I'm developing under-eye crepeyness and lines which I assume is due to thinning of the skin, it's also slightly hollow. I use tretinoin and have botox but this doesn't help. What is the most effective treatment? I've been looking at Fraxel, Intracel, Smartxide and/or fillers but i'd like to know what's the most effective.
November 16, 2014
Answer: Fillers Work Well For Improving Hollows, Crinkles & Crepiness Under The Eyes I have successfully been using fillers for treating the under eye area for nearly thirty years, since the days of the original Zyderm I collagen filler for filling tear troughs. Today, we have much more sophisticated injectables for this purpose composed of hyaluronic acid. These include Belotero Balance, which I use in my Upper East Side Manhattan practice and Teosyal Redensity II, which I use in my Israel satellite facility where a far greater number of regulatory agency approved fillers are available. Both possess little to no tendency to elicit the unwanted bluish Tyndall Effect when injected superficially within the delicate tissues of the under eye area.The adjunctive use of tretinoin to maintain the benefits achieved with the treatments discussed above is reasonable. Alpha hydroxyacid creams containing glycolic acid are another possible maintenance at-home topical therapy that may be used alone or in combination with tretinoin. Other topical agents have less science behind them, and so I am less inclined to recommend these. And, unfortunately, the results of lasers, including fraxels, have to date been disappointing in my experience and have so far proven to be far more device manufacturer supported marketing hype than hard science.
Helpful 1 person found this helpful
November 16, 2014
Answer: Fillers Work Well For Improving Hollows, Crinkles & Crepiness Under The Eyes I have successfully been using fillers for treating the under eye area for nearly thirty years, since the days of the original Zyderm I collagen filler for filling tear troughs. Today, we have much more sophisticated injectables for this purpose composed of hyaluronic acid. These include Belotero Balance, which I use in my Upper East Side Manhattan practice and Teosyal Redensity II, which I use in my Israel satellite facility where a far greater number of regulatory agency approved fillers are available. Both possess little to no tendency to elicit the unwanted bluish Tyndall Effect when injected superficially within the delicate tissues of the under eye area.The adjunctive use of tretinoin to maintain the benefits achieved with the treatments discussed above is reasonable. Alpha hydroxyacid creams containing glycolic acid are another possible maintenance at-home topical therapy that may be used alone or in combination with tretinoin. Other topical agents have less science behind them, and so I am less inclined to recommend these. And, unfortunately, the results of lasers, including fraxels, have to date been disappointing in my experience and have so far proven to be far more device manufacturer supported marketing hype than hard science.
Helpful 1 person found this helpful
November 16, 2014
Answer: Under eye treatment options Thank you for asking. There are many options for the lower eyelids both surgical and non-surgical. This really depends on a good consultation and the amount of skin and anatomic factors. A provider who has comprehensive surgical and non-surgery options will best fit. Having said that, if skin excess is there laser, topical peels, or surgical skin (maybe fat) removal are all effective. The pros/cons need tooth your body and needs. Hope that helps. Best wishes
Helpful
November 16, 2014
Answer: Under eye treatment options Thank you for asking. There are many options for the lower eyelids both surgical and non-surgical. This really depends on a good consultation and the amount of skin and anatomic factors. A provider who has comprehensive surgical and non-surgery options will best fit. Having said that, if skin excess is there laser, topical peels, or surgical skin (maybe fat) removal are all effective. The pros/cons need tooth your body and needs. Hope that helps. Best wishes
Helpful
