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.

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hi!
This is a great question! A blepharoplasty would be the most definitive treatment for your concerns, but a comprehensive plan with Botox, RF microneedling, and CO2 laser and growth factor serums would also benefit you. It would be a more gradual result, as a series of these treatments are recommended, but still can yield great results if done properly. As for skincare, medical grade, professional products will be your go-tos, somethings that contain peptids, retinols, and AHAs for skin maintenance.