Recommendations for helping under eye wrinkles and skin texture?
Doctor Answers 5
Concerned About Under Eye Wrinkles, Looking Older for Age, and Large Pore Causing Makeup Problems
Under Eye Skin Treatments
Under eye wrinkles and skin texture
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Treatments for under eye skin
Hello! Under eye wrinkles are a very common concern. They are also one of the more difficult areas of the face to treat noninvasively. The reason for this is simple: Generally speaking, there are 3 things which drive the aging process: (1) muscle contraction, primarily in the upper face, can cause expression lines to be come etched into the skin. (2) volume loss along the cheek bones can lead to hollowing under the eyes, and lines of the lower face. (3) The skin itself becomes weak and stretchy with time due to loss of collagen. Underneath the eye all 3 of these things come together to create the perfect storm. Therefore, non invasive treatment for under eye wrinkles can be complicated. In my experience, the best results come when you address all 3 of these problems one at a time. Botox can be used directly under the eye. It will help some, approximately 10-15%, but do not expect a miraculous change from it as the muscular contribution to these lines is a relatively small. Filler can also be used, especially around the outside edge of the eye (I generally place very little to no filler directly under the eye as this is an area where it is difficult to get a smooth, natural appearing result), and by lifting the skin, can help "fill out" some of these lines as well. However, because you cannot place filler above the bone that surrounds the eye socket, there is a limit to how much benefit you can get from filler in that area. The third thing you can do is to stimulate the skin to grow more collagen, so that has the ability to stand up to gravity better, which will reduce those lines. There are many treatments which increase collagen in the skin, but they have one thing in common: skin will regrow collagen, but only when it thinks it has been wounded. Therefore, all collagen increasing treatments are based on the concept of the controlled wound. You do something to the skin, create some small amount of damage, and the skin responds by growing more collagen. Lasers use heat to create this controlled wound, peels use acids, and microneedling uses physical puncture, however, they are all "getting at" the same healing response. For under eye line such as yours, I generally recommend a series of collagen building treatments such as microneedling, which can go all the way to the lash line (and will also address you enlarged pores), followed by a small amount of Botox, and a Filler such as Voluma. This can have a wonderful results, but does require time, and commitment to the treatment course.