Michele S. Green M.D., FAAD., is a Board-Certified Cosmetic Dermatologist, Fellow of the American Academy of Dermatology, and has been an international leader in cosmetic dermatology for over 25 years. Upper East Side patients and those around the globe flock to her practice for cosmetic dermatology treatment. A graduate from Yale University, with an MD and Chief residency from The Mount Sinai School of Medicine in NYC, Dr. Green treats some of the most discerning, demanding women and men in the world, with issues ranging from premature skin aging to hyperpigmentation, rosacea, wrinkles, acne, skin laxity, hair loss, and sun damage.

Photo Credit: Courtesy of Dr. Michele S. Green

It is often said that the eyes are the window to the soul, the most expressive part of the face that draws attention first. The eyes can also be one of the first places on the face where signs of the natural aging process are most apparent. Fine lines and wrinkles can develop around the eye, skin laxity can increase resulting in drooping eyelids or hooding, dark circles and puffiness can develop in the under-eye area, and a decrease in collagen production can result in volume loss and hollowing under the eyes. Leading to needing for eye rejuvenation. Full eye rejuvenation is possible with a combination of different non-surgical cosmetic procedures available at Dr. Green’s dermatology practice.

What is eye rejuvenation?

Eye rejuvenation refers to a range of cosmetic procedures aimed at enhancing the appearance of the eyes, giving them a more youthful and vibrant look. As we age, the eyes can show signs of aging such as the formation of fine lines, wrinkles (like crow’s feet), under-eye hollows, dark circles, and sagging eyelid skin, which can contribute to a tired or aged appearance. To address these concerns and revitalize the delicate skin around the eyes, it is crucial to consult with an experienced dermatologist like Dr. Green. 

An expert dermatologist can assess your specific needs and recommend safe and effective treatments for the eye area. Eye rejuvenation procedures typically involve tightening the skin around the eyes, reducing wrinkles, restoring lost volume, and stimulating collagen production. Dr. Green takes a personalized approach, tailoring treatment plans to the unique requirements of each patient.

By undergoing eye rejuvenation procedures at an expert dermatologist’s office, it is possible to reverse the visible signs of aging, improving the overall appearance of the eyes. These treatments can help achieve a more refreshed and youthful look, boosting self-confidence and enhancing one’s natural beauty.

How can you rejuvenate the eye area?

Dermal fillers are highly effective in addressing lost volume under the eyes and stimulating collagen production, resulting in a more youthful appearance. With age, the production of collagen and elastin proteins, responsible for skin structure, diminishes, leading to volume loss and a hollow appearance, especially in the face and under the eyes. This hollowness can create shadows, causing the appearance of dark circles.

Dermal fillers are specifically designed to restore lost volume in the tear trough area, effectively eliminating dark circles under the eyes. Additionally, they work to smooth out fine lines and wrinkles at the injection site, further enhancing the overall rejuvenation.

There are various types of dermal fillers, each utilizing a different active ingredient to add volume to the treated area. When considering the delicate eye area, it is advisable to use hyaluronic acid fillers from reputable brands such as Juvederm or Restylane. Hyaluronic acid is a naturally occurring substance in the skin, and synthetic versions used in fillers provide instant plumping effects while promoting collagen production over time.

The procedure itself is quick and virtually painless, and there is no downtime required, allowing patients to resume their regular activities immediately following treatment. The results of hyaluronic acid fillers typically last between nine months and a year, and patients can return annually for touch-up treatments to maintain their desired outcomes.

What is the goal of tear-trough fillers?

Tear trough fillers aim to address the volume loss and shadowing that contribute to the appearance of dark circles and under-eye bags. The presence of tear troughs can be genetic or a result of natural collagen loss that occurs with age. The under-eye area becomes thin and transparent due to decreased collagen, making underlying blood vessels more visible and causing a darkened appearance.

Dermal fillers, such as Belotero, Restylane, and Juvederm, are used to correct tear trough deformities by replenishing lost volume and stimulating collagen production. These fillers contain hyaluronic acid gel, which has a small particle size and is naturally produced by the body. Hyaluronic acid helps in collagen production, resulting in a more youthful complexion.

By injecting dermal fillers into the tear trough area, the appearance of dark circles under the eyes can be reduced. These fillers are specifically designed for the delicate under-eye area and deliver natural-looking volume restoration. In addition to reducing the appearance of dark circles, tear trough fillers can also help diminish fine lines, puffiness, and other signs of aging in the under-eye region.

Photo Credit: Courtesy of Dr. Michele S. Green

Which dermal fillers are used for tear trough rejuvenation?

For tear trough rejuvenation, Dr. Green often utilizes Restylane dermal fillers to address under-eye hollows and bags effectively. Restylane fillers are particularly effective in reducing the appearance of age-related volume loss and small pockets of fat in the tear trough area. They can also smooth out fine lines and wrinkles, resulting in a natural, youthful, and beautiful look.

Another excellent option for tear trough rejuvenation is Belotero Balance, a hyaluronic acid filler specifically designed for the sensitive under-eye area. Belotero is known for its flexibility and thin consistency, making it highly suitable for treating this delicate region. One significant advantage of Belotero is that it eliminates the risk of the Tyndall effect. The Tyndall effect refers to a blue tint that may appear on the skin after filler injections when light reflects off the suspended particles in the gel filler. It can occur when fillers are injected too superficially, when overfilling occurs, or when the skin in the treated area is thin. However, Belotero’s formulation does not contain suspended particles, minimizing the risk of the Tyndall effect. Therefore, using Belotero in the under-eye area can result in smoother skin and a more youthful complexion, without concerns about dark circles or a hollowed appearance. It’s important to note that the choice of dermal filler for tear trough rejuvenation depends on individual facial anatomy and cosmetic goals. 

What is a non-surgical eye lift?

​​A non-surgical eyelid lift, also known as a nonsurgical blepharoplasty, is a cosmetic procedure that aims to rejuvenate the appearance of the eyes without the need for invasive surgery. This type of treatment plan can vary depending on the individual patient but often involves the use of non-invasive techniques and injectables.

Injectables such as Botox and dermal fillers are commonly used in non-surgical eyelid lift procedures. Botox helps relax the muscles that cause dynamic wrinkles, such as crow’s feet, while dermal fillers restore volume and provide a natural lift to the skin. These treatments can help reduce the appearance of fine lines and wrinkles, restore lost volume, and create a smoother and more youthful appearance.

In addition to injectables, various skin resurfacing treatments may be included in a non-surgical eyelid lift plan. These treatments, such as eMatrix, Fraxel, CO2 laser treatment, Plasma Pen, chemical peels, radiofrequency treatment, and microneedling, work to tighten and smooth the skin, stimulate collagen and elastin production, and improve overall skin texture and tone.

When undergoing a non-surgical eyelid lift with Dr. Green, you can expect a personalized treatment approach tailored to your specific needs and goals. Dr. Green focuses on providing individualized care and utilizing her expertise in non-invasive anti-aging treatments to achieve natural-looking and long-lasting results. By combining different techniques and treatments, Dr. Green aims to help you achieve a more youthful and refreshed appearance in the eye area while prioritizing your overall skin health and well-being.

Can you get rid of under-eye bags?

Dr. Green can carefully curate a treatment plan to help you with what to use to get rid of bags under the eyes. When you work with Dr. Green, she will be able to carefully assess your skin and medical history, determining any potential cause of your under-eye bags or dark circles. From there, she’ll be able to curate a treatment plan that best serves your needs. Her patients benefit from state-of-the-art techniques to reduce the appearance of under-eye bags and the signs of aging or sagging in the eye area. Many patients have had success with one or more of the following treatment options.

Dr. Green is an expert in cosmetic Botox injections and uses Botox®, Dysport®, and Xeomin® neurotoxins to treat fine lines around the forehead, glabella, neck, masseter, and the fine lines around eyes. With many patients, the first visible signs of aging around the eyes are the Crow’s feet that develop from smiling and squinting. Botox is the best treatment to remove these fine lines and rejuvenate the eye area. Dr. Green does not advise Botox to treat the under-eye area as this often increases the cosmetic appearance of under-eye bags.

Photo Credit: Courtesy of Dr. Michele S. Green

Can fillers help with under-eye bags?

Hyaluronic acid fillers, such as Juvederm and Restylane, are widely used to effectively diminish the appearance of dark circles and under-eye bags while providing overall eye rejuvenation. These dermal fillers work by stimulating collagen production in the skin, helping to correct volume loss around the eyes and reduce the visibility of bags, dark circles, and fine lines in the treated area. Dr. Green is highly skilled in administering dermal fillers and follows an “less is more” approach to achieve a revitalized and natural look for your eyes.

During a dermal filler procedure, which typically takes around half an hour, Dr. Green will carefully inject the fillers in the targeted areas. After the procedure, patients can resume their normal activities right away. However, Dr. Green advises patients to sleep with an extra pillow to prevent temporary swelling. The results of hyaluronic acid fillers are often noticeable immediately and can last for several months, depending on individual factors. Dr. Green will provide you with specific aftercare instructions to ensure optimal results and a smooth recovery.

What is the best treatment for under-eye dark circles?

Dark circles can appear under the eyes for a variety of reasons. Some dark circles are caused by volume loss under the eyes, which results in hollows and shadows under the eyes. For patients experiencing shadows under their eyes, the best treatment option is likely dermal fillers to restore lost volume in the treatment area and boost collagen production. Some dark circles are caused by pigmentation on the skin. For patients dealing with discoloration under the eyes, the Mesopeel Pericular series of chemical peels are a great option to lighten dark circles, exfoliate the skin, and generate new skin cells. Chemical peels can also be paired with a skin-brightening cream that can be applied at home. Pigmentation can also be addressed with laser resurfacing treatment. Laser resurfacing treatment, such as the eMatrix laser, works in the delicate eye area to tighten the skin and reduce discoloration under the eye. When you have your initial consultation with Dr. Green, she will examine the treatment area and make a determination about the treatment or series of treatments that will be best to address your specific needs.

How can you get started with rejuvenating your eye area and tired eyes today?

If you’re frustrated by the appearance of your eye area and tired eyes, Dr. Green in NYC can help. Dr. Michele Green is an internationally renowned board certified cosmetic dermatologist and is known to be one of the best Botox injectors in New York. Dr. Green has been consistently voted as one of the “Best Doctors” by Castle Connelly, New York Magazine, Super Doctors, and The New York Times as a pioneer in the field of cosmetic and medical dermatology. Please call the office today at 212-535-3088 or contact us online to schedule a consultation to discuss if you are a candidate for these eye rejuvenation options.