How Can I Reduce Crepey Wrinkles Under Eyes After Bleph and Fillers?

Hi A,

I have found that using Fraxel repair (fractionated CO2) resurfacing is the best treatment to reduce the crepey wrinkles under eyes after blepharoplasty and fillers.  In many patients I now treat the lower lid area with Ulthera prior to laser.  Choose your treating physician most carefully.  Good luck and be well.

 

Dr. P

There are many different causes for under eye wrinkles, each requiring a different treatment.  If skin redundancy is the predominant factor then a skin pinch or surgical removal would be best.  If there is a significant amount of volume loss then volume replacement would be preferred.  Either fillers such a Restylane or your own fat can be used.  When there are intrinsic changes to the skin causing the crepe without significant skin excess then a laser or peel would work best.  Given that you’ve had previous surgery extra care needs to be taken with any invasive treatments to the lower eyelid.  Hope that helps.

For static lower eyelid wrinkles, either chemical peel or laser should be useful to improve the skin quality of the lower eyelids.  If there is actual excess skin, then skin pinch blepharoplasty may help.  For dynamic lower eyelid wrinkles, botulinum toxin injections are useful.  See an oculoplastic surgeon.