Would resurfacing help to soften my undereyes? (Photo)

Question

Hello, Do you think I am a good candidate for under eye resurfacing? The laser woman said I didnt need it, but this is my concern. I went to the most prestigious plastic surgery office in AZ. I want to look less tired! I am a little concerned about under eye filler. Thanks

Jason Emer, MD · Answer

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. 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 lower eyelid blepharoplasty with or without fat pad repositioning 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 (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells 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. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Ryan Rebowe, MD · Answer

As of now, your dermatochalasis (or excess eyelid skin) is minimal. Also, the skin surrounding your periorbital area appears to be in good shape and well taken care of. Because of this, I think a CO2 laser would be a bit much at this time. While resurfacing lasers seem like a benign procedure, they can cause excess eyelid scarring and lid retraction. Therefore I think a good skin care regimen, including under eye cream, would be the best way to go for now.

Paul Flashner, MD · Answer

Thank you for your photos. You would be a great candidate for either the Morpheus under eye. The co2 resurfacing. I just depend on what kind of down time you are comfortable with.

Would resurfacing help to soften my undereyes? (Photo)

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