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Periorbital Wrinkles (Below Eyes) Treatment Options: Fraxel, Chemical Peels/TCA, Botox, Other?

Tretion
I'm a male, 31, who suddenly developed folds - perhaps due to increased sleeping on my stomach. I’ve included pics of both eyes, w/ & w/o smiling. What treatment is most advisable for me? How long does each work? My lines are still present when not smiling, so would Botox help, and would my smile look unnatural? Fraxel, chemical, & TCA peels - Which would be most effective, and which least risky? I’m very concerned about damage. What order is advised if I needed different treatments?

Answers (3)

From board-certified doctors and trusted medical professionals
Ron Shelton, MD profile photo
Dr. Ron Shelton, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.8 | 54 Reviews
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Dr. Martie Gidon, MD, FRCPC, FAAD
Certified Dermatologist
Answer
Dr. Joseph A. Eviatar, MD, FACS
Oculoplastic Surgeon, Board Certified in Ophthalmology
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