Eye Rejuvenation

Eye Rejuvenation

Eyes are know to be the window to the soul and the very first thing people look at when greeting you. Eyes can easily give away your age.  Treatments which reverse the signs of eye ageing such as droopy eyelids, eye bags, and wrinkles can make a dramatic difference to your skin age. “Opening’’ the eyes will make you look more youthful, as well as more beautiful. Treatments for eye rejuvenation include surgery, laser and cosmetic injections.

eye-rejuvenation


  • Treating the eyes can make a dramatic difference in perceived age of a person.
  • Eye and eyelid rejuvenation depends on many factors including dark circles, prominent eye bags, droopy eyelids, and wrinkles.
  • All of these factors will have to be addressed by different techniques.
  • Solutions for treating eyes will depend on the initial problem and include muscle relaxants, dermal fillers, laser resurfacing, and surgical techniques (blephroplasty).
  • Some treatments such as cosmetic injections have little to no down time
  • Surgical and laser treatments may take a week or two to heal.
  • The best solution for periorbital or eyelid rejuvenation is a tailored program – this often entails a combination of surgery and lasers.

Yes, muscle relaxants can help reduce and prevent wrinkling of the eyes – also known as crows feet. ‘If it doesn’t crinkle, it doesn’t wrinkle.’

Crow’s feet and smile lines are one of the most commonly treated areas, but most injectors use too much product! Dr Lim’s view is that only a tiny amount of muscle relaxants should be used for the natural effect, this leaves you with facial expression and not to be totally immobile. Being natural, but more youthful is the ideal look in my opinion.

Anti-wrinkle injections are an excellent starting point for eye rejuvenation; especially patients between the mid 20s to the early 40s. This can prevent smile lines and also reduce eye bags due to excessive muscle contraction.

Once you reach the late 40s and 50s, anti-wrinkle injections for eye rejuvenation should be combined with other treatments. Why? It is because you skin, especially under the eye gets looser as we loose collagen and the supporting structures. Muscle relaxants only to the area that supports loose skin can make the wrinkles under you eyes look worse. By using combination therapies; injections, surgical and laser harmony can be created in the facial area that will addressing skin texture, tone and volume.

Read more on texture, tone and volume

Side effects are exceeding rare following Blepharoplasty or eyelid surgery. These include the following –

  • Infection
  • Dry eye
  • Ectropion
  • Asymmetry
  • Bleeding

Side effects can be reduced by following our comprehensive after care instructions, including taping the area and the frequent use of antibiotic eye ointment and lubrication to the area.

Any area of your body can be treated. The most popular treatments are on the face, neck, back of the hands, chest and shoulders.

Patients in the early 20s to early 30s usually have prominent eye bags due to strong muscles around the eye area. This can very easily be reversed by muscle relaxants to the area. This releases the tension of the muscles improving eye bags instantly.

Patients in their 30s-40s may have a combination of the above, but most importantly mid volume fat loss. This is universally seen in just about everyone in this age group. This makes the fat pad more visible – because you have a loss of volume surrounding the pad itself. This is easily fixed with a tiny bit of dermal filler.

Patients who are in their late 50s to 60s may have prolapsed bags, and may require lower eyelid Blepharoplasty or surgical excision of loose skin followed by diathermy or excision of the fat pad.

In some cases eye rejuvenation is straight forward- 0.5ml of dermal filler in the cheeks if you have subtle volume loss with possibly combining some muscle relaxants to relax muscles in eye crow’s feet region- if you are in the early to late 30s.

As one ages, changes occur. You will loose more mid facial fat, and your orbital rim recesses – hence hollowness will be more pronounced. Additionally the skin will be more lax or loose and permanent wrinkles will occur.

This is when combination therapies, including surgical blephroplasty, laser eyelid surgery and dermal fillers come in to play. Each aspect of treatment is designed to improve skin texture, tone and volume. This gives a natural but beautiful look to the eyes and surrounding areas.

Read more on texture, tone and volume

Dr Lim elects to perform surgical blephroplasty over laser blephroplasty if there is too much upper (or lower) eyelid skin. If I can pinch it- it requires surfical excision. Hooding and heaviness is also an indication.

The best results are obtained with combination treatments- excision followed a month or two later by laser to the surrounding area. Why? Because excision removes excess skin, but laser firms up the surrounding areas and reduces wrinkles, and improves tone to the whole eye area – not just the lids.

Blephroplasty, or eyelid surgery takes 5-12 days to recover depending on the extent of surgery. Sutures are usually taken out at day 5-6.

Laser resurfacing takes a little longer to recover; 8 to 10 days, during which time you cannot wear normal make up.

Depending on the extent of skin laxity, you may require a 2-stage procedure;

  • Surgical excision of loose upper and or lower eyelid skin.
  • Followed by laser resurfacing of the upper and lower lids.
  • I believe that this 2-stage approach enables the very best but natural results.

Treatments will depend on the cause of dark circles. If it is genetic (Asian or darker skin types, treatment can be difficult, but improvement can be seen.)

Dark circles due to skin laxity can be treated with fillers, or with multiple sessions of Q-Switch lasers. CO2 and Erbium Fractional lasers can also tighten skin.

Dark circles of the eye, in my opinion is one of the hardest things I’m faced with as success rates are extremely variable (10-70% improvement). At home use of eye creams combined with gentle laser treatments to tighten loose skin, plus a tiny volume of filler provides the best outcomes, however results are variable! Budget at for at least $1900 worth of treatments (multiple laser sessions, creams, and filler)

If you are ethnic skin type and have dark circles under your eyes, the only laser procedure we perform is Q-Switch laser. You will require 8 sessions spaced 2 weeks apart. Results can be seen in most patients, but again not guaranteed.

No. Eye creams are utilised to help maintain your eye areas, but unfortunately do not reverse the signs of ageing. Dermatologists tend to prescribe active ingredients including Vitamin A preparations for use following eye surgery or laser resurfacing. Eye cream alone will not remove eye bags, nor will it tighten the skin surrounding the eyes, nor remove wrinkles.

The use of creams and sunscreen post procedure is important as a preventive and maintenance measure.

Rejuvenation of your eyes and eyelids will depend on the procedure. Generally the younger you are, the less complex the procedure is.

  • 20-30s: simple muscle relaxants may suffice. Approximately $300-$400
  • Fillers to reduce eye bags range from $990 to $1800
  • Laser eye surgery ranges from $2500- $6900.
  • Blepharoplasty or surgical excision of loose, saggy upper or lower eyelid skin cost between $3000- $5900 (depends on whether upper and lower or just one area).

Some patients may require both surgical excision of skin followed by laser- this 2 stage process gives the best possible results.

Please note: this is a guide to pricing for each procedure and may differ during the initial consultation with a treating Dermatologist.

Our doctors are all specialists in the field of dermatology which requires them to undertake a further 4 years of further training on top of their medical degree and hospital training. Our dermatologists then undertake another few more years training under specialists in the field of lasers.

Laser dermatologists such as Dr Davin Lim then undertake further training in the United States of America to perform highly advanced laser and surgical blepharoplasty. To date, Dr Lim has performed over 300 cases of laser and surgical blephoroplasties, with an extremely low complication rate.

What is the first thing you notice when first meeting someone? Their eyes. That says it all. In my opinion the eye area is one of the most important aspects of facial rejuvenation, combined with improved skin texture and skin tone, this provides the framework for facial harmony.

I find the eye rejuvenation rewarding as I can make the changes be either subtle and natural, or dramatic, as with eyelid surgery (blepharoplasty) and laser. Every patient is different, some present with eye bags due to loss volume (common in the late 30s and early 40s) or with strong eye muscles that present as bags. Easily treated with muscle relaxants.

Some patients naturally have droopy upper eye lids other have loose skin under the eyes. Some patients present with the whole lot. Sometimes a brow lift is need, other times a mini face lift. I cannot emphasise the necessity for facial harmony, namely blending the eye area with the rest of the face. In my opinion, muscle relaxants to the crows feet only play a small role in eye rejuvenation.