More Juvederm or Retin A under eyes?
Doctor Answers 5
Three years ago is a long time and what I also find is typical when treating that area.
Make sure you go somewhere where they do this often as tear troughs can be tricky and you don't want to overfill.
Best of luck!
Treatment of under eye area
1. Botox injections to diminish the appearance of "wrinkling" - advanced technique so should be only done by expert injectors.
2. Fillers which are typically used to diminish "hollows"
3. Laser resurfacing including fractional ablative and non-ablative resurfacing
4. Non-laser tightening procedures including Ultherapy
5. Creams including retinoids - these are usually long-term options which take months to produce significant visible results.
If those are not appropriate, you also have a surgical route which would be another consideration.
Best choice for Undereye Wrinkles
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Loose eyelid skin and wrinkles
Thank you for your question. Our lower eyelid area ages in three ways, loss of volume, loose skin and formation of dynamic wrinkles. Hence it is very important to address all three problems in order to maintain a harmonious result. All too often I see patients from other locations, whose practitioners placed filler in the lower lids, and because their skin was loose, they had to put in a lot of filler to get rid of the wrinkles (more than they would have needed to place just to restore the volume loss). To cut a long story short (there are many other factors that play an important role here, in this very complicated anatomical area), it is important to be evaluated by a Board Certified Facial Plastic surgeon who has the pre-requisite anatomical knowledge for this area and who is very experienced in noninvasive rejuvenation, in order to choose the best treatment plan for you. Typically one would want to tighten the skin first with non-invasive radio frequency treatments e.g. ThermiSmooth or Fractora or Thermage etc etc before placing any filler. Also retina A around the eye can cause a lot of irritation and make the wrinkling look even worse often times so be careful ! I would suggest a product that has growth factors and tightening qualities in addition to the above mentioned treatments.
Best of Luck in your Quest !
Dr. Anna Petropoulos
Boston's North Shore