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.
Answer: Undereye thinning/crepiness and fine lines As is often the case, there may be more than one reason that your undereye area is not satisfactory. Retin-A will help with fine lines and thin skin, but must be used for months to years for significant results. You can tighten up the crepiness and thicken the skin more dramatically with a variety of devices. #Pellevé is extremely effective under the eyes, has no downtime, is not painful, but requires several sessions. #Fraxel is more painful, has several days of downtime, requires several sessions, and is most effective with brown spots and sun-damaged skin but is not as reliable when it comes to tightening the skin. #Intracel is probably less expensive but a little painful and has several days of downtime and is not as effective as either Pellevé for tightening or Fraxel for brown spots. #Smartxide only requires one or possibly two sessions and is more aggressive than any of the above, therefore gives results more quickly and with fewer treatments, but may be better with fine wrinkles than tightening.You will probably want to have a small amount of hyaluronic acid filler such as #Beletero or #Restylane injected for the hollows. Since these approaches improve different aspects of your problem, you will want to have both Pellevé and fillers, rather than one or the other.I do hope this is helpful!All the best, Dr. Clark
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CONTACT NOW Answer: Undereye thinning/crepiness and fine lines As is often the case, there may be more than one reason that your undereye area is not satisfactory. Retin-A will help with fine lines and thin skin, but must be used for months to years for significant results. You can tighten up the crepiness and thicken the skin more dramatically with a variety of devices. #Pellevé is extremely effective under the eyes, has no downtime, is not painful, but requires several sessions. #Fraxel is more painful, has several days of downtime, requires several sessions, and is most effective with brown spots and sun-damaged skin but is not as reliable when it comes to tightening the skin. #Intracel is probably less expensive but a little painful and has several days of downtime and is not as effective as either Pellevé for tightening or Fraxel for brown spots. #Smartxide only requires one or possibly two sessions and is more aggressive than any of the above, therefore gives results more quickly and with fewer treatments, but may be better with fine wrinkles than tightening.You will probably want to have a small amount of hyaluronic acid filler such as #Beletero or #Restylane injected for the hollows. Since these approaches improve different aspects of your problem, you will want to have both Pellevé and fillers, rather than one or the other.I do hope this is helpful!All the best, Dr. Clark
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CONTACT NOW Answer: Lower eyelid skin tightening Thank you for your question. It is difficult to give you proper advice without at least pictures. In general, you maybe candidate for skin tightening using nonsurgical methods like Thermismooth or Fraxel, TCA peel in combination with volumization using Restylane or Belotero.
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CONTACT NOW Answer: Lower eyelid skin tightening Thank you for your question. It is difficult to give you proper advice without at least pictures. In general, you maybe candidate for skin tightening using nonsurgical methods like Thermismooth or Fraxel, TCA peel in combination with volumization using Restylane or Belotero.
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October 9, 2017
Answer: Under Eye Skin Loose? Get a skin Pinch Hi cmbb,While the cause of your under eye issues may be due to multiple factors, the essential issue for most people with skin creepiness and vertical lines is skin laxity. While lasers, creams, and peels may help with this issue, I would generally suggest a skin only lower eyelid procedure called a skin pinch. There is almost no bruising associated with this procedure and very little downtime in terms of incisional puffiness or redness. Some patients can do this on a Friday and be very functional by Monday. General anesthesia is not required and most patients will have twilight or local only. It takes about 30-45 minutes to perform and addresses the problem directly and precisely.
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CONTACT NOW October 9, 2017
Answer: Under Eye Skin Loose? Get a skin Pinch Hi cmbb,While the cause of your under eye issues may be due to multiple factors, the essential issue for most people with skin creepiness and vertical lines is skin laxity. While lasers, creams, and peels may help with this issue, I would generally suggest a skin only lower eyelid procedure called a skin pinch. There is almost no bruising associated with this procedure and very little downtime in terms of incisional puffiness or redness. Some patients can do this on a Friday and be very functional by Monday. General anesthesia is not required and most patients will have twilight or local only. It takes about 30-45 minutes to perform and addresses the problem directly and precisely.
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March 18, 2021
Answer: Under Eye Results I find great results with many lasers or RF devices (sublative, Fraxel, Clear and Brilliant, Thermage, CO2) in combination with topical creams and/or microneedling. I suggest finding a physician with experience to address your concerns and who specializes in facial rejuvenation. Best, Dr. Emer.
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CONTACT NOW March 18, 2021
Answer: Under Eye Results I find great results with many lasers or RF devices (sublative, Fraxel, Clear and Brilliant, Thermage, CO2) in combination with topical creams and/or microneedling. I suggest finding a physician with experience to address your concerns and who specializes in facial rejuvenation. Best, Dr. Emer.
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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.
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CONTACT NOW 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.
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