I am 33 years old and have an extremely thin, fair, combo skin. My main problem is crepiness under the eyes, deep under eye wrinkles and hollows, dark circles and crows feet. I started developing these at a very young age even though my lifestyle is very healthy (I stay out of sun, don't smoke etc..) I presume these are due to my skin being very thin. Can you please advise what procedures would be the best for me? I attached a series of pictures. Thanks a lot!
Best Procedures for Extremely Thin, Wrinkled Eye Area with Under Eye Hollows, Dark Circles and Crows Feet? (photo)
Doctor Answers 3
Thanks for the photos.
Laser is not a good idea for you. This precedes will only accelerate the thinning of your lower eyelid. However, you appear to be a fantastic candidate for under eye fillers. I personally believe restylane is the best of these products.
Laser resurfacing or chemical peel
Your skin type and problem is ideal for a laser resurfacing procedure. This will address the crepiness you describe and improve the general texture of the skin.
I would not use a CO2 laser, but rather a combination Erbium/CO2 laser that is more gentle and less likely to produce lower lid retraction.
Another less aggressive, but good option would be a strong chemical peel [trichloroacetic acid]. This is slightly less aggressive than a laser resurfacing, but may be enough for you.
Only an inperson examination can determine that however.
Be prepared to have pink skin for a few weeks to months after. And make sure you use SPF 45 or higher and stay out of the sun to prevent hyperpigmentation.
If you look at risk benefit ratios your best bet is a combination of filler to the tear trough and botox of the crow's feet area. Some fillers can contribute to thickening of the skin overlying them.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.