I have terrible wrinkles under my eyes. What treatment is best?

I used Retinol under my eyes years ago and the  burns are bumpy and compounded by under-eye wrinkles. Is Botox an option or are fillers or lasers a better solution?

APJ13

F, 45, Kentucky

For terrible wrinkles sometime having your eye "done" with a blepharoplasty is best.  Short of that an ablative laser such a fractionated CO2 laser would likely offer the best alternative option.

Dr. John Burns has 2 Botulinum toxin A before & afters:

Botulinum toxin A before image performed by Dr. John BurnsBotulinum toxin A after image performed by Dr. John BurnsBotulinum toxin A, Fillers before image performed by Dr. John BurnsBotulinum toxin A, Fillers after image performed by Dr. John Burns

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There several treatments that can improve the fine lines and wrinkles under the eyes.  Starting from the least invasive:

·        Medical microneedling.  This can be a great way to improve fine lines as well as sun damage.

·        Medical chemical peels.  The chemical peels that are done in a spa are usually not deep enough to help very much but the peels that a medical skin care specialist working under the guidance of a physician like a plastic surgeon can get great results with minimal downtime.

·        Plasma Pen or Fibroblasting.  This is a great treatment to improve wrinkles around the eyes.  There is down time of about a week to 19 days.

·        Croton Oil Peel.  This is very effective for fine lines and sun damage around the eye.

·        Surgery or a lower eyelid tuck/lift

I hope all that helps.

Dr. Brian Windle has 1 Botox before & after:

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It is difficult to advise the correct solution without photographs, but I highly suggest you visit a board-certified plastic surgeon by the American Board of Plastic Surgery. If you have under-eye wrinkles fillers can often help fill the area under your tear troughs. Often some may use botox for the skin fold under the eye sometimes referred to as the "jelly roll".

Anup Patel has 6 Botulinum toxin A before & afters:

Botulinum toxin A before image performed by Dr. Anup PatelBotulinum toxin A after image performed by Dr. Anup PatelBotulinum toxin A before image performed by Dr. Anup PatelBotulinum toxin A after image performed by Dr. Anup PatelBotulinum toxin A before image performed by Dr. Anup PatelBotulinum toxin A after image performed by Dr. Anup PatelBotulinum toxin A before image performed by Dr. Anup PatelBotulinum toxin A after image performed by Dr. Anup Patel

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