What procedure to use for stubborn genetic lines under eyes (Photo)?

Question

Please help. I have genetics lines and have been self-conscious about smiling for the past 5 years and am only 30 years old and starting to lose hope that anything besides surgery can be done for the skin around my eyes? I have tried plasma pen twice with 8-9 months in between but it only helped for a tiny moment and I'm worried it might be causing my skin to thin cause dark circles have gotten worse with veins showing through skin. Is HIFU or a thread lift a good option? Or something else?

Nelson Lee Novick, MD · Answer

Thread lifts would not help and are not appropriate for this region. (Frankly, they are really not even that good or long lasting for most things for which they have been hyped). No surprise that microneedling pen did not work, since microneedling is best reserved for treating superficial surface skin texture and color issues. Microdroplets of Botox placed in appropriate locations in the lower eyelid can help to diminish any muscular contribution to the formation of these lines, and can be especially helpful if the lines become more pronounced with smiling (i.e. with motion).  It's difficult to say from the one photo, but a bolus of a lifting filler, such as Restylane Lyft placed in the cheekbone regions may help to stretch and straighten the under eye skin. And finally, a series of superficial peels, such as with low strength TCA, can help to tighten the skin, as well. Make sure that you consult with a board certified aesthetic physician. So, no need to despair. Best of luck.

Zoran Potparic, MD · Answer

We have seen improval of deep lines of the face and periorbital area with application of nano-fat grafts. Consultation with a plastic surgeon familiar with this technique, which is still in phases of clinical and scientific evaluation, is recommended. good luck.

Anna Sylwestrowicz, MD, FRCP(C) · Answer

My preferred treatment for fine periorbital lines is micro botox.Small amounts of neurotoxin gently relax the orbicularis oculus muscle to help soften these little lines.Dermal fillers can soften, however they can also "pool" and fluctuate with high salt intake, MSG, alcohol etc and I see many clients requesting to have them dissolved with hyaluronidase enzyme (even up to 5 years after the initial treatment). On MRI scans dermal fillers can last several years in the orbital cavity.

Mimi P. Martins, MD · Answer

This can be frustrating especially when you know you working on the problem. Nevertheless, you should not give up, you can certainly do combination therapy to promote collage production under the eyes. PDO Thread with HIFU or ultherapy or Morpheus8 either combination can help improve under the eye skin.In addition you want to make sure you apply twice a day under eye cream; best one I recommend is Neocutis lumiere. Be sure to used daily sunscreen greater than 30spf as well to protect the skin.

What procedure to use for stubborn genetic lines under eyes (Photo)?

Answers (4)

Answer: Under lines

Answer: Under lines

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Everything you need to know about Thread Lift

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What procedure to use for stubborn genetic lines under eyes (Photo)?

Answers (4)

Answer: Under lines

Answer: Under lines

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Recommended reading

Everything you need to know about Thread Lift

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