A. The culprit of under eye wrinkles is thin skin. The skin under the eyes is the thinnest and most delicate than on the entire body at .5mm thick. And just like skin everywhere else on the body we are still experiencing collagen loss and fat loss in and around the under eye area which all contribute to wrinkles and fine lines. Hydration loss will mean skin gets drier and the skin fills more easily with fluid, which can lead to puffiness around the eyes. Solar elastosis, after chronic sun exposure, can thicken and clump collagen, and break down elastin proteins leaving skin that is both crepey, thin, and wrinkled. This can affect the crows feet area, the upper or the lower lids or all of the above! Scheduling a complimentary skin consultation to have a proper assessment with one of our aesthetic patient consultants is best to determine what combination of treatments will work best. The most common treatments are:
- Dermal filler injection deep to lift anchor and support the overlying tissues
- Platelet Rich Plasma (PRP) injection to the superficial dermis layer is a favorite recommendation from our dermatologists. As the PRP releases growth factors and revitalizing enzymes to activate new collagen formation and thicken the skin and dramatically improve skin quality.
- Microneedling under the eyes as close as possible is a good way of activating the skin’s fibroblasts which in turn stimulates new collagen and helps to minimize fine lines and wrinkles improving skin quality.
- Fractional laser resurfacing and full field laser resurfacing can also be used in conjunction with any of the above treatments and on its own to improve under eye wrinkles.
- Retinol based under eye creams such as ZO Intense Eye Repair and the ZO Hydrafirm Eye Brightening Crème
- Anti oxidant serums to reduce oxidative stress, and improve dermal resiliency