What do you recommend for me to reduce/eliminate the empty socket appearance below the eyes as well as the wrinkles? (Photo)

36-years-old. Picture one shows the appearance of my eyes at rest. Picture two shows my eyes when smiling. The wrinkles and empty socket appearance appeared within the last six years. I blame my children. I am looking to reduce the appearance of the wrinkles as well as reducing the appearance of looking tired.

Doctor Answers 6

Eye wrinkles and hollowness

I prefer to use a CO2 fractional laser when the wrinkles are moderate and you can allow for 3-5 days of recovery. RF treatment with Pelleve is also effective for minimal wrinkles but may take a few treatments. Microneedling with PRP is another option. Lastly, a good old TCA chemical peel will treat lower eyelid wrinkles, but it also requires an extended recovery.  Treatment of hollowness below the eyes is best treated with some type of filler or even your own fat can be used. Best of Luck.

Eye wrinkles

Dear Eunolena:

  A hyaluronic acid filler such as #Belotero or #Restylane will go far in smoothing the contour under your eyes.  I believe you will also want to improve the fine wrinkles you have via a bulk heating device such as Pellevé or Microneedling with #PRP.  Lastly, to improve the fine wrinkles and maintain your results, you will want to be using creams with ingredients proven to rejuvenate the skin, such as #Retinol, #greentea, creams with #growthfactors such as #Regenica or #TNS, and #Alastin.

   All the best,   Dr. Clark

Sheryl D. Clark, MD
New York Dermatologist
5.0 out of 5 stars 7 reviews

Not really tired--Eye hollows treatment includes fillers, lasers, microneedling/prp

Fillers, lasers, and microneedling/PRP can improve under eye hollows. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 167 reviews

Easy fix for wrinkles around the eyes

Just one unit of Botox may soften the dynamic lines around your eyes. You may also want to consider a small injection of Belotero or Restylane Silk to fill in the small indent under your eyes. Best, Dr. Karcher

Cheryl Karcher, MD
New York Dermatologist
5.0 out of 5 stars 6 reviews

Improving hollowness around eyes

This is easily corrected using Restylane and blunt cannulas. This is an injection reserved for expert injectors. If not done correctly, it can be seen as lumpy or blueish. A syringe on each side is needed to start. More might be needed. Other treatments can help around the eye including Infini and laser resurfacing.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 27 reviews

Combined Approach for Below Eye Hollowness

Dear Eunolena:

Thank you for your question and photos.  My recommendations would be to fill your tear troughs with a filler like Teosyal Redensity II and use of chemical peels and/or laser as well as maintenance topical retinols.  All the best.

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