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What we see with are often what is first seen by others, and from bags under the eyes, to “smart phone squint” lines, the eyes are an area which is often the first area to show our age. There are many environmental and genetic factors which can age the eye area such as hyperpigmentation, wrinkles or hollowness.

In the past, one would undergo a surgical procedure known as “blepharoplasty” which is performed by removing excess skin, muscle or fat around the eyes. However, there now are several non-surgical and non-invasive eye lift options available. To see what options are best for you, it is best to consult with Dr. Michele Green and get a treatment plan that fits your needs.

For bags under the eyes and skin tightening procedures

A non-invasive “eye lift” can be performed using Thermage®, which helps tighten the skin around the eyes. Thermage is often recommended to reduce wrinkles above and below the eyes and to make the eyes appear more “open.” Dr. Green often combines this eye lift with the use of eMatrix® which also reduces the appearance of fine lines and wrinkles under the eyes.

Before and after 1 syringe of Restylane in Tear Troughs (under eyes) and nasolabial folds

Another popular option for treating under eye wrinkles and skin tightening is Fraxel®. Known also as a “fractional eyelift”, this procedure requires a few sessions in order to achieve the right results. Laser treatments are often combined with Botox to treat the dynamic wrinkles under the eye. In addition to this, some filler may be injected under the tear trough area.

Tear Trough Fillers

The tear trough is the area under the eye where the lower eyelid and cheek meet. As we age, one of the most common changes is the gradual darkening of under eye circles and thinning of the skin in this area. Because the collagen is also decreased in this area, you may develop a sunken or “hollow” look under the eyes. For the tear trough area, Dr. Green uses a combination of treatments to rejuvenate the periorbital area, including Restylane® injections in the tear trough.

Belotero (as shown in the video above) and Volbella are also options that Dr. Green often recommends for her patients. In other places you might see recommendations for Juvederm, which in fact is too thick for the delicate eye area. Juvederm can often leave patients with lumps in the under eye area or a bluish tint which is known as the “Tyndall effect.”

Before and after 1 syringe of Restylane in eye area

For Crow’s Feet

Use of Botox® and Dysport® for “crow’s’ feet” around the eyes is a quick and painless way to remove those lines without surgery. Injections in this area generally last three or more months and can erase these fine lines almost instantly.

While a temporary solution, Botox is wonderful for treating frown lines & forehead wrinkles, as well as softening the wrinkles in the neck area, known as the “Nefertiti Lift.”

For Hyperpigmentation around the eyes (dark circles)

There are many causes of dark under-eye circles. Dark circles can be caused by allergies, fatigue, anemia, poor circulation, and general edema under the eyes. Hyperpigmentation can also be triggered by medications, excess skin, or hereditary conditions excessive skin pigment and usually causes brown discoloration under the eyes.

44 year old female, Botox for wrinkles around eyes

In some cases, hyperpigmentation can be treated with creams which contain hydroquinones or other lightening agents. Dr. Green’s MGSKINLABS products favor eye creams with Retinols, which gently lighten the under eye area.

Fraxel® laser skin resurfacing is also a great non-surgical and non-chemical option to remove under eye pigmentation, fine lines, and wrinkles. Generally most pigmentation issues can be improved with only a single laser treatment, while deeper wrinkles will generally require multiple sessions.

SG 2w restylane 1syringe under eye filler FRONT MGWatermark

Restylane one syringe under eyes 

Treating fine lines under the eyes with Chemical Peels & eMatrix

For fine lines under the eyes, eMatrix works extremely well. eMatrix has a separate eye treatment piece to deliver heat and reduce fine lines and wrinkles around and underneath the eye area. Three treatments are spaced at monthly intervals to have the desired results. eMatrix can be used safely on all skin types. This helps boost collagen in the area under the eyes and improves skin tone and texture.

Chemical Peels are also highly effective for treating fine lines and pigmentation under the eyes. Dr. Green may combine retinoids and bleaching agents in combination with Chemical Peels to best treat to pigmentation and wrinkles that occur from sun exposure.

LN restylane under eyes 1m

Female treated with Restylane under eye area

Dr. Green is a board certified dermatologist with over 20 years of experience. To find out more, please contact our NYC based office today or call 212-535-3088 to learn more about what eye rejuvenation and non-surgical eye lift options may be best suited for you.


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