Looking for recommendations for skin tone & wrinkles (previously had xanthelasma)? (Photos)

Question

I previously had xanthelasma and twice removed by incision and twice cauterized. I have uneven skin tone (white under eyes then dark around cheekbones) and then wrinkles when I smile. Looking for recommendations

Camille Cash, MD · Answer

From the photos it appears you are a candidate for a lower blepharoplasty with potentially an upper blepharoplasty or forehead lift.  This will give a more refreshed appearance to the eyes by addressing the heavy appearance and excess skin.  See a board certified plastic surgeon near you to learn more.

Stanley Okoro, MD · Answer

Thanks for your question and the photos you provided. I believe you would benefit from a combination of 1) Neurotoxin to the crowsfeet and  2) Morpheus 8 to build collagen and elastin and blend wrinkles to the eye area.  Make sure you consult with a board certified plastic surgeon. Good luck!

Jason Emer, MD · Answer

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Great options for underneath the eyes would be CO2 laser, a skin pinch excision, or Morpheus8. CO2 helps to resurface the skin and works well in this area. A skin pinch would involve removing the excess skin and then you could combine another of the listed modalities to help provide further improvement. Morpheus8 uses RF microneedling to tone collagen and the skin. It's relatively safe and the downtime is minimal. Hope that's useful!

Looking for recommendations for skin tone & wrinkles (previously had xanthelasma)? (Photos)

Answers (4)

Answer: Skin tone under eyes

Answer: Skin tone under eyes

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Looking for recommendations for skin tone & wrinkles (previously had xanthelasma)? (Photos)

Answers (4)

Answer: Skin tone under eyes

Answer: Skin tone under eyes

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