My under eye skin is very damaged and thin. Are there any procedures that might help me restore my skin a bit? (Photos)

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Dermal Fillers
Hyaluronic acid fillers can restore volume and smooth fine lines and wrinkles under the eyes. These fillers are soft and moldable, making them suitable for the delicate under-eye area.

PRP Microneedling
This minimally invasive procedure combines microneedling with platelet-rich plasma (PRP) therapy. It stimulates collagen and elastin production, helping to improve skin texture, reduce hyperpigmentation, and fine lines.

Microneedling
Without PRP, microneedling alone can create micro-injuries that stimulate the body's natural healing process, increasing collagen production and improving skin texture and reducing fine lines and wrinkles.

Chemical Peels
Mild chemical peels, such as the Mesopeel, can exfoliate damaged skin, improve texture, and reduce the appearance of dark circles and fine lines. These peels are designed for delicate areas like the under-eye.

Nano Fat Grafting
This involves using the patient's own fat to improve the under-eye contour, providing a more natural approach to restoring volume and enhancing the overall appearance of the under-eye area.

Topical Skincare Products
Specialized creams and balms, such as those from SkinCeuticals and Vivier, can help improve skin texture and pigmentation, although these may not address deeper structural issues[1].
Each of these treatments has its own benefits and may be used alone or in combination to achieve the best results for your specific condition. Consulting with a dermatologist or a cosmetic specialist is recommended to determine the most appropriate treatment plan.

Hi,I’m sorry to hear about your struggles with your under-eye area. Here are a few treatments that might help restore and rejuvenate the skin:1. PRP Therapy – Uses your own blood to promote collagen production and improve skin texture.2. Microneedling with RF – Helps stimulate collagen and improve skin thickness.3. Mild Chemical Peels – Can exfoliate damaged skin and improve texture.4. Hyaluronic Acid Fillers – May restore volume and smooth fine lines under the eyes.5. Laser Treatments – Low-intensity lasers can help with collagen stimulation and skin rejuvenation.6. Topical Treatments – Gentle serums with ingredients like hyaluronic acid or peptides may help hydrate and repair skin.
Given the nerve damage and ptosis, I recommend consulting a dermatologist or oculoplastic surgeon for a personalized treatment plan. It's also important to protect your skin from the sun with high SPF sunscreen.
Best of luck with your treatments!

From the description of your concerns I recommend visiting with a board certified plastic surgeon or experienced aesthetician for an evaluation. Microneedling with Plasma may help to restore your skin. We also recommend creating a personalized skin care regimen with medical grade skin care products like Transform MD and wearing sunscreen every day.