How to tighten skin under eyes, not lower lids or bags? Is laser, possibly Madonna eyelift viable?

I would like to tighten the skin under my eyes, not the lower eyelids per se but the skin below and around the eyes. This would be the orbital/periorbital areas? I'm not as concerned with the darkness as looking haggered and drawn. I know that fillers would help but when I just pull the skin under there tight, that's the way I would like it to be. What procedures would best address this and is some kind of laser treatment a possibility? Is the Madonna eye lift appropriate for this?

Doctor Answers 3

Tightening skin beneath eyes

Eyelid skin can be addressed surgically with a blepharoplasty, but this will not change the skin quality. Resurfacing with fractionated CO2 can be quite helpful. I have seen the most dramatic improvements with sublative radio frequency treatment. This improves fine lines and stimulate collagen to tighten the existing skin. This ultimately produces an extremely natural look.

Boulder Dermatologist
4.4 out of 5 stars 7 reviews

IF you have just excess skin this can be removed surgically.

However, you will never get the super smooth look you see in the mirror when you just pull on the skin.  As skin ages, the texture will change due to decreases in elastic tissue and collagen.  When skin is excised, there will be less bunching of the skin, but the skin itself will still be of poor quality.  Laser resurfacing can help with this as it should stimulate new collagen production in the skin.  Fillers will also help as they provide support to the skin and "stretch" it out.  You need a consultation with a cosmetic surgeon who can explain these differences to you and help you decide what would be the best option for you. Just don't expect to be wrinkle free with any approach.     

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 27 reviews

Best Procedure to tighten the lower lids

Hi infoseeker,

Without seeing a photo of your eyes, it is difficult to know what might be best for you.  There are many variables, including age, skin type, available downtime, and actual problem that all help us determine what might be best. One option is laser resurfacing. This helps tighten and smooth the under eye area very nicely.

William Groff, DO
San Diego Dermatologist
4.8 out of 5 stars 46 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.