Best option for lower eyelid skin? (photos)

Question

I recently had a upper and lower blepharoplasty done and I still have bad lines and creepy skin under the eyes. What procedure would you recommend?

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question. Several sessions with an Erbium laser would improve the appearance of your lower eyelids. Make an appointment with an eyelid specialist. Good luck!

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Michael P. Morrissette, DDS, FACS · Answer

Some kind of  skin resurfacing is helpful. I prefer a CO2 laser or TCA chemical peel. It may take 1-2 treatments. A lower pinch blepharoplasty might be another option.

Zoran Potparic, MD · Answer

It does not look that further removal of skin would help, but may cause a problem? Application of chemical peel (TCA 30%) would be an option; possibly micro and nano fat grafting? Good luck.

Marc Polacco, MD · Answer

Thank you for your question. Treating lower eyelid skin is more challenging because if too much skin is removed, the lower eyelid is pulled downward and this can lead to issues with not only appearance, but also dry eye and visual complications. Often a combination of skin excision, along with laser or chemical resurfacing results in the best outcome.

Tanveer Janjua, MD · Answer

I find PRP with microneedling to be very helpful. I also use Resurfx laser and a lot of good eye creams. 
Regards
Dr. J

John J. Martin, Jr., MD · Answer

From this photo it looks like you have enough eyelid skin that some should be removed.  You would also benefit from some radiofrequency or other energy device to help improve the skin quality.

Best option for lower eyelid skin? (photos)

Answers (7)

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