25 years old - what are the chances of getting rid of fine lines under my eyes long-term? (Photos)

Question

I have fine lines under both my eyes, worse on my right. I don’t drink enough water admittedly which makes them look worse (trying to fix this). My skin is also dry there which probably contributes. If I get laser/radio frequency, can this essentially be reversed with long-term results? Provided I continue to use suncream etc? I feel like this has happened prematurely and I’d like to reverse this until my natural ageing kicks in (at least until my 30s) I am wearing makeup in the pics.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Rebecca Gelber, MD · Answer

First off, even from your limited pictures, you are beautiful, so it's important that you not chase perfection with treatments that have any risk. Also, if you get together a bunch of friends your age, you will find essentially all have a small bulge (the muscle - you need that) under the eyes and a few wrinkles (you need extra skin here for it to cover your eyeball when your eyes close). Finally, there is no permanent solution - every one of us, regardless of age is still aging.

The first and lowest risk thing to do is a very tiny amount of Botox with someone comfortable with working under the eye. Given your skin tone, my first choice of lasers or energy treatments would be a light Halo with eyeshields in which will stimulate collagen and remove some older (not old in you!) stretched out collagen.

25 years old - what are the chances of getting rid of fine lines under my eyes long-term? (Photos)

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25 years old - what are the chances of getting rid of fine lines under my eyes long-term? (Photos)

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