42, female, how much will eye hollows & crepey skin improve with eyelid surgery? (Photo)

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Hello! Thank you for your question. As far as I can see from your photos you have lots of extra skin above and under your eyes. Also you have so many wrinkles in your eye corners. For give your face more younger, fresh and elegant look. I highly recommend you upper and lower blepharoplasty. In addition to these surgeries I suggest you total facelift surgery. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation.Best Regards!

From the photo, it would appear that the use of a robust HA filler for the upper cheek region would not only create a more feminine oval, heart-shaped appearance, but would help to straighten the wrinkles in that region and to improve the under-eyes, as well. Additional use of a low viscosity, cohesive HA filler for the upper outer cheeks would likely result in additional smoothing. Botox in the periorbital crow's feet area would additionally lessen the appearance of these wrinkles when smiling. All of the above can be performed, if so desired, in one treatment session of about twenty minutes duration and with little or no significant downtime anticipated. Hope this helps and best of luck.

Thank you for your question and the photo you provided. You may need to consider a multi-modal approach to your tear trough problem/under eye hollowing.
1. Botox to the crows feet
2. Thermismooth/Morpheus 8 to the peri-orbital area
3) Y lift to help smooth that eye - cheek junction.
All of these are non surgical options, for which you will need to consult with a board certified plastic surgeon. Good Luck!