Is there a non-surgical treatment that can help with these folds on my eyes? (Photos)

Question

Not looking to go in for surgery. When I press down on my lid the folds go away wondering if there is a treatment that would noticeably improve the under eye folds.

Jason Emer, MD · Answer

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Nima Shemirani, MD · Answer

Hi @emilymcleod5555! The upper cheek is a major support for the under eyes. So when there is volume loss there, not only do the cheeks reflect this, but the under eye can as well with the development of tear trough and under eye hollows. Addressing the volume deficit in the cheeks with the use of a  volumizing hyaluronic acid filler would be a reasonable place to begin.  Best of luck, Dr. Nima.

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. You may benefit from dermal filler injections to treat the under-eye area you’re referring to. Hyaluronic acid formulas can fill in hollow areas and create a smooth transition between the lower eyelid and the upper cheek area. Though less invasive than a surgical procedure, administering filler properly still requires a great deal of skill and precision to achieve the best possible results. The use of a micro-cannula to inject this area is recommended to minimize bruising and swelling and ensure the smoothest outcome. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can assess your concerns and help you decide on the best treatment option.

Nelson Lee Novick, MD · Answer

The upper cheek region is a major support area for the infraorbital (under eye) region. Volume deficit or loss in this area can lead to the development of under-eye tear troughs, hollows and bags. This same region is also important for facial contour. When there is volume deficit or loss, particularly in the upper outer cheek fad pad, the female face can lose its much desired oval, heart-shaped appearance. So, restoration of the volume in this critical area via the use of an appropriately robust HA filler properly injected by an experienced injector can not only restore the more ideal contour of the female face, but secondarily improve the under-eye region. The results of this filler approach are typically immediate and evoke an immediate "Wow!" reaction. You would be wise to consult with a board certified cosmetic dermatologist and best of luck.

Darryl J. Blinski, MD · Answer

Tear trough wrinkles are easily treated with HA fillers like VolBella with micro Botox injections every 3-6 months. Fee $1,000. Best to virtual consult with...

Is there a non-surgical treatment that can help with these folds on my eyes? (Photos)

Answers (5)

Answer: Filler Cheek Augmentation Can Improve Under-Eye Folds

Answer: Filler Cheek Augmentation Can Improve Under-Eye Folds

Answer: Is there a non-surgical treatment that can help with these folds on my eyes?

Answer: Is there a non-surgical treatment that can help with these folds on my eyes?

Recommended reading

Everything you need to know about Dermal Fillers

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

Is there a non-surgical treatment that can help with these folds on my eyes? (Photos)

Answers (5)

Answer: Filler Cheek Augmentation Can Improve Under-Eye Folds

Answer: Filler Cheek Augmentation Can Improve Under-Eye Folds

Answer: Is there a non-surgical treatment that can help with these folds on my eyes?

Answer: Is there a non-surgical treatment that can help with these folds on my eyes?

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

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