Treatment of wrinkles of the lower eyelids


Hi! I am Dr M Szalay and today I am going to talk about wrinkles of the lower eyelids and skin resurfacing.

Ageing, sun exposure and sometimes genetic factors can lead to skin damage and lines around the eyes. Whilst there are numerous home remedies on the web to help rejuvenate your skin and combat the effects of ageing, advanced non-surgical skin rejuvenation treatments have become popular for their effective results and aesthetic benefits. Fractional CO2 laser skin resurfacing is one commonly performed procedure that helps reverse the damaging effects of sun exposure and ageing on your skin.

Is Skin Resurfacing an Option For You?

Fractional CO2 skin resurfacing is an excellent method of tightening skin aound the eyelids and is of particular benefit for the lower eyelids. Usually one treatment is sufficient but deep lines may require a second session.

Important considerations

With the right person, fractional CO2 is an effective method of rejuvenating the appearance of your eyes. As with any cosmetic procedure, it is imperative for anyone considering a laser rejuvenation treatment to have a clear and through understanding of its benefits as well as potential risks. Whilst benefits and risks associated with skin rejuvenation are best discussed with a doctor experienced in the technique, here we have some pros and cons for you to consider before undertaking skin resurfacing.


  • Promotes new healthier looking skin and a more youthful appearance to your eyes.
  • Unlike surgical tightening of the lower eyelid, fractional CO2 will not leave behind any incision scar-lines
  • Fractional CO2 has safer skin healing than surgery and avoids the “pulled down” look that can sometimes happen with surgery.
  • Providing you take part in a maintenance program (see below), you can obtain relatively long-lasting improvements in skin quality and wrinkles.
  • Laser resurfacing only takes about 15 minutes and involves minimal pain or discomfort.


  • A healing phase is required for the skin to settle down after treatment and redness fades during this time. Most women take this in their stride as they are able to wear make-up after 1 week and return to their normal activities. Men, however, are unable to wear make-up and are probably better suited to surgical eyelid tightening.
  • Pigmentation can occur in people with very olive skin. Again, this group of patients is better suited to surgical removal of excess skin.
  • Whilst fractional CO2 is an excellent way to reduce eyelid lines, normal living (eg squinting, smiling) can crease the skin around the eyes after treatment which will eventually cause the lines to return. In order to prevent this from happening, it is important to use wrinkle injections periodically after laser resurfacing. In addition, Vitamin A and C creams are recommended to maintain healthy, rejuvenated skin.

So in summary, it is best not to think of laser resurfacing of the lower eyelid as a “one-off” treatment but if it is seen as the beginning of a maintenance program, it is an excellent way to improve the appearance of your lower eyelids.

Here is a patient of Dr Michael Szalay who had laser resurfacing of her lower eyelids.

Laser Resurfacing Lower Eyelid

Results can vary among individuals. Results can very among individuals. Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. For more information visit