Can Juvederm ultra help under eye wrinkles (no bags)?

MOST DOCTORS ARE NOT USING JUVEDERM UNDER THE EYES THEY ARE USING A PRODUCT CALLED BELOTERO. tHIS HELPS WITH THE HOLLOWNESS IN THE EYES. WE HAVE HAD GREAT RESULTS WITH THE BELOTERO.YOU SHOULD HAVE A CONSULTATION WITH A DOCTOR AND SEE WHICH ONE WORKS FOR YOU.

There are many ways to treat dark circles, as well as under eye wrinkles and bags. It is important to note however, that the majority of times the cause for discoloration is genetic and due to the viability of the blood vessels below the skin. A combination approach is always needed to get the best results in this area and this includes: topical skin care, laser and/or radiofrequency treatments, and fillers if placed appropriately. All my patients are on topical lightening agents, typically a vitamin C serum product in the AM and a brightening agent and/or a vitamin A based product in the PM. Sun protection is essential.Resurfacing and tightening are essential. My patients get offered a menu of options, for which a combination gives the best results. Light salicylic acid peels help give textural and pigment improvement; nonablative lasers (Fraxel or Clear + Brilliant) can be used to tighten and improve fine lines/wrinkles and crepe skin; fractional radiofrequency devices (Sublative, Viva) are cutting edge and improve texture, tone, and wrinkles with very little downtime; radiofrequency with pulsed electromagnetic fields (Venus) are amazing for puffiness and bags, in patients who do not want eyelid surgery; appropriately placed fillers can replace lost volume, cover up the vessels and fat pads below improving the appearance -- patients should pick a well experienced practitioner to prevent complications such as Tyndall (blue discoloration) and irregularities, one that uses a cannula for injection will help give results with little bruising or swelling; microsecond Nd:YAG laser treatments (Laser genesis) has produced dramatic improvement in discoloration in some of my patients and is safe in dark skin types, similar to the radiofrequency devices. For lifting, ablative laser resurfacing such as co2 laser combined with monopoloar radiofrequency deep heating (thermage) give amazing results. The key is for a patient to see a cosmetic dermatologist with experience in all the latest devices and techniques so the persons goals can be met by a combination approach of individualized treatments and skin care. In some cases, those who smile and have crepe skin or under eye wrinkles, a small amount of neurotoxin (botox, dysport, xeomin) strategically placed in the lower eyelid skin can improve wrinkles dramatically and give the eye a more "open" appearance.

Hi RO.  If you have a bit of loose skin and some hollowness, it's likely that both filler and fractional laser resurfacing can help.  Filler can help replace volume and laser resurfacing can help tighten the skin.  Take a look at the link below to see before and after results for these options.

A small amount of fillers may help to smooth out the skin, but Juvederm is not the filler of choice here as it can result in a lot or edema in the lower lid.  You should try some skin care 1st such as retinol, glycolic acid.  You may also want to do some laser to the area, such as fractionated CO2 since this will help to tighten the skin and stimulate new collagen production.

Laser resurfacing is a great choice for lower lid wrinkles. There are quite a few lasers which can be used for this purpose, depending on the age and sun damage of the patient. Fillers such as Beletero can be used to improve hollowing. Sometimes using both methods will help.Be sure to consult an experienced aesthetic dermatologist or dermatologic surgeon.

The current gold standard treatment for smoothing under eye wrinkles in all skin types is the Fraxel® light resurfacing laser. Since this is an advanced aesthetic medical procedure, please consult a board certified aesthetic dermatologist for a consultation. 

Hello Romom26,If your concern is fine wrinkles under the eye without bags you have several options.  The most invasive would be a lower eyelid blepharoplasty with an external approach to remove excess skin.  Based on your description I think this would be excessive and not my recommendation.  I suggest you consider a resurfacing procedure.  This can be performed with either a laser or a chemical peel.  Both of these techniques help to tighten the skin here and can improve the fine wrinkles.  Good peel options are either a 35% TCA peel or possibly a Baker Gordon peel done lightly depending on the degree of wrinkles.  Fractionated CO2 or Erbium Yag lasers are good options as well. I hope this helps and good luck.  

Hi Romom, That's a great question, because a lot of patients have similar concerns, yet the answer is not always straight forward. Juvederm is a great filler, but I never use it under the eyes, as it can cause of lot of swelling and redness. Belotero and Restylane are excellent fillers that can be used under the eyes, though similar reactions have been reported with both of them (just a lot less commonly). If your concern is fine wrinkles under the eyes, mostly when you smile, it sounds like you might have mild skin laxity. Fractional CO2 laser or RF devices work very well for that. Belotero also works amazingly for very fine, superficial lines. The best advice you can get is from someone who feels comfortable working around the eyes and performs surgery, lasers and fillers under the eyes. Good luck and thanks for the great question!

HI Romom26,You describe the crinkling paper wrinkles that some people have directly under the eyes, I will often address this area with a small amount of botox, 2U in each area of the lower lid, this will typically address the problem. Another option will be ultherapy around the eye area with the head that is superficial to give some additional tissue tightening to the area. 

Thanks for your question. Without
photos, it is indeed a little hard to answer your question. However, what you are describing doesn't
sound like something a filler will address, in my opinion. If you have tissue laxity under the eyes or
fine lines, there are some topical products that could help. Depending upon the actual issue laser
resurfacing or plastic surgery may be the most appropriate fix for your
issue. Lastly, some of my patients for
whom I treat crow's feet lines with botox can get just one unit inferior to the
lower lid margin and that can help smooth out a few lines directly under the
eyes. Good luck!