Fine lines under the eyes can make you look tired or older than you feel. While creams and serums help, some people want longer-lasting results. Surgery might be the answer. This article explains the best surgical treatments for under-eye fine lines, how they work, and what to expect.
What Causes Fine Lines Under the Eyes?
The skin under the eyes is thin and delicate. Over time, it loses collagen and elasticity, leading to wrinkles. Factors like sun exposure, aging, and genetics play a role. If non-surgical treatments (like fillers or lasers) haven’t worked, surgery could be the next step.
Top Surgical Treatments for Under-Eye Fine Lines
1. Lower Blepharoplasty (Eyelid Surgery)
Lower blepharoplasty removes excess skin and fat under the eyes. It tightens the area, reducing wrinkles.
How it works:
- A surgeon makes small incisions below the lash line.
- They remove or reposition fat and trim loose skin.
- Stitches close the incisions, leaving minimal scarring.
Recovery:
- Swelling and bruising last 1-2 weeks.
- Full results appear in a few months.
2. Laser Resurfacing with Surgery
Some surgeons combine blepharoplasty with laser resurfacing. The laser removes damaged skin layers, boosting collagen.
How it works:
- After eyelid surgery, a laser smooths fine lines.
- Common lasers: CO2 or Erbium.
Recovery:
- Redness and peeling for 1-2 weeks.
- Avoid sun exposure during healing.
3. Fat Grafting
Fat grafting fills hollow areas under the eyes, reducing shadows and wrinkles.
How it works:
- Fat is taken from another body area (like the abdomen).
- It’s purified and injected under the eyes.
Recovery:
- Mild swelling for a week.
- Some fat may dissolve over time.
4. Thread Lift
A thread lift uses dissolvable threads to lift sagging skin.
How it works:
- Threads with tiny barbs are inserted under the skin.
- They pull the skin upward, smoothing wrinkles.
Recovery:
- Minor bruising for a few days.
- Results last 1-2 years.
Which Surgery Is Right for You?
The best option depends on your skin and goals.
- Blepharoplasty is best for excess skin and bags.
- Laser resurfacing works for surface wrinkles.
- Fat grafting helps hollow under-eyes.
- Thread lifts offer a temporary fix with less downtime.
Consult a board-certified surgeon to discuss options.
Risks and Side Effects
All surgeries have risks. Common ones include:
- Swelling and bruising
- Infection
- Scarring
- Temporary numbness
Choosing an experienced surgeon reduces risks.
How to Prepare for Surgery
Before surgery:
- Stop smoking (it slows healing).
- Avoid blood-thinning medications.
- Arrange for someone to drive you home.
Recovery Tips
After surgery:
- Sleep with your head elevated.
- Use cold compresses to reduce swelling.
- Avoid strenuous activity for 2 weeks.
How Long Do Results Last?
Blepharoplasty: 10+ years
Laser resurfacing: 3-5 years
Fat grafting: 5+ years (some fat stays permanently)
Thread lift: 1-2 years
Non-Surgical Alternatives
If surgery seems too invasive, consider:
Botox – relaxes muscles to reduce wrinkles.
Dermal fillers – plump up fine lines.
Chemical peels – improve skin texture.
Cost of Under-Eye Surgery
Prices vary based on the procedure and location:
Blepharoplasty: 7,000
Laser resurfacing: 3,000
Fat grafting: 5,000
Thread lift: 4,500
Insurance usually doesn’t cover cosmetic procedures.
Choosing the Right Surgeon
Look for:
- Board certification in plastic surgery or dermatology.
- Before-and-after photos of past patients.
- Good patient reviews.
Conclusion
Surgery can effectively reduce fine lines under the eyes. Lower blepharoplasty, laser resurfacing, fat grafting, and thread lifts are top options. Recovery varies, but results can last years. Always consult a qualified surgeon to find the best treatment for you.
Frequently Asked Questions
Does under-eye surgery hurt?
You’ll be under local or general anesthesia, so you won’t feel pain during the procedure. Afterward, mild discomfort is normal.
When can I wear makeup after surgery?
Wait at least 7–10 days to avoid infection.
Are results permanent?
Some results last longer than others, but aging continues. Maintenance treatments may be needed.
Can surgery fix dark circles?
If dark circles are due to hollows, fat grafting can help. Pigmentation issues may need lasers or creams.
Related topics:
6 Tips For Face Tightening Without Surgery
How To Get Rid Of Spider Veins Under Eyes?
