Restore a smoother, more refreshed look by addressing lower eyelid wrinkles, one of the earliest signs of facial aging. You may notice excess skin, fine lines, crepey texture, or sagging beneath your eyes. As a dual-fellowship trained oculofacial plastic surgeon, Dr. Isaacs offers expert evaluation and advanced treatments to ensure natural, long-lasting improvements.
Restore smoothness
beneath the eyes
Lower eyelid wrinkles are fine lines, folds, or creases that develop beneath the eyes due to aging, sun exposure, repetitive facial movements, and thinning skin. As collagen and elasticity diminish, the lower eyelid area may appear loose, crepey, or excessively wrinkled, often making you look tired or older than you feel. These wrinkles can be accompanied by sagging skin, puffiness, or under-eye shadows, further contributing to a fatigued appearance.
Dr. David Isaacs offers a highly personalized approach to treating lower eyelid wrinkles. Depending on your anatomy and goals, he may recommend minimally invasive procedures such as a skin pinch technique, laser resurfacing, chemical peels, or botulinum toxin injections. His goal is to restore a natural, rested look while preserving eyelid function.
Common symptoms of lower eyelid wrinkles:
- Excess or loose skin beneath the eyes
- Fine lines that deepen with facial movement
- Crepey or thin skin texture under the eyes
- Wrinkling that worsens with smiling or squinting
- A tired or aged appearance despite adequate rest
Dr. Isaacs’ approach to lower eyelid wrinkle treatment
Lower eyelid wrinkles can result from a variety of factors, including aging, sun exposure, repetitive facial expressions, and thinning of the skin. Because no two patients age in exactly the same way, Dr. Isaacs offers a tailored, multi-modal approach to treating these changes.
By combining surgery with advanced non-surgical techniques, he creates natural-looking, long-lasting results that refresh the under-eye area without changing your unique appearance.
Skin pinch procedure
This conservative surgical technique is ideal for patients with mild to moderate skin redundancy. During the procedure, a small strip of excess skin is gently excised just beneath the lower lash line without disturbing the underlying muscle or deeper eyelid structures. The incision is hidden within the natural crease and heals quickly, often with minimal downtime. The result is a smoother, tighter under-eye appearance that still looks soft and natural.
CO2 laser resurfacing
CO2 laser resurfacing is a non-surgical treatment that uses controlled laser energy to remove the outermost layers of damaged skin while stimulating collagen production within the dermis. This treatment enhances the texture and tone of the skin, reducing the appearance of fine lines and wrinkles. Recovery is typically mild to moderate, with most patients experiencing noticeable improvements in skin smoothness and firmness within a few weeks.
Chemical peels
For patients with surface-level fine lines and crepey skin, chemical peels offer a gentle yet effective way to refresh the under-eye area. Dr. Isaacs typically uses light to medium-depth peels, such as glycolic acid or trichloroacetic acid (TCA), to exfoliate the damaged outer layers of the skin and promote healthy skin regeneration. This process reveals newer, smoother skin while gradually reducing the appearance of wrinkles, pigmentation, and dullness.
Botulinum toxin injections
Dynamic wrinkles that deepen with expression, such as those caused by smiling or squinting, can be effectively treated with botulinum toxin injections. Dr. Isaacs uses precise dosing and advanced injection techniques to relax the orbicularis oculi muscle without affecting your ability to blink or express emotion. The result is a softened, more youthful appearance that typically lasts three to four months, with minimal discomfort and no downtime.
Schedule your consultation
David Isaacs, MD, is a dual-fellowship trained oculofacial plastic surgeon known for his meticulous attention to detail and customized approach to facial rejuvenation. With advanced fellowship training in both cosmetic and reconstructive eyelid surgery, Dr. Isaacs offers a range of surgical and non-surgical treatments to smooth and refresh the lower eyelid area while preserving natural expression. If you’re concerned about lower eyelid wrinkles, schedule a consultation to explore your personalized options for achieving a more youthful look.
