How to Improve the Skin Around the Eyes

The eye area is complicated and several different types of treatments may be needed to get a good result.  Here are some very general guidelines. I’m assuming everyone is using a good eye cream:


  • For crepiness under 40 – Fraxel (the 1550nm) eye tip or Thermage eye tip. Both have FDA approved tips for the eye area;
  •  For crepiness over 40 – Fraxel as above or the DEKA DOT fractionated CO2 laser;
  • For hollows under the eyes – consider a filler like Restylane done by experts only;
  • For dark circles – consider a vitamin K containing eye cream and the Fraxel Dual (the 1927 nm wavelength);
  • For loose skin (hooding, laxity) – usually a problem over 50, consider 2 fractionated DEKA DOT treatments ("Madonna lift") about 3 months apart or plastic surgery;
  • For crows feet – Botox/disport and if over 50, lateral cheek volume support with a filler may be needed for a good result in addition.


-Dr. Brandith Irwin


  See Dr. Irwin’s article on Eye Issues 

Dr. Brandith Irwin, MD

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Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

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