There are 3 zones of eye beauty when Dr Wong evaluates the eyes:
For the younger patient in their 30s to early 50s, aesthetic injection treatment like fillers and fractional CO2 laser treatment are able to produce acceptable, and sometimes excellent results. But the more severe and advanced cases will need surgical intervention to achieve a satisfactory result.
Eyebrow shape and symmetry is an important aesthetic feature. However, the brow arch is often lost with age as the forehead muscle and muscles around the eyes weaken. Aesthetic injections can affect the balance of some of these muscle pull to reshape the brow. The end result is to create more of an arch, to raise the whole brow evenly and to equalize the position of asymmetrical brows.
Brow can also become saggy and hanging over the eye. Aesthetic injection treatments can subtly reposition the brow and lift up the eyebrow but this is not permanent and needs to be repeated every few months to maintain the effect.
With ageing, the skin loses its collagen and elasticity. The resulting effects are droopy eyelid, wrinkles on the lower eyelid or loose folds from excess skin. When one seeks treatment early, the eyelid skin can still be tightened/firmed using the HIFU treatment or Acupulse CO2 fractional laser treatment. Aesthetic injection treatments can also soften the lower eyelids wrinkles with excellent results. However, if the skin laxity is severe, surgical intervention is preferred.
Dark eye circles are due to a combination of factors. Genetic predisposition, skin pigmentation, thin skin exposing the tiny blood vessels or muscle that lies just below in the skin, hollowness due to tear trough and/ or aggravated by eyebags.
Skin pigmentation causing dark eye circles is common among Asians and makeup can help conceal the milder ones. Other options include skin lightening cream, skin peeling, a few sessions of pigment/fractional CO2 laser treatment or OPT light treatment may result in some improvement. However, these options are less successful when the dark circles are caused by thin skin and/ or tear trough.
For dark eye circles that are caused by tear trough deformity, see below.
Tear trough is the groove that runs from the inner corner of the lower eyelid to the cheek and it contributes to the appearance of mid-cheek ageing. Visually, it also makes the eyes look tired and accentuates eye bag. For the mild to moderate cases, filler injections with the skilful placement of hyaluronic acid can improve the appearance of tear trough as the contour deformity is plumbed and made even with the fillers. The result may last between 1 to 2 years.
Crows feet are skin creases /wrinkles just next to the eyes and it is often the first signs of ageing noticed by most women. They are caused by repeated muscle movement from smiling, laughing, and squinting and they include both the dynamic and the static wrinkles. The objective of treating the dynamic wrinkles is to soften the muscle contraction with aesthetic toxin injection and this treatment is popular, safe, simple and nearly always effective.
For the established static fine lines, multiple sessions of laser-toning treatment with low energy Q-Switched ND YAG may help.
Acupulse CO2 fractional laser treatment is the alternative but it is associated with longer downtime.
Preventive skin care like careful sun avoidance, use of eye cream that contains retinol and antioxidants may also help to some extent.
Are you interested to enhance and beautify your eyes? Dr Wong Soon Tee is a MOH accredited Dermatologist for more than 20 years. Consult Dr Wong to find out how to non-surgically improve your aesthetic concerns around the eye area. Call Assurance Skin Clinic at 66941121 for an appointment.