What is the best treatment for under eye wrinkles/fine lines under the eyes? (photos)

Hello,It is important that you receive an in person consultation with a board certified plastic surgeon.  However, based on your photos it looks like you would be a great candidate for 1540 non-ablative fraxel resurfacing laser.  The advantage to this laser is that you will have less downtime compared to the CO2 resurfacing lasers.  I recommend 4-5 treatments spaced 3 weeks apart and then a treatment every 6 months as maintenance. 

Skin care and sun protection is also critical in this area of fine, delicate skin.  I recommend you use a medical grade skin care product with a growth factor like Regeneration booster from Jan Marini twice daily and zinc based SPF >30 every day. It is difficult to assess from your photos but lower lid wrinkles may be due to volume loss in the midface and/or tear trough area which can be corrected with hyaluronic acid fillers.  I prefer to use Voluma or Restylane Lyft in the midface and Belotero for the tear troughs.   Good Luck.

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

The delicate skin under the eyes requires a customized approach for effective rejuvenation without damaging the skin and tissue. Your choices might include a collagen induction therapy like fractionated laser or RF microneedling. These procedures create micro-channels in the skin that trigger the body to produce more collagen. As collagen levels increase, the skin becomes thicker, smoother, and firmer. Another option would be tear trough fillers, which would add subtle volume under the eyes and smooth away the wrinkles. I recommend scheduling a consultation with an experienced, board-certified dermatologist who can evaluate you in person and create a customized treatment plan just for you.

Thank you for your question. Laser skin resurfacing can remove facial wrinkles, including deep lines around the mouth and eyes, and any facial scars. I suggest that you move forward and consult with your board certified facial plastic surgeon to determine which lasers, or other surgical/non-surgical procedure is right for you.
Best wishes,

You can get tightening in this area and improvement of the wrinkles using a controlled depth blue peel. The solution can be applied underneath the eyes with a q-tip. It will result in overall tightening. We have significant success with this approach for overall face and under eye skin tightening.