Eye Rejuvenation

Eye Rejuvenation; At A Glance

  • Best Results1-3 sessions
  • Treatment Recovery0-7 + days
  • Procedure Time5 to 60 min
  • Skin SpecialistDavin Lim
  • Duration of Results12 to 10 years
  • AnaestheticNumbing, local, sedation
  • Back to Work0- 7 days
  • Cost$ to $$$$

Eye Rejuvenation

The eye area is the number one area to rejuvenate, as this is the point of first contact. Approach eye rejuvenation by addressing skin quality, tone & volume. I use a variety of methods including lasers, skin tightening devices, dermal fillers, anti-wrinkle injections, chemical peels & clinical skin care to turn back time.

FactsFacts on Eye Rejuvenation

  • Lasers can have a dramatic effect on eye rejuvenation
  • Low downtime lasers & energy devices are used for most cases
  • Laser blepharoplasty can rejuvenate severe wrinkles
  • Volume can be replaced with dermal fillers & fat transfer
  • Clinical skin care with specific eye creams can improve skin quality
  • Dark circles can be improved with pigment lasers, fillers & topical creams

What is good eye rejuvenation?

Most people focus on one area of the eye. This may be the upper or lower eyelids as the first sign is often laxity & wrinkles. Proper eye rejuvenation takes into consideration many factors including laxity, the eye itself (pupils & scleral show), as well as volume changes of the orbit & tear trough. Balanced & natural rejuvenation address-

  1. Skin quality, namely wrinkles, laxity & pigmentation / dark circles.
  2. Volume of the orbit (eye area) including the orbital margin, medial cheek & trough. Volume also refers to the adjacent temple area & brow volume itself.
  3. Positioning of the brow & eyelids in relation to the eye itself.
  4. Muscles that surround the eye, this includes crow’s feet & under eye area.
  5. Fat bags & under eye area in the context of volume loss & pathology.

Can lasers help rejuvenate the eye area?

Lasers can have a profound effect on rejuvenating the eye area. This especially applies to static wrinkles (wrinkles at rest), as well as upper & lower eyelid laxity. 

The laser of choice depends on many factors including the clinical presentation, your skin type (colour) as well as your allowed downtime. As a guide-

Level one treatments: for mild wrinkles & wrinkle prevention. Devices used include Tixel, Clear & Brilliant, low level LaseMD, Fraxel. 1-2 day recovery.

Level two treatments: for mild to moderate wrinkles. Devices as above, however recovery 2-3 days.

Level three treatments: for moderate wrinkles. Treatment includes high density thulium, moderate density CO2 fractional laser resurfacing, medium depth TCA peels, as well as combination therapy with HIFU & radiofrequency (Tempsure/Pelleve).

Level four treatments for moderate to severe wrinkles: hybrid laser resurfacing using both erbium & CO2 fully ablative lasers.

Level five treatments for severe wrinkles. In this situation I combine heavy laser resurfacing with surgical procedures such as blepharoplasty. Recovery following this procedure ranges from 9 to 14 days.

What are the limitations of laser resurfacing?

There are three main limitations of lasers.

  1. Lasers do not replace volume, they merely tighten the skin. Volume loss is a major component of chronological aging, especially in the orbital (eye) area. Volume can only be replaced with dermal fillers or fat transfer.
  2. Lasers can only treat skin type 1-3, in the context of wrinkles & tightening. For darker skin types including Asian, Middle Eastern & Mediterranean patients, heavy resurfacing will result in prolonged post treatment darkness (post inflammatory hyperpigmentation). In this group of patients, the use of RF or HIFU devices in addition to threads & dermal fillers are advisable.
  3. Deep ablative laser resurfacing is associated with a downtime approaching 8+ days. The deeper the wrinkles, the more intense the procedure. In some cases, it may take 3-6 months before redness fades.

Why is volume replacement so important in eye rejuvenation?

The eyelid skin is made up of three distinct layers: a visible outer layer on the surface called the epidermis, a collagen-rich underlayer called the dermis, and an inner layer beneath the dermis called the subcutaneous or fat layer. With age there is a decrease in both collagen & fat. This results in ‘hollowness’ that clinically presents as deep-set eyes, shadows & tear troughs.

Volume replacement, with dermal fillers or fat transfer address fat loss. Lasers & energy devices address the upper layers of skin. Hence eye rejuvenation should address all three layers of the eyelid skin.

Davin’s Viewpoint: Eye Rejuvenation

This is the most complex area to treat, as it requires a combination of skill sets including medical, surgical, laser, as well as the art & science of dermal fillers. To treat this area well, one has to recognise the eye area as part of regional anatomy and not as an isolated area. The area encompasses the forehead & temple area as this has a profound effect on the lateral brow. The brow position & volume is important as this follows the eyelid. The ‘C’ shaped area from the lateral brow to the lateral eye & the undereye area is integral to proportions & volume.

We have to take into account the position of the lids & the relationship to the brow & pupils, paying particular attention to the differences between races, sex & age-appropriate rejuvenation.

The support of the lower lid is dependent on the lid-cheek junction, the orbital rim as well as the medial cheeks. This is why dermal fillers – fat transfer are essential skill sets to master in order to rejuvenate this area.

Medical conditions including skin irritation, allergies, constitutional pigmentation & vascularity play an important part in some cases.

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