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A 38-year-old member asked:

What is a good cosmetic procedure for wrinkles around the eyes?

6 doctor answers10 doctors weighed in
Dr. Nelson Lee Novick
Dermatology 47 years experience
Botox and Volumizers: Wrinkles around the eyes may be caused by slight overactivity of the muscles of facial expression, loss of collagen and elastic fibers from sunlight and age, and loss of volume (fat and bone) with time. Botox can diminish muscular overactivity and fillers and volumizers can restore lost volume to the under-eyes and brows leading to decreased crinkles and sagging and wider, more youthful eyes.
Dr. Jeffrey Pollard
ENT and Head and Neck Surgery 22 years experience
Botox + Laser: Botox for crows feet lines (prevention more then correction). Laser for crows feet and lower lids (both prevention and correction). Blepharoplasty (eyelid surgery) is not really the mainstay anymore for the lower eyelid, but is a great choice for the upper lids. Newer technology like ultherapy (ultrasound) may prove to be helpful in this area as well. Hope this helps!
Dr. H. william Song
aesthetic Medicine 30 years experience
Botox: Botulinum toxin (botox, Dysport and xeomin) is the quickest way to relieve wrinkles around the eyes. Other treatments such as laser and ultrasound (ulthera) are effective with longer lasting results.
Dr. Ronald Shelton
Dermatology 38 years experience
Eyelid wrinkles: Wrinkles of the eyelid area, as long as it's not the lower eyelid, are best treated by botox. Laser resurfacing can help but the muscle action underneath the skin causes the skin to crease so laser and plasma and other devices can make smoother skin but it will crease as soon as you squint or smile, so resurfacing is better for lines at rest and Botox or Dysport for lines from motion.
Dr. H. william Song
aesthetic Medicine 30 years experience
Ultherapy: Ultherapy is an ultrasound device that tightens and lifts and gives a long lasting result with pretty much no down time. Other options are fractional lasers, botulinum toxin and dermal fillers. A combination of these treatments can give even better results.
Dr. Seema Patel
Holistic Medicine 28 years experience
Botox/lasers: Depending on the severity of the wrinkles and sagging skin, the treatment can vary. Botox can help with the lines in motion, lasers can help build collagen and surgery may be needed if there is alot of redundant skin to remove the excess. Adding volume around the cheeks and under the eyes can help provide a more filled look. Speak with your cosmetic physician about what's right for you.

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Last updated Feb 25, 2017

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