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 19
Under Eye Wrinkle Treatment lasers vs Chemical Peel
Arthur Falk, MD
Treatment of Under Eye Wrinkles
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
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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.
How do I treat my lower eyelid wrinkly skin
Both TCA peel and CO2 laser can be used for the eyelid skin. A newer, more gentle, but still effective treatment is micro needling.
Under eyes bags, wrinkles and circles
The fine wrinkles under the eyes can be treated with a few different techniques depending on the severity of the issue. For large deep folds I use a blepharoplasty with a lateral muscle suspension and skin excision. For the fine wrinkles that many people get you are right that a resurfacing technique is best. In my hands the best results are with a fractional CO2 laser. That is pretty standard and is replacing chemical peels in most practices these days. To put the cherry on top I often advocate for some volume in the area as well. The cause of the wrinkles both loss of volume and skin aging. So it is best to treat both issues. Fat is my favorite. The new fillers also do a decent job but are temporary.
Hope this helps.
Best of luck,
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.