Over 60 years old - Will a third under-eye peel help me for my crepey skin and eye bags?

Question

I have had 2 previous under eye peels for crepey skin, one an obaji blue peel about 20 years ago and one a combined peel about 8 years ago with the deepest part being under the eyes - I would like to tighten the under eye area as a lot of unhappiness and woorry has led to the eyebags returning - is it Ok to have a third peel in the same area ? I am over 60.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Elizabeth Liotta, MD · Answer

Getting a third peel done under the eyes will definitely be okay! Most deep peels can be performed every 4-6 weeks, depending on location and the type of peel/process.

Robert T. Buchanan, MD (retired) · Answer

It is impossible to give any advice without more information. Crepey under eye skin is caused by thinning of the dermis (the support layer of the skin) and loss of elasticity. Both occur because the body does not continue to produce collagen and elastin without a stimulus after about 25 years of age. To counter this, you need to stimulate the body to produce both. If you haven't been using tretinoin (Retin-A) at least every other day and Obagi's ELASTIderm twice a day, this has contributed. Another option is to do microneedling monthly for the next 6 months. If this does not improve your skin, then you may consider another peel or laser.

Over 60 years old - Will a third under-eye peel help me for my crepey skin and eye bags?

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Over 60 years old - Will a third under-eye peel help me for my crepey skin and eye bags?

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Everything you need to know about Chemical Peel

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