As the focal points of the face, the eyes have a large influence on our overall “look.” Because of this, cosmetic problems of the eyes often give us a tired, sad, worried or aged appearance that persists even when we’ve had enough rest. This change in appearance becomes evident to many patients when viewing photos of themselves or after others comment on how tired they look. For most of them, their “tired eyes” are caused by crow’s feet, drooping eyelids, wrinkles or crepey skin around the eyes, hollow or sunken eyes, eye puffiness or under-eye bags.
To treat the eyes, we work with all patients individually to create a treatment plan that is right for their unique facial anatomy. Although all patients are different, many share similar concerns and require similar treatments for their eyes. On this page, we have shared information about some of the most common treatments we use for the eyes.
How To Get Rid Of Crow’s Feet
Crow’s feet are wrinkles that develop at the outside corners of the eyes and appear to radiate outward, similar to the shape of a bird’s foot. They are especially visible when squinting and smiling.
Because crow’s feet form when muscles around the eyes bunch overlying skin, relaxing the muscles around the eyes is crucial for most crow’s feet treatments. We typically achieve this muscle relaxation with BOTOXCosmetic®- the most widely-used cosmetic muscle relaxer.
Botox to smooth crow's feet wrinkles
How We Treat Drooping Eyelids
Drooping eyelids can occur with one or both eyes at the same time, and can be caused by a number of factors.
In some cases, excess skin or fat in the upper eyelids may hang over the eyelashes. For patients with this problem, we typically perform an upper eyelid surgery (also known as upper blepharoplasty) to remove the problematic skin and/or fat.
For other patients, droopiness originating with excess tissue in the eyebrows may give the impression of droopy eyelids. Depending on the patient’s facial anatomy, we may remove excess skin in an eyelid surgery, use Botox, or administer a dermal filler like JUVÉDERM® or Restylane®.
In patients with ptosis, muscular dysfunctions commonly prevent the eyelid from opening as much as it should. We operate on these muscles to allow the eyelid to open to the appropriate degree.
Upper eyelid surgery to treat drooping eyelids
How We Treat Wrinkles or Creepy Skin Under The Eyes
Like crow’s feet, wrinkles and crepey skin under the eyes are a common age-related cosmetic concern. The fine lines that develop in this area are generally caused by the same causes of wrinkles elsewhere on the face: loss of skin volume and elasticity along with the repeated skin folding that occurs when we make facial expressions.
To get rid of under-eye wrinkles and crepey skin, we use Swan Skin Care products or laser skin resurfacing. Swan Skin Care, our customizable line of skin care products, includes a cream containing tretinoin- the only FDA-approved topical treatment for wrinkles. Laser skin resurfacing removes damaged skin and stimulates the body to produce new, attractive skin with improved texture and elasticity.
Laser skin resurfacing to smooth under-eye wrinkles
How We Treat Eye Puffiness and Eye Bags
Puffy eyes also have a variety of causes, each requiring a different treatment to fix.
Some patients may have too much fat in the lower lids genetically. For these patients, Drs. Cohen and Swartz perform lower eyelid surgery (also called eye bag surgery) to take out fat, thereby smoothing the lower eyelid area and getting rid of bags. This treatment is the most common type of surgery that the doctors perform on the lower eyelids, and it doesn’t require any stitches.
Lower eyelid surgery to remove bags under eyes
Other patients may have developed lower eyelid bags as the volume in their cheeks decreased. Because the lower eyelids experience less age-related volume loss than the cheeks, the deflation of the cheeks can leave the eyelids appearing baggy or puffy. To get rid of this kind of lower eyelid bag, the doctors typically add volume to the cheeks underneath the bags using a dermal filler like JUVÉDERM VOLUMA®. This added volume smoothes the transition between facial contours and eliminates the appearance of baggy, puffy eyes.
Voluma and Restylane Silk to get rid of bags under eyes
Surgical Treatments For The Eyes
Non-surgical Treatments for the Eyes
Laser Skin Resurfacing
Laser skin resurfacing can improve wrinkles and crepey skin under the eyes.Learn About Laser Skin Resurfacing
Restylane can rejuvenate hollow, sunken eyes and eliminate the appearance of under eye bags.Learn About Restylane
Many patients can eliminate the appearance of eye bags with quick and easy Voluma treatments.Learn About Voluma
Botox is a common and effective treatment for crow’s feet.Learn About Botox
Juvederm can help patients whose drooping eyelids are caused by excess brow tissue.Learn About Juvederm
Swan Skin Care
Our custom skin care line offers a solution for under-eye wrinkles and crepey skin.Learn About Swan Skin Care
WHAT OUR PATIENTS ARE SAYING
A real top doc
I would recommend Dr. Cohen to the entire world. He is so professional and kind and caring. He is everything that you want and expect from a doctor. This includes his fantastic staff. I would only have praises for Dr. Cohen and Staff.