thanks for posting your photo. The creepy skin and wrinkles woukd be best addressed with a combination of an energy device and collagen stimulation. The under eye skin is very thin so we don't want to put fillers in there and rather than a laser, a radiofrequency microneedling treatment would give you better skin tightening and collagen production. I like to use a combination of the SylfirmX RF microneedling with PRP or exosomes. Even better is to combine SylfirmX with the AutoCorre treatment which uses a Gel made with your own plasma and PRP.

Anil R. Shah, MD · Answer

Hello my name is Ranen and I am an aesthetic nurse here at Aesthetic skin.  Under eyes are a very delicate area of our face and that is because the skin is the thinnest in that area.  Usually, I like to help with building collagen and elasticity by doing laser resurfacing under eyes.  It really helps to tighten the skin and reduce the appearance of fine lines and wrinkles and also help brighten the skin.  That would be my favorite treatment to do because you will actually notice a difference with the skin.  If you would like more information please feel free to contact our office and we can set up a consultation.

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Darryl J. Blinski, MD · Answer

Based on your post of photo, I offer the combination of micro Botox with end treatment. Fee 5000 $8000. Best of virtual consult with with

Which laser treatment would address crepey under eyes? 50 y/o (photo)

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