Are there options besides Botox that can help target Dennie Morgan folds? 32 y/o (photos)

Question

I've had these under-eye skin folds my whole life, as well as swollen eyelids and along my eyebrows (from time to time). The under eye folds used to be noticeable at times then others, but in the last 3 years they have magnified exponentially. I have tried switching eye makeup brands, h-acid,moisturizers, several allergy medications..this past year they've just ballooned and begun branching off more. Are there any options besides botox that would offer decent results (surgical too)?

Jason Emer, MD · Answer

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.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. You may benefit from dermal filler injections, such as Juvéderm Vollure XC to reduce the appearance of under-eye skin folds. This solution works by adding volume and support to the deeper layers of the skin, the result of which can last for up to a year or more. 
For more long-term results, a surgical blepharoplasty procedure can correct upper eyelid heaviness, define the crease, remove excess skin, and reposition fat around the eyes to provide a smooth and refreshed appearance. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and suggest the best treatment option.

Alan Gonzalez, MD, FACS · Answer

Hello @Phenomenal326757, thank you for your question. From what I can see he has a double eyebrow which is caused by a genetic condition in some cases. Over time it can become more noticeable. The non-surgical procedure is using a substance known as butolinic toxin, which helps to minimize those wrinkles that are generated on the sides of the face as a result of gesticulation as well as slow the aging process in that area. Surgically, a double eyebrow is treated by performing a blepharoplasty by cutting the lower eyelid by the parpeolar edge. However, as far as I can tell from the pictures, it is not indicated. Applying moisturizers and wearing sunscreen will help you take care of your lower eyelids. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Are there options besides Botox that can help target Dennie Morgan folds? 32 y/o (photos)

Answers (3)

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Are there options besides Botox that can help target Dennie Morgan folds? 32 y/o (photos)

Answers (3)

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.