I have good skin but I am concerned about the fine lines under my eyes. Unsure of which treatment is best suited for me (Photo)
Doctor Answers 2
Under Eye Wrinkles & Crinkles May Respond To A Combination Of Topical Creams, Botox, & Fillers
From the photo, it appears that there may be some hypertrophy of the muscles under the eyes, giving rise to a "donut roll" effect, which may be contributing to some extent to the very fine horizontal crinkling immediately below it. This can be easily dealt with a microdroplet or two of Botox (or other wrinkle relaxers, such as Dysport or Xeomin).
If the mild undereye hollowness and crinkling still trouble you after the above, a tiny amount of filler, such as Belotero Balance, (which I would use in my Upper East Side Manhattan office) may be injected to elevate and smooth the region. In my Israel satellite facility where a far greater number of regulatory agency approved fillers are available, I would opt for Teosyal Redensity II, which I believe is also available in Canada.
I share your skepticism about relatively laser and radiofrequency treatments, which have proven disappointing, in my experience, as you apparently have also learned through your internet research, to be far more device manufacturer supported marketing hype than hard science.
Finally, since you are thirty, it would be wise to be on a home maintenance regimen of a topical retinoid, at the very least an OTC retinol with perhaps the addition of an OTC alpha-hydroxyacid cream.
Consultation and treatment by a board certified aesthetic physician with expertise and experience in both at-home and in-office skin rejuvenation and maintenance treatments is strongly advised and is likely to be the best and most effective way of "curing" your internet-itis.
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.