Best cosmetic procedure for under eye wrinkles? (Photo)
Doctor Answers 5
Treatments for under eye concerns
Hello! Under eye wrinkles are a very common concern. They are also one of the more difficult areas of the face to treat noninvasively. The reason for this is simple: Generally speaking, there are 3 things which cause the aging process of the upper face.
(1) muscle contraction, primarily in the upper face, can cause expression lines to be come etched into the skin.
(2) volume loss along the cheek bones can lead to hollowing under the eyes, and lines of the lower face.
(3) The skin itself becomes weak and stretchy with time due to loss of collagen. Underneath the eye all 3 of these things come together to create the perfect storm. Therefore, non invasive treatment for under eye wrinkles can be complicated.
In my experience, the best results come when you address all 3 of these problems one at a time. Botox can be used directly under the eye (you have said you have had Botox before, but did not say if it had been directly under the eye, or around the crows feet). It will help some, approximately 10-15%, but do not expect a miraculous change from it as the muscular contribution to these lines is a relatively small. Filler can also be used, especially around the outside edge of the eye, and by lifting the skin, can help "fill out" some of these lines as well. However, because you cannot place filler above the bone that surrounds the eye socket, there is a limit to how much benefit you can get from filler in that area. The third thing you can do is to stimulate the skin to grow more collagen, so that has the ability to stand up to gravity better, which will reduce those lines. Generally speaking, there are many treatments which increase College in the skin, but they have one thing in common. Skin can regrow collagen, but only when it thinks that it has been wounded. Therefore, all collagen increasing treatments are based on the concept of the controlled wound. You do something to the skin, create some small amount of damage, and the skin responds by growing more collagen. Lasers use heat to create this controlled wound, peels use acids, and microneedling uses physical puncture, however, they are all "getting at" the same healing response.
For under eye line such as yours, I generally recommend a series of collagen building treatments such as microneedling, which can go all the way to the lash line, followed by a small amount of Botox, and filler. This can have a wonderful results, but does require time, and commitment to the treatment course.
Dark Circles, Eyelid Wrinkles/Bags Treatment -- Restylane or Belotero with Cannulas, Clear+Brilliant, Eclipse Micropen, Viva
Under eye wrinkles
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Under eye wrinkles
Resurfacing lasers, peels, and microneedling are also helpful with fine lines and wrinkles. Finally, sunscreen, retinoid, and good eye cream such as TNS Eye Repair by SkinMedica will also benefit you.
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.