You will need combination treatment for best results. Loose skin can be tightened with laser or microneedling and PRP. If you have good skin (good snap back) and also strong muscles, Botox is good (only a small amount), finally filler to the eye area can help. When I rejuvenate the eyes, I do not only look at the area below the eye, but your entire face. The addition of volume say in the mid cheek area can also help reduce the hollowness. It is the balance between skin tone, and volume globally that would make the biggest difference in your case. CheersDr Davin Lim
laser and aesthetic dermatologist. Brisbane,Australia.
The eyes are best treated with a combination approach of fillers, lasers, microneedling/PRP for improvement. Ultherapy/thermage, venus legacy all do well for swelling or puffiness. I would suggest consulting an expert. If surgery is an option they will recommend. Best, Dr. Emer
I would likely try Botox first before doing laser treatments. Botox relaxes the muscle which causes bunching of the skin. I would consider placing a very small amount of Botox into the lower eyelid. Fillers could also be considered in the area below the roll. Make sure to see an expert.
Thank you for your question. I think you would be an excellent candidate for a series of ThermiSmooth treatments around your eyes. Thermi should help smooth and tighten your skin around your eyes. Regards, Dr. Matt Elias