What would be good to treat early eyelid wrinkles? I’m in my 30s.

Hi Dr. Irwin, I'm interested in doing Thermage around the eyes. I'm in my late 30s and have good skin although very thin around the eyes. When not animated (resting state) the skin under my eyes looks fine. However, when I smile and the skin under my eyes is pushed up, it gets a bit bunchy and crepey looking. Is there anything I can do to improve that? I do a little Botox for my crows feet which completely helps minimize my crows feet. I also had a lower lid blephoraplasty with fat repositioning over a year ago so there is no extraneous skin or fat in this area now. Do you think Thermage around the eyes would help? I know I might not see the results for 4 to 6 months. Any other suggestions? Thanks.

This is a good question since you are in your 30s still.  If the problem is more that there’s a little loose skin, then eyelid Thermage is a good choice at your age.  If the problem is more a little crepiness, then eyelid Fraxel would be a better choice.  The Deka Dot fractionated CO2 laser does a very nice job on eyelid skin but may be “overkill” since you are in your 30s.  I’m thinking your priority now is good maintenance of the work you already had done.   Consider alternate years with 1 Fraxel and 1 Thermage.  A good cosmetic dermatologist should be able to advise you.   Hope this helps.  Dr. I

Dr. Brandith Irwin, MD

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