Wrinkles Around Eyes

Without having surgery, which one of these 2 eye wrinkle treatments gives the best results? I want to tighten the skin and get rid of the wrinkles around my eyes.

Doctor Answers 17

There are different kind of chemical peels and different types of Fraxel

There are many kinds of chemical peels, starting with a fairly superficial peels done by aestheticians, and up to medium and deep peels done by a surgeon. The deeper the peel, the better your result will likely to be in terms of tightening and wrinkle improvement, but you are also likely to experience longer downtime, and higher risk of pigmentation abnormalities: hyper- or hypopigmentation.

The same could be said about laser treatments. You can have a fairly superficial laser treatment, like Fraxel Re:store, with not much downtime, but not much in terms of results either. That is why you need several of these treatments, usually around 5.

Fraxel Re:pair is a different laser - fractional CO2 laser. It will likely give you much better results of tightening and wrinkle reduction, and you will need only one treatment for similar results. Fractional CO2 lasers, like Fraxel Re:pair or Active FX are currently the gold standard for treatment of eyelid area wrinkles and tightening.

Seattle Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

Neither optimal for "crow's feet" but both good for skin toning

It depends upon what you are treating. Generalized skin laxity can be improved with either Fraxel or a TCA chemical peel, with about the same down time and risk profile in my opinion. The difference is that Fraxel is a lot more expensive. However, if you are concerned about crow's feet, you need to understand that these are what are called "dynamic" wrinkles, because they are related to hyperactivity of the muscle in that area. Skin treatments have a minimal effect on that because the cause is under the skin. Botox is best there.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 54 reviews

Eye wrinkles

Treating lines around the eyes are best approached with multiple modalities. Botox can relax the muscles that cause dynamic wrinkles. Chemical peels of lasers can build collagen to fill in the static wrinkles. Topical products with antioxidants, vitamin K and moisturizing ingredients such as polyhydroxyacids can help maintain the results follwing procedures. And of course, do not forget UV blocking sunglasses and sunscreens with zinc oxide to block out the UVA rays that caused most of the damage in the first place!

Shawn Allen, MD
Boulder Dermatologist
5.0 out of 5 stars 1 review

CO2 Resurfacing is best for eye wrinkles

The amount of tightening I have seen after fractional CO2 resurfacing is quite impressive. It is the only thing I have seen that really lifts and tightens both upper and lower eyelids without cutting. It also improves crows feet BETTER than surgery. The best options are Fraxel Repair and Active FX. Fraxel Restore improves texture and some fine lines, but is not an alternative to traditional eyelid surgery. Be advised, however, that fractional CO2 requires about 7 days of downtime before you can wear makeup and another 3-4 weeks of redness after healing.

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 18 reviews

Fraxel is likely best

Fraxel is expected to produce better tightening than a chemical peel, as the peels around the eyes should not be too strong . Superficial peels - which only exfoliate - would definitely not induce any tightening.  

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Fraxel re:pair and Chemical Peels can be effective.

Fractionated CO2 lasers such as Fraxel re:pair as well as deeper chemical peels such as modified phenol can be used for re-surfacing and tightening of the skin around the eyes. Recovery (about 1 week) is similar for both procedures. Post-procedure redness/pinkness can persist for several weeks. For best results, such laser or chemical resurfacing are best used in combination with Botox (i.e. 2-4 weeks after Botox injections).

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

Fraxel improves lines around the eyes

I would recommend Fraxel to help the lines around the eyes. I would also start you on tretinoin to help stimulate collagen formation and to compliment the collagen productions that Fraxel is producing. You will probably need 5-6 treatments. Also consider botox to diminish the muscle activity that continues to produce more lines.

Last but not least, don't forget to wear sunscreen and sun glasses to prevent further damage.

Brenda Dintiman, MD
Fairfax Dermatologic Surgeon

Both chemical peel and Fraxel are effective


Both chemical peels and Fraxel are effective in treating wrinkles around the eyes. Without a picture of your specific situation it is hard to give you specific advice on which treatment would be best for you. It is best to go to a surgeon who offers both treatments. Good luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 77 reviews

Around Eyes Wrinkle Treatment

Dear L.Stark:

For optimal results I would recommend softening of the crows feet with Botox and treatment of the other lines around your eyes with either chemical peels or laser resurfacing.  It is best to remember to wear maintenance sunscreen (SPF 30 and higher) and appropriate sunglasses.  Hope this information helps.

Praven Chetty, MD
Kelowna Physician
5.0 out of 5 stars 9 reviews

Wrinkles around Eyes

The eye area also has very little subcutaneous fat tissue, and what’s there, diminishes with time—one reason this area (particularly under the eyes) can develop a sunken, hollow look as we age. The eye area is also surrounded by several facial muscles that regularly contract as we express ourselves.
Add to this a slowdown in the production of the skin-firming proteins collagen and elastin as we get older (and, as a result of exposure to the sun), and you have the development of fine lines and wrinkles both under and around the eyes (called “crows feet”). This is why the eye area is a very common concern we treat.
Our goal is to restore the eyes to their most natural, youthful beauty. We regularly do this with our patients through a variety of customized treatment options including:
Fillers: Like Restylane, Juvederm, hyaluronic acid fillers, are used to add natural volume back to the sunken areas under the eyes.
Injectables: Like Botox and Dysport help immobilize the muscles that surround the eyes to prevent the skin from creasing—causing wrinkles.
Lasers: Can help stimulate the growth of skin-firming tissues like collagen and elastin.

Dennis Gross, MD
New York Dermatologist
4.4 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.