Dear Dr. Seckel, Is eyelid rejuvenation the same as reducing circles and drooping under the eyes? I’m not sure about this. My problem is under my eyes which makes me look tired and older. Do I need a blepharoplasty or eyelid lift? Thank you, Florence, Boston, MA.
Thank you very much for your inquiry about eyelid rejuvenation.
The short answer to your question is yes, eyelid rejuvenation refers to
the correction of loose skin, puffiness, eyelid wrinkles and dark circles under the eyes, eyelid aging changes which make the face look tired.
Some patients who only have eyelid wrinkles and old looking skin can have very effective eyelid rejuvenation with a non-surgical facial rejuvenation procedure called an ActiveFX Laser eyelid peel and Botox.
Most patients who have dark circles under the eyes, eye bags, puffy eyelids and hooding of the eyes also need an eyelid rejuvenation procedure called a
blepharoplasty to make the lower eyelid look refreshed and younger, and remove the tired look.
For removal of dark circles under the eyes, eye bags, and puffy eyes I use a procedure called transconjunctival laser blepharoplasty with arcus marginalis release and fat grafting or fat repositioning. This procedure involves a tiny incision on the inside of the eyelid to correct the aging changes. The benefit is that there is no visible scar on the outside of the eyelid and the natural shape of the eyelid is not changed.