For lower eyelid wrinkles, the best option is “Thermismooth.” It is a noninvasive radio frequency treatment of the skin that takes 10 mins and about 4 sessions to soften those lines. It does not require any special preparation and is not painful. The hand piece looks like a pen and the metal wand feels like a hard stone. Soft gel is applied and the hand piece is rolled all over the skin as it starts heating the skin slowly and gradually. At the end of the treatment, the skin appears to be pink and this does not last longer than a few hours. The treatment can been repeated no earlier than 3 weeks and most individuals notice improvement after every session.
It is well known that any modality that is used to create the under eye wrinkles will have a better result if Botox or any similar botulinum toxin has been used to paralyze the underlying muscle orbicularis oculi. If possible, you should consider getting Botox treatment prior to undergoing Thermismooth treatments. If Thermismooth is not available in your area, you can definitely consider other modalities such as Microdermabrasion, dermal pens, chemical peel and also laser resurfacing.
Microdermabrasion is vacuum cleaning of the skin, which removes dead cells and improves the superficial skin.
Dermal pens, such as Rejuvapen, perform needling and vertical holes in the superficial skin. As those tiny areas heal, they produce collagen leading to tightening of the skin. This will help with the wrinkles in the lower eyelid to some degree.
Chemical peels cause tightening by producing new collagen with the help of different chemicals such as TCA or phenol. However, it also leads to a change in color and can cause the mismatch between the lower eyelid skin and the surrounding cheek area.
Laser resurfacing works well if it is fractional and does not cause any peeling of the skin. ResurFx by Lumenis is a good laser that does not lead to any scabbing or peeling.
ResurFx is a non-ablative laser made by the well know laser company Lumenis. Non-ablative means that it does not remove or ablate skin. The way it can achieve is through the process of fractioning the laser. The laser beams skip some of the skin spots on every application or ‘zap’.
The untouched skin allows speedy recovery of the skin that gets the laser zaps. This leads to no flaking, no scabbing or crusting. The skin turns reddish pink after a treatment, almost appearing as a mild sunburn. By next day the redness is reduced to pink and can easily be covered. This allows the downtime from ResurFx to be reduced to only one evening. Other lasers such as CO2 (Carbon Dioxide) or Erbium can have one to two weeks of recovery. Even with fractioning of CO2 as done in Fraxel there usually is a few days of down time.
ResurFx is a very quick laser as it takes only one pass, meaning you do not have to go over the same area of skin several times which is the case with many lasers. Patients are prepared in advance to apply Emla (a numbing cream) and it reduces any discomfort. The whole face treatment takes about 15 minutes.
The results are usually apparent in 4 to 6 weeks. That is the usual time period before doing a second session of ResurFx. To achieve optimal results, 3 sessions are suggested, each one month apart. The laser energy stimulates collagen growth which then tightens the skin, reduces the fine lines, reduces the size of skin pores and the final result can be described as a tighter, brighter and smoother skin.
It is good for all skin colors. It is very effective in treating acne scars or scars of any kind.
One of the nice features is the ability to shape the laser beam in many different ways such as square, hexagon, rectangle or just a line. This enables application of this laser to any area of the face,neck or body. This allows specific treatments such as the vertical lip lines.
Caution: Like all lasers there are risks involved with ResurFx as well. The treatment should not be taken lightly. We have strict protocols of checklists and instructions for patients to pre-qualify them for these treatments. You should always make sure that you go to a well trained laser operator and preferably a doctor.
Dr. Tanveer A. Janjua is a New Jersey based facial plastic surgeon who specializes in facelift, blepharoplasty, rhinoplasty and other facial surgery services.
His main office location in Bedminister, NJ — within easy access from Morris and Somerset County, New Jersey and New York City. For more information or to schedule an appointment, contact us toll-free at 877-JANJUA1.
DISCLAIMER: THIS WEBSITE IS NOT INTENDED TO GIVE A MEDICAL OPINION. TO OBTAIN A MEDICAL OPINION, YOU WILL NEED TO BE EVALUATED IN PERSON. FOR ANY QUESTIONS CALL OUR OFFICE AT 908-470-2600