Aging eyes are among the patients’ chief cosmetic complaints. Fortunately, no knife techniques energize tired eyes without the downtime of traditional eyelid surgery.
When incorporated into a combination treatment plan, minimally and noninvasive technologies may help patients bypass eyelid surgery altogether.
No-knife eye rejuvenation depends on a fourfold approach: resurface, tighten, volumize and enhance.
Thanks to the development of fractional CO2 in the 1990s, lasers are replacing traditional blepharoplasty as the procedure of choice for men and women who want to tighten moderate bags and add youthful contours to their lids and brows. What’s more, lasers offer certain advantages over blepharoplasty. Surgery can’t eliminate crow’s feet or mottled pigmentation. Fractionated CO2 lasers target these superficial signs of aging. Lasers also don’t carry the risk of general anesthesia complications, suture infections or extended downtime. Fractionated CO2 Laser resufacing additionally clears sun damaged skin , smoothes fine lines and wrinkles and stimulates collagen which can’t be done with surgery.
Volumize With Injectables
Although lasers remove mottled pigmentation and crepiness, injectables enhance laser procedures by adding volume to sunken eyes and preventing further wrinkling.
Periorbital wrinkles are caused by a combination of photoaging and contraction of the orbicularis oculi muscles. Thus, neurotoxins help maintain laser resurfacing results. The goal for the eye region is to weaken, not paralyze, the muscles. Botox and Dysport are currently available in the United States for muscle relaxation.
Dysport is particularly useful for Crow’s feet since it diffuses ( spreads) better than Botox. I use 15 – 20 units of Dysport on each eye, which equals 20 Botox units.
As patients age, periorbital skin thins, revealing dark under-eye circles. Fillers come into play for these patients. Hyaluronic acid-based fillers, such as Juvederm (Allergan) and Restylane (Medicis Aesthetics).
Enhance Results Topically
What patients do at home is as important for waking up tired eyes as what doctors do in the office. Topical tretinoin cream (0.025 percent and 0.05 percent), available by prescription, reduce fine wrinkling by stimulating hyaluronic acid deposition and stratum corneum compaction. A vitamin A derivate (Tretinoin) should be part of every persons skin regime (provided they’re not pregnant) since it stimulates skin cells.
Eyelash enhancement is the icing on the cake for eye rejuvenation therapies, I prescribe topical bimatoprost 0.03 percent (Latisse, Allergan). Latisse works by stimulating the transition from the eyelash’s dormant (telogen) phase to the growth (anagen) phase. The prolonged anagen phase lengthens and thickens the lashes by 20 percent.
Your eye rejuvenation arsenal will change as new technologies such as these emerge. But one constant remains: No single technology can combat the constellation of physiological processes responsible for aging eyes.