I am scheduled for an upper Blephroplasty . For under my under eye wrinkle, what would be most effective and longer-lasting treatment? Will TCA Peel or Fraxel CO2 Laser work?
Under Eye Wrinkle Treatment with Blepharoplasty
Doctor Answers 17
Under Eye Wrinkle Treatment With Blepharoplasty
Under Eye Wrinkle Treatment lasers vs Chemical Peel
Arthur Falk, MD
Treatment of Under Eye Wrinkles
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Other treatments such as fractionated laser and TCA peel are acceptable once you have removed any excess skin. For many examples, please see the link below to our eyelid surgery photo gallery
Choices for lower eyelid rejuvenation
You would be a candidate for a lower eyelid blepharoplasty. You have herniation of orbital fat causing bags of the lower lids with lack of soft tissue fullness. These features can be corrected with a lower eyelid blepharoplasty. If the condition is only lose skin then you may want to consider SmartSkin or SmartXide microablative fractionated CO2 laser resurfacing. A consult would be needed to advise you which procedure would meet your expectations.
Under eye wrinkle treatment: Depends On The Amount Of Wrinkles
Wrinkles of the lower lids come from mild to severe. In severe cases only surgery will help. If the wrinkles are mild to moderate than I'm a firm believer in first, tretinoin, then peels such as the Vi Peel, then possibly Botox. I have yet to be thrilled by any laser. Perhaps fractionated CO2 will help but you have to consider the pros and cons.
Chemical peel of the lower eyes is common for fine lines.
I like to use TCA peel for the lower eyes. The depth of the peel is fairly controllable and predictable and it works really well to get rid of fine lines on the lower eyes. It also helps tighten the skin a little, which is an added benefit. Chemical peel of the lower eyes is not a substitute for lower eyelid surgery. Lower eyelid surgery is done to remove excess skin and fat bulges from the lower eyes. Chemical peel is done to improve the quality of the eyelid skin. If it is the fine lines around the lower eyelids that is the problem, I definitely recommend a chemical peel for this area.
The Management Of Eyelid Aging
It's not unusual for patients to develop lower eyelid wrinkles following normal facial aging. When this situation arises, a variety of treatment options are available to treat this condition. These include trichloracetic acid peels, the Frexel CO2 laser and lower eyelid blepharoplasty. The ultimate procedure chosen will depend upon the patient's anatomic findings and aesthetic goals.
If you're considering treatment of lower eyelid aging, it's important to consult a board certified plastic surgeon. This surgeon should be able to formulate a treatment plan that addresses your concerns.
Lower eyelid rhytids (wrinkles)
Lower lid wrinkles
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