What are my options for under my eyes? (photos)
Doctor Answers 12
Options for under eyes
Thank you for your clinical post and photos. If when you’re not smiling there’s some crepey skin laxity then you may be a candidate for some non-surgical or surgical maneuvers. Non-surgically, soft tissue fillers like Restylane or Belotero can be placed under the eye and a fractional carbon dioxide or fractional laser resurfacing or radio frequency thermal energy can smoothen the skin. A little bit of Botox to minimize squinting and you should anticipate a good result.
Surgical options would include a small skin pinch blepharoplasty with a scar hiding right under the eyelashes and fractional laser or radio frequency resurfacing of the skin. If there are deep blue vessels present during examination then treatment with an Nd YAG would treat dark blue vessels and finally any fat pads can be removed at the time of surgery.
Consultation with a plastic surgeon with significant experience in blepharoplasty would be warranted.
I hope this information is of some assistance and best of luck.
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R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Options for lower lids
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Lower eye lid
Under eye crepe
A Board Certified Cosmetic Surgeon or Board Certified Facial Plastic Surgeon could best address your concerns in a Consultation and offer you quotes for the procedures.
Your photo does reveal lower eyelid crepe. You could benefit from Laser Resurfacing to smooth out and tighten the excess skin. You may or may not want filler under the eyes at a later time, you could just do the laser first and wait a couple of months for the skin to tighten completely and then decide if you want further correction.
Brow ptosis could be best corrected with Botox.
Best of Luck!
Wrinkled lower lids
Lower eyelid surgery and Botox for the eyebrows
I do not recommend botox for this area.
One brow lower and too much skin under eyes
- Based on your photos, Botox should be all you need.
- Botox under the lower brow should raise it.
- Botox under the eyes - in tiny amounts should soften the pull lines, caused by the orbicularis oculi muscle.
- If at rest, your lower lid skin is truly loose (not often the case, but possible) then surgery to remove the excess can be done.
- Always see a Board Certified Plastic Surgeon.
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.