Best Treatment for Under Eye Loose Skin and Wrinkles? (photo)

Hi U,

Properly placed Botox or Dysport will be very helpful.  I have found that a combination of first using Ulthera (micro-focused ultra-sound) over the inferior orbital bony rim immediately followed by fractional CO2 laser (Fraxel repair) has resulted in impressive improvement.  As you noted, augmenting the volume in your face would also be overall helpful.  Most importantly choose your treating physician most carefully.  Good luck and be well.

Dr. P

After 35, it becomes more evident that the
natural fat in cheeks begins to disappear, causing skin to sag and the face to
look hollow. Dermal fillers such asRestylane
Lyft orJuvaderm
Voluma are
specifically designed to add fullness to the cheeks and mid-face area, giving a
more natural-looking, youthful appearance.  A softer gel, Restylane Silk more gently fills
the inner eye troughs By combining treatments to both areas, will give a more natural look  and improve loose skin under the eyes!#saggyeyetreatments #RestylaneLyft  #RestylaneSilktreatments

As we age , it becomes more evident that the
natural fat in cheeks begin to disappear, causing skin to sag and the face to
look hollow. This can also make the eyes appear darker and more
sullen. Dermal fillers such asRestylane
Lyft orJuvaderm
Voluma are specifically designed to add fullness to the
cheeks and mid-face area, giving a more natural-looking, youthful appearance.
Restylane Silk more gently fills the inner eye troughs to make a
more natural look to compliment . Results will last 12- 18 months or more
! Botox can help relax the dynamic wrinkles on the outside of your eyes and give you a more wide-eyed appearance! The combination of both fillers and Botox is an excellent solution for the treatment of eye wrinkling.#eyewrinkles #RestylaneSilk  #RestylaneLyft

Applying Botox around the eyes will help relax the muscle movement and soften fine lines, also applying Restylane to the tear troughs would make a significant difference.

An appropriate skincare regimen, resurfacing procedures such as peels and lasers, and finally Botox or Dysport injections can address fine wrinkles under the eyes. During an in-person consult, you can discuss your needs with your physician and he/she will determine the best procedure for you. 

For restoring volume in the face, the vampire facelift is a great option. For this procedure, we use PRP, or platelet rich plasma. The PRP is injected into the face, just underneath the skin. Over time, you can get around 10-15% more volume in your face, which can last a few years. It takes about 8 weeks to see. The procedure also gives you a better glow. It helps with your pores and your blemishes, and it gives you overall healthier looking skin.

While your cheeks are full from the PRP injection (cheeks will be full for four or five hours), we also take filler, and will put that in the cheeks and lower eyes. The filler is injected through the same little cannula (hole). The filler will remain for six or seven months. Overall, everything is performed in one procedure that typically only lasts an hour. Please feel free to ask me any specific questions and I would be happy to answer them for you.

 

The upper inner cheek region, i.e. that inner area immediately under the eye and extending diagonally upward and inward toward the inner angle of the eye, plays an important role in supporting the lower lid. Loss of fat and downward displacement of the remnant of the upper cheek fad pad with age contribute to wrinkling and tear trough formation (and even dark circles) under the eyes.

Revolumizing that region nonsurgically with the use of injectable volumizing fillers, such as Radiesse and Perlane L (or a combination of these agents) can go far to reestablishing the buttressing to the lower lid and diminishing wrinkles and crinkles. In experienced hands, the procedure takes about five minutes per eye. If necessary, tiny droplets of Restylane L may be layered above this region to further smoothe the undereye area and diminish the crepeyness.

When there is accompanying hypertrophy of the thin muscles under the eyes, the additional injection of a microdroplets of a neuromodulator, such as Botox, Dysport or Xeomin, can diminish this effect and further improve the lid area immediately under the eye.

Treating the periorbital region should only be performed by a board certified aesthetic physician with extensive experience in treating these areas. Because of the profound cosmetic impact that can result from treating the eye region, be sure to insist upon seeing the befores and afters of any physician that you consider.

Based on the images you've posted, I think a thorough assessment with a well-trained and experienced injector (we have 4 in our office), will help provide you with the best options for a smoother look around your eyes. They will help inform and educate you about all of the products available today that restore volume, smooth out fine lines, and improve this area with prevention care.

There are two kinds of eyelid wrinkles: 1) static wrinkles which are present at rest and can be improved by surgery or laser or peel;  2) dynamic wrinkles which are present during muscle activity such as smiling and can be improved by botulinum toxin injection which relax the underlying muscle.  See an oculoplastic specialist.

Dear UWSmom,


I think the combination of Dysport around the eyes with Restylane along the bottom part of your eye would look great

If there are still fine lines present, a mild chemical peel or laser treatment would help take care of the rest


Best regards,

Nima Shemirani

Botox can relax the muscles that make wrinkles when you smile. However if you have early or inherited "eye bags" relaxing the muscles under the eyes might make the bags look bigger since the muscle isn't holding the fat back any more. Other treatments include chemical peels, lasers and even surgery. Blepharoplasty is designed to smooth and improve the lower eyelids.