Is a chemical peel the best to treat my under eye wrinkles? (photos)

Thank you for your question.Chemical Peels work but can give variable results and be technician dependent. Be careful that it is not a peel that would risk bleaching the pigment in your skin.We usually use laser, specifically an Erbium YAG laser with fractional technology.  The technology is safe, effective, tunable and predictable.



To be sure what might work best for you, see two or more board
certified and experienced plastic surgeons in your area for a full and complete
evaluation.



I hope this helps.

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

Treating lines and laxity under the eyes requires tailoring the treatment not only to the specific problems of the individual but their lifestyle. If little or no downtime is of paramount importance, as is obviously the case here, it would seem that the line could be easily improved via a superficial injection of a small amount of Belotero Balance, a hyaluronic acid filler with little chance of engendering the unwanted bluish discoloration, known as the Tyndall Effect, that can follow too superficial an injection of other hyaluronic acid fillers or when they are instilled into within the very thin skin under the eyes. Likewise, to address the mild laxity issue, rather than employing deeper peeling agents or jumping to expensive laser treatments, a series of superficial peels (performed between six and eight times at two to three week intervals) would likely freshen and buttress this area. My personal choice would be glycolic acid 70%, which if applied in the office the evening before would permit return to work the following day. Home use of tretinoin and alphahydroxy acid products would make excellent ongoing maintenance therapy, especially in a young person.

You have very little wrinkling, but if you'd like to treatments to prevent future aging I would suggest Fraxel, Clear and Brilliant laser or Laser Gensis treamtents.  Treatment with a retinol/vitamin A or anti-aging serum such as TNS (skin medica) will help keep the skin hydarated and young-appearing.  Pretreatment with hydroquinone before laser treatment may help prevent any pigmentation in the area.  There are many options, you just need to see a cosmetic dermatologist or plastic surgeon with experience.  Peels can be useful but are rarely helpful at low depths and there would be significant downtime (5-7 days) with TCA peels, but they do give great results when done properly.  I wish you the best of luck, Dr. Emer.

A very light TSC peel from time to time may help you feel better about your eyelids.  In addition  a mild Retin A program for your eyelids is a good choice.   Your lines are not bad but these treatments are mild.  My Best, Dr C