Periorbital Revolution

The scalpel is no longer the only weapon to fight the signs of periorbital aging

Crow’s feet and glabellar furrows dig in for the siege. Dispigmentation, unsightly veins and dark undereye circles take up offensive positions. Then the truly frightening enemies start their advance. Brows and lashes thin and fade; lids get heavier and begin to sag; bags develop under the eyes; and the surrounding skin becomes thin and crepey. Most women begin to camouflage these flaws long before they’re ready for blepharoplasty. Even those who would never consider cosmetic surgery happily spend whatever they can afford to defend themselves against these distressing signs of aging.
“We are seeing an increased demand for minimally and noninvasive therapies for orbital rejuvenation, and not just because of the economy,” says Michelle R. Yagoda, MD, associate adjunct attending clinical instructor at the New York Eye and Ear Infirmary; medical director of Rejuvenessence Space for Beauty in Manhattan; and co-creator of Beauty Scoop, a patent-pending beauty supplement. “Lots of patients just prefer effective nonsurgical options. And there are many useful tools. What’s new is our ability to combine these minimally invasive treatments to achieve noticeable and natural results.”
To address the needs of women from 30 years old to 70 years old, aesthetic physicians are combining neurotoxins, dermal fillers, energy devices and skincare topicals to rejuvenate the periorbital region.
“My approach to periorbital rejuvenation starts with Botox, progresses to fillers and then lasers and skin tightening devices, depending on the patient’s specific needs,” says George J. Hruza, MD, clinical professor of dermatology and otolaryngology, St. Louis University, and medical director of the Laser and Dermatologic Surgery Center, St. Louis. “This progression often follows the ages of patients. Those in their 30s and 40s start with Botox, then add fillers in their 40s and 50s, and lasers and skin tightening treatments in their 50s and 60s. Many patients want something other than surgical intervention even into their 70s.”
Can every patient benefit from these minimally invasive approaches? “Only surgery can repair large fat pads that have begun to herniate,” says Michael Sinclair, MD, dermatologist, Epilution Medspa, West Palm Beach, Florida. “But for women with mild to moderate sun damage, whether they are in their 20s or 60s, a combination of dermal fillers, neurotoxins, laser treatments and a good homecare regimen can turn back the clock.”