How do I address this? Under eye wrinkles (Photo)

Currently, the micro-fractionated CO2 laser Accupulse II is an excellent choice for those lines under the eyes. An experienced user of this technology can treat the skin just up to the eyelash kine. The settings for the treatment depend upon your skin type. The improvement is about 70% improvement in the lines and brown spots you may have from the sun. The treatment is done with a strong topical anesthetic, typical BLT cream is not adequate for the procedure. The entire face can be treated or just the eyes as there is no demarcation between treated and untreated ares. Recovery time is minimal with four days of just washing treated areas with an enzymatic cleanser and applying aquaphor before sunscreen and/or makeup can then be applied. The residual pink color of the treated skin fades over 6-8 weeks. The effects take up to six months for the full effect. There are settings that can be adjusted to treat a higher percentage of skin area, but the depth is set to avoid scarring, as the depth of the laser cannot go past the bottom dermal border. There are other non-invasive laser treatments to address the lines, but the
micro-fractionated CO2 laser is the most effective option.

Thank you for your question. Your clear description makes it easier to understand your priorities, and it’s great that you’re open to advanced treatments.
Fully ablative CO2 laser can be an excellent option for improving overall skin texture, reducing brown spots, and softening lip lines. When applied to the full face, it often delivers meaningful rejuvenation, especially for patients willing to go through a longer recovery.
However, the under-eye region often requires a more tailored approach. From what you’ve described, the lines under your eyes may not be caused solely by surface-level texture, but by actual excess skin. In such cases, laser energy alone may not be enough to produce the outcome you’re looking for. You can think of it like laying a cloth over a pillow. If the cloth is longer than the pillow, no matter how tightly you try to smooth it out, it will still bunch up. The most effective solution is to shorten the cloth. In facial terms, that means surgically removing the redundant skin with a lower blepharoplasty.
This doesn’t mean you have to give up on laser entirely. It can still be part of a comprehensive plan, either in combination with surgery or in a staged approach, to enhance skin quality and support longer-lasting results.
A detailed consultation will help determine which combination best suits your anatomy and goals.
Warm regards,Op. Dr. Güray YeşiladalıBoard-Certified Plastic Surgeon

Hi,
The best treatment for static under eye lines would be a combination of collagen stimulating and skin resurfacing treatments. Resurfacing treatments may include a series of C02, pixel or erbium laser. Although, these have a longer downtime it will also give faster results. On the other hand, collagen stimulating treatments such as RF needling, micro-needling, salmon dna and Platelet rich plasma will improve the quality and texture of skin. This will lighten static lines and preventing them from deepening. It is imperative to also have a good skin care regime. Look at integrating medical grade skin care with active ingredients. Glowing skin takes commitment, time and investment! Consistency is key! I hope this helps. Take care.