Wrinkles under eyes. Is it best to use Microneedling or filler? (photo)

Question

Hi. I am 38 and just had my second treatment of MN, I am having MN for my dark spots. I also wanted to see if it helps with wrinkles under eyes. However I still see no improvement on the wrinkles. The esthetician doesn't want to get to close to under the eye area even if I ask her to so she can microneedle directly where the wrinkles are. How close can you get under the eye and how many treatments do you need remove wrinkles? Maybe MN isn't the best treatment and fillers is what I need?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Bernard Lalonde, MD · Answer

I would have to agree with other physicians responding to this question that usually a combination treatment approach is best for under the eyes. If you are concerned about "hollowness" or loss of fat/volume under the eyes, filler would most likely be the best option - this is an easy and fairly pain - free procedure with little to no downtime and the results last around 12 months. For fine lines/wrinkles, we often use micro-needling and PRP to get the best results. With the Eclipse MicroPen, we are able to go extremely close to the lash line to target fine lines. Often, we are treating our patients with both filler and micro-needling devices to treat both issues and get the best results.

Aurora DeJuliis, MD · Answer

You need a formal evaluation with a physician in order to make a decision on the best treatment for you. Microneedling using PRP works well at stimulating collagen. You mention an aesthetician is doing the treatment. The most effective microneedling is usually performed by a physician. A light filler such as Belotero can also help in minimizing your lines.
Good luck.

Lani Warren, MD · Answer

Hello,
Without seeing you in person it is hard to determine what is best for you.  I have been doing microneedling for 5 years and have been able to get pretty close to the eyes.   However there are different treatments if you don't want to do any injectables fine lines/dark circles.  I would recommend Fraxel, Chemical Peel and or Pelelleve.  all that I have seen a good result with.  I would consult with a couple offices in your area to get their recommendation.

Best wishes to you,

Wrinkles under eyes. Is it best to use Microneedling or filler? (photo)

Answers (6)

Answer: Wrinkles under the eyes. Is it best to use microneedling or filler?

Answer: Wrinkles under the eyes. Is it best to use microneedling or filler?

Answer: Microneedling under eyes.

Answer: Microneedling under eyes.

Recommended reading

Everything you need to know about Microneedling

Our mission is to create a world where every investment in modern beauty is Worth It.

Wrinkles under eyes. Is it best to use Microneedling or filler? (photo)

Answers (6)

Answer: Wrinkles under the eyes. Is it best to use microneedling or filler?

Answer: Wrinkles under the eyes. Is it best to use microneedling or filler?

Answer: Microneedling under eyes.

Answer: Microneedling under eyes.

Browse related questions

Recommended reading

Everything you need to know about Microneedling

Our mission is to create a world where every investment in modern beauty is Worth It.