Eye Rejuvenation

Your eyes are the first thing people look at. According to legend, they tell a thousand stories. Unfortunately, they can also give away your age.  That is why Cutis Clinic offers a range of eye rejuvenating treatments that can help to reverse signs of ageing around the eyes including drooping eyelids, bags under the eyes and wrinkles. ‘Opening’’ the eyes make us look more youthful and wipe away that look of exhaustion. Eye rejuvenation treatments at Cutis include surgery, laser and cosmetic injections.


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  • Cosmetic treatment around the eyes can make a dramatic difference to perceived age
  • Eye and eyelid rejuvenation includes the removal of dark circles, prominent eye bags, droopy eyelids and wrinkles
  • All of these factors are addressed by different techniques
  • Solutions for eye rejuvenation depend on the initial problem and include muscle relaxants, dermal fillers, laser resurfacing and surgical techniques (blepharoplasty)
  • Some treatments such as cosmetic injections have little to no downtime
  • Surgical and laser treatments may take a week or two to heal
  • The best solution for periorbital or eyelid rejuvenation is a tailored program that may combine surgery and lasers

Yes, muscle relaxants can help reduce and prevent fine lines around the eyes or crow’s feet.

Crow’s feet and smile lines are one of the most commonly treated areas, but most injectors use way too much product! Dr Lim’s view is that only a small amount of muscle relaxants should be used for a natural effect, leaving you with a degree of facial expression rather than a totally immobile, blank expression. Subtle changes maintain a natural look that our specialists are trained to provide.

Anti-wrinkle injections are an excellent starting point for eye rejuvenation; especially for patients in their 20s to early 40s. This treatment prevents smile lines, at the same time reducing eye bags that form due to excessive muscle contraction.

When you reach your late 40s and 50s, anti-wrinkle injections for eye rejuvenation should be combined with other treatments. This is because your skin, especially the skin under the eye, is looser due to loss of collagen fibres and other supporting structures. In fact, muscle relaxants only injected in the area that supports loose skin can make wrinkles under the eyes look even worse. By using a combination of injections, surgery and laser that also improve skin texture, tone and volume, excellent results are achieved.

Side effects are rare following blepharoplasty or eyelid surgery but not impossible. These are:

  • Infection
  • Dry eye
  • Ectropion
  • Asymmetry
  • Bleeding

Side effects can be reduced by following our comprehensive aftercare instructions, including taping, antibiotic eye ointment and eye drops.

Patients in their early 20s to 30s often have noticeable eye bags due to strong muscles around the area. This can be reversed by the administration of muscle relaxants that releases muscle tension and instantly improves the appearance of eye bags.

Patients in their 30s-40s may have a combination of the above, but also experience facial fat loss. This is a universal phenomenon seen in just about everyone in this age group. Facial fat loss makes the remaining fat pads more visible. This is easily fixed with a tiny amount of dermal filler.

Patients in their late 50s to 60s may have prolapsed bags that require lower eyelid blepharoplasty (the surgical excision of loose skin followed by diathermy or excision of the fat pad).

In some cases, eye rejuvenation is very straightforward. Use 0.5ml of dermal filler in the cheeks for subtle volume loss together with a small dose of muscle relaxants to relax the muscles responsible for crow’s feet for those in their early to late 30s.

As one ages, further changes occur. You lose midfacial fat and the orbital rim sinks to enhance hollow areas. Additionally, your skin is more lax or loose; often permanent wrinkles form.

This is the perfect time for combination therapy that include surgical blepharoplasty, laser eyelid surgery and dermal fillers. Each treatment improves skin texture, tone and volume, giving a natural and very pleasing look to areas surrounding the eyes.

Dr Lim elects to perform surgical blepharoplasty over laser blepharoplasty where there is an excess of upper or lower eyelid skin. If he can pinch it, it requires surgical excision. Hooding and drooping is also an indication for surgery.

The best results are achieved with combination treatments such as excision followed a month or two later by laser to the surrounding area. Why? Because excision removes excess skin, but laser firms up the surrounding areas and reduces wrinkles, improving the tone of the entire eye area, not just the lids.

Blepharoplasty or eyelid surgery requires 5-12 days recovery. Sutures are usually removed on day 5-6.

Laser resurfacing can take up 8 – 10 days, during which time you cannot wear make-up.

Depending on the extent of skin laxity, you may require a 2-stage procedure:

  • Surgical excision of loose upper and or lower eyelid skin.
  • Laser resurfacing of the upper and lower lids.
  • This 2-stage approach enables excellent and natural results.

This depends on the cause. If genetic (Asian or darker skin types), treatment can be difficult but improvement will be noticeable.

Dark circles due to skin laxity can be treated with fillers or multiple sessions of Q-Switch lasers. CO2 and erbium fractional lasers can also tighten the skin around this area.

Dark circles are one of the most complex conditions dermatologists are asked to treat and success rates are variable (10-70%). Home use of eye creams combined with gentle laser treatments that tighten loose skin in combination with a small volume of filler provides the best outcome; however, results are highly variable. Be prepared to budget for at least $1900 worth of treatments (multiple laser sessions, creams, and filler).

If you have darker skin with dark circles under your eyes, the only laser procedure that makes a difference is the Q-Switch laser. You will require 8 sessions spread over 2 week intervals. Results are visible in most patients but not guaranteed.

No. Eye creams help to maintain the eye area but unfortunately do not reverse the signs of ageing. Dermatologists tend to prescribe active ingredients including vitamin A preparations for use following eye surgery or laser resurfacing. Eye cream alone will neither reduce eye bags nor tighten the skin around the eyes.

However, creams and sunscreens as a post procedure therapy is important to maintain good skin condition and prevent further damage.

Eye and eyelid treatment prices don’t only depend on the procedure. Generally, the younger you are the less complex (and cheaper) the procedure.

  • 20-30s: simple muscle relaxants may suffice. $300-$400
  • Fillers to reduce eye bags. $990 to $1800
  • Laser eye surgery. $2500- $6900
  • Blepharoplasty or surgical excision of loose, saggy upper or lower eyelid skin: $3000- $5900

A number of patients may require both surgical excision and laser treatment for the best possible results.

Please note: this is a rough guide to eye rejuvenation pricing. Actual prices may differ

Cutis Clinic doctors are all specialists in the field of dermatology. This requires them to undertake a further 4 years of further training on top of their medical degree and hospital training. Our dermatologists then continue to train under laser specialists for a number of years.

Laser dermatologists such as Dr Davin Lim have followed even further training in the United States in order to perform advanced laser therapy and surgical blepharoplasty. To date, Dr Lim has performed over 300 laser and surgical blepharoplasty procedures and boasts a negligible complication rate.

What is the first thing you notice when first meeting someone?

It’s their eyes.

The area around the eyes is often said to be one of the most important aspects of facial rejuvenation. When combined with improved skin you have the ideal framework for facial harmony.

We find eye rejuvenation a rewarding field, as changes can be subtle and natural or dramatic, as with the results of eyelid surgery (blepharoplasty) and laser. Every patient is different; some present with eye bags due to midfacial fat volume loss (common in the late 30s and early 40s), others with strong orbital muscles that present as bags (and are easily treated with muscle relaxants).

Some patients have naturally droopy upper eye lids, others have loose skin. Some present with the whole package. One patient might only need a simple brow lift, the other a mini face lift. We cannot emphasise the necessity of facial harmony enough, namely blending the eye area with the rest of the face. Muscle relaxants to reduce crows feet only play a minor role in complete eye rejuvenation.