Under eye issues 27/yo - need help and advice (Photo)

Question

Dear all, First of all, thank you in advance for any feedback and advice you can provide. I have been struggling with recurring issues concerning my lower eyelids. Despite already undergoing laser treatment and a lower blepharoplasty ( skin reduction surgery for my undereye bags), I am still facing significant problems. Specifically, I have very crepey skin and a sagging midface. This has affected my confidence to the point where I avoid appearing in photos and dislike the way my face looks.. Given that I have already had surgery once and do not wish to go through that experience again, I am seeking advice on alternative treatments. Should I consider another CO2 laser session, try Morpheus8, or explore other options? Thanks again

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Based on your concerns, I recommend treatments with Morpheus8 and/or CO2 resurfacing lasers. Combining Morpheus8 and CO2 laser resurfacing can provide synergistic benefits for addressing and tightening undereye crepiness. Morpheus8 utilizes radiofrequency energy delivered through microneedles to stimulate collagen production deep within the skin. This tightens loose skin and improves overall skin texture. CO2 laser resurfacing targets superficial layers of the skin, reducing fine lines, wrinkles, and uneven texture around the eyes. It also promotes skin renewal and enhances skin tone. Together, Morpheus8 and CO2 laser resurfacing work synergistically to deliver more comprehensive results. They address both the underlying causes of crepiness (such as collagen loss and skin laxity) and surface imperfections. I use these 2 treatments together all the time and highly recommend them. I hope this helps and best of luck!

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Leonard Grossman, MD · Answer

To me, it appears that you have had way too much Hyaluronic acid injections in the lower eyelid. Hyaluronic acid changes the way the lower eyelid lymphatic drainage occurs, creating bags and swelling in the lower eyelid from day to day. I would start by dissolving all of the high hyaluronic acid. Once this process is completed, I would consider having fat grafting as it Should produce natural and practically permanent results when done by Plastic surgeon who specializes in fat grafting. Don’t rush with having way too many surgeries or treatments such as Morpheus as they will not help And perhaps make your outcomes even worse. I hope this helps and good luck from Leonard Grossman MD organic Plastic Surgery.

Under eye issues 27/yo - need help and advice (Photo)

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Under eye issues 27/yo - need help and advice (Photo)

Answers (3)

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Everything you need to know about Morpheus8

Our mission is to create a world where every investment in modern beauty is Worth It.