Under Eye Wrinkle Treatment With Blepharoplasty
Both procedures are great options, but I generally prefer combining CO2 resurfacing with a blepharoplasty, simply because the the laser goes deeper and yields the short-term benefit of textural improvement (fine lines and wrinkles), with the long-term benefit of skin firming. I recommend having a wrinkle reducing treatment done the same time as your blepharoplasty so that you have one downtime. Speak with your surgeon and share your desires to ensure his/her recommendation will exceed your expectation.
Under Eye Wrinkle Treatment lasers vs Chemical Peel
Both fractional C02 laser and TCA peels can be used for under eye wrinkles, and we offer both treatments. In comparing the two modalities, the laser perhaps produces more immediate wrinkle reduction, which is evident at the time of treatment. It does cause more inflammation and incur a longer recovery. TCA peels are reserved for less extensive wrinkles and redundancy. We use a straight 30% TCA peel over other blends such as VI peels as it produces more skin tightening. The peel and recovery is well tolerated. Surgery is reserved for fat herniation and excessive skin redundancy. Have a candid conversation with your physician to discuss your specific circumstances.
Arthur Falk, MD
Treatment of Under Eye Wrinkles
Thank you for the great question. In short, it really depends on the location and quantity of the wrinkles. Dynamic wrinkles lateral to the eye ("crow's feet") can be softened with Botox. Once these are more permanent, laser resurfacing using a fractional CO2 laser is my preferred treatment. In the area directly under the eye, it is common to have some thin or crepey skin. If there is a significant amount of extra skin, a lower eyelid lift is likely a better choice. This can address the skin excess as well as any fat herniation that is present. Lastly, lower eyelid surgery can be combined with laser procedures for a more complete rejuvenation. Best of luck moving forward!
under eye wrinkle treatment
The primary goal for lower eye lid surgery is to remove the fatty deposits creating the puffiness look. In patients over 45 years of age, most will need a pinch technique to remove the excess skin present at rest on the lower lids. This pinch technique is incision placed at the lash line and closed with tissue glue in our practice.
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)
Fractionated laser resurfacing and chemical peels are both effective at reducing lower eyelid rhytids and tightening the skin to some degree. We use both deep and active FX with good results. Laser is generally better than a TCA peel but is more expensive and takes longer to heal. TCA peels give quite good results and can be done as a simple office procedure without anesthesia. We also like full strength phenol for the lids. It can give results approaching the laser. All of these decision need to take into account the patients skin type and such. It is important to understand any resurfacing can basically treat the rhytids present at rest but there will always remain dynamic rhyids with smiling. There are good studies showing that Botox before the resurfacing will give a better result because the patient isn't developing new rhytids during the healing phase.
TCA Peels and Fraxel CO2 lasers are both reasonable options for fine wrinkles on the lower eyelid skin. You must ask yourself about downtime. The laser takes longer to recover from while the peel provides quicker recovery yet may not last as long. The trend nowadays is 'less is more' and patients are opting for more and more peels because of the decreased down time and ability to follow up for up keep with the peels.