I'm 24 and have lots of fine lines under my eyes. How can I diminish them and prevent future ones? (Photo)

Question

I thought a microdermabrasion system might help. After that I applied cream, but it made me break out with tiny white bumps underneath my eyes. When I smiled or laughed ( which as a sales person I have force daily), lines formed around the bumps and stayed there. Like a domino effect- now I have 2 parallel lines that formed around them. I get so sad when I smile or laugh and feel the lines creasing above my cheeks. I know to apply sunscreen, exercise every day, use less adderall, and sleep on my back.

Raffy Karamanoukian, MD, FACS · Answer

I would suggest a combination of a retinoid such as Replenish CX followed by some light chemical peels to help the collagen in the eyelids. Botox and fillers may also help. Best, Dr. Karamanoukian Los Angeles

Jeff Angobaldo, MD · Answer

Thank You for your question. There are multiple treatment options that can help. Microdermabrasion is not recommended that close to the eye due to the skin being more thin. Consult with a Board Certified Plastic Surgeon to choose the treatment best for you.

Jason Emer, MD · Answer

There are many ways to treat dark circles, as well as under eye wrinkles and bags. It is important to note however, that the majority of times the cause for discoloration is genetic and due to the viability of the blood vessels below the skin. A combination approach is always needed to get the best results in this area and this includes: topical skin care, laser and/or radiofrequency treatments, and fillers if placed appropriately. All my patients are on topical lightening agents, typically a vitamin C serum product in the AM and a brightening agent and/or a vitamin A based product in the PM. Sun protection is essential.Resurfacing and tightening are essential. My patients get offered a menu of options, for which a combination gives the best results. Light salicylic acid peels help give textural and pigment improvement; nonablative lasers (Fraxel or Clear + Brilliant) can be used to tighten and improve fine lines/wrinkles and crepe skin; fractional radiofrequency devices (Sublative, Viva) are cutting edge and improve texture, tone, and wrinkles with very little downtime; radiofrequency with pulsed electromagnetic fields (Venus) are amazing for puffiness and bags, in patients who do not want eyelid surgery; appropriately placed fillers can replace lost volume, cover up the vessels and fat pads below improving the appearance -- patients should pick a well experienced practitioner to prevent complications such as Tyndall (blue discoloration) and irregularities, one that uses a cannula for injection will help give results with little bruising or swelling; microsecond Nd:YAG laser treatments (Laser genesis) has produced dramatic improvement in discoloration in some of my patients and is safe in dark skin types, similar to the radiofrequency devices. For lifting, ablative laser resurfacing such as co2 laser combined with monopoloar radiofrequency deep heating (thermage) give amazing results. The key is for a patient to see a cosmetic dermatologist with experience in all the latest devices and techniques so the persons goals can be met by a combination approach of individualized treatments and skin care. In some cases, those who smile and have crepe skin or under eye wrinkles, a small amount of neurotoxin (botox, dysport, xeomin) strategically placed in the lower eyelid skin can improve wrinkles dramatically and give the eye a more "open" appearance.

I'm 24 and have lots of fine lines under my eyes. How can I diminish them and prevent future ones? (Photo)

Answers (3)

Recommended reading

Everything you need to know about Microdermabrasion

Our mission is to create a world where every investment in modern beauty is Worth It.

I'm 24 and have lots of fine lines under my eyes. How can I diminish them and prevent future ones? (Photo)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Microdermabrasion

Our mission is to create a world where every investment in modern beauty is Worth It.