What is the Best Treatment for Upper Eye Fine Lines Without Going Under the Knife

What is the Best Treatment for Upper Eye Fine Lines Without Going Under the Knife

Doctor Answers 7

Depends on the lines.

Laser resurfacing is the more aggressive option, with a bit longer recovery, but better outcome. Erbium/CO2 laser [combination] is great around the eyes, and much safer than pure CO2, though the fractional lasers have improved safety profile around the eyes.

A chemical peel is great for less deep wrinkles/lines. There are many different options, but the TCA [trichloroacetic acid] in different strengths has been the "go to" one for years.

Posting photos, might help us guide you a bit better.

Seattle Oculoplastic Surgeon
5.0 out of 5 stars 37 reviews

Eyelid rejuvenation with local anesthesia

Significant improvement in the upper eyelid is achieved under local anesthesia without having to go "under the knife".  An upper lid blepharoplasty is one of the most common procedures performed and is well accepted by patients and surgeons alike.  A small incision with a fine scalpel blade is more precise than lasers which produces extra thermal damage which can actually take longer to heal. 

James Newman, MD, FACS
Palo Alto Facial Plastic Surgeon
4.0 out of 5 stars 10 reviews

Solution is upper blepharoplasty

The best solution to the problem is upper blepharoplasty (eyelid lift) followed by sun avoidance or using sunglasses.

Donna Rich, MD
Houston Plastic Surgeon
4.5 out of 5 stars 33 reviews

What is the Best Treatment for Upper Eye Fine Lines Without Going Under the Knife

Dear Gosling.  A lot will depend on where the lines are.  Laser, chemical peels, and botox are some possibilities.  See a specialist who deals with a lot of eyelids.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon
4.7 out of 5 stars 16 reviews

Improving Fine Lines Upper and lower Eyelids

The fine lines of the upper and lower eyelids can be improved significantly by either a chemical peel or laser. This is a very popular procedure in our office and we prefer a TCA Obagi Blue Peel. The reason we prefer this is that it is less expensive than the laser procedure that we also do but has the same results. Plus the peel is designed for safety and has a fast recovery. Our patients love this procedure.


Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Upper Eye Fine Lines

Depending on the depth and extent of the "upper eye fine lines" resurfacing with laser or chemical might work.  If these are dynamic lines that increase when one smiles or squints, Botox might offer temporary improvement.  A photograph would be helpful for me to give a better answer.

Sheldon S. Kabaker, MD FACS
San Francisco Facial Plastic Surgeon
4.4 out of 5 stars 35 reviews

Upper eyelid fine lines

I have seen a few good results in carefully selected patients with laser therapy, but this won't work in everyone and especially if there is much laxity to the skin.  It simply won't tighten up enough to make a difference.  A conservative upper eyelid blepharoplasty can tighten the skin and soften these lines.  Often, people end up spending an equivalent amount of money to try and treat these problems with various different treatments when surgery would correct the problem faster and look better as a result.

Matheson A. Harris, MD
Salt Lake City Oculoplastic Surgeon
5.0 out of 5 stars 6 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.