There are many good skin tightening treatments for your eye region that do not require surgery. The key to getting good results is choosing a treatment that is most suitable for you - in terms of effectiveness, price and downtime.
For mild to moderate sagging skin and fine lines around the eyes, you can consider these treatments (in order of increased downtime):
1. HIFU (High Intensity Focused Ultrasound)
A very popular treatment, this is a "once a year" treatment with effects that last 6-12 months.
There is minimal downtime - possibly some redness that subsides in a few hours.
I use the Ultraformer 3 with the 2.0mm specialised eye hand piece for best results.
Prices: from $450/session
2. Fractional PicoLaser
This non-ablative laser treatment stimulates collagen production through LIOBs (laser-induced optical breakdown).
The difference between Fractional Picolaser and HIFU is that Fractional Picolaser stimulates collagen production superficially whereas HIFU stimulates collagen production at a deeper plane (2.0mm - using the specialised eye handpiece).
A series of monthly sessions (approx. 3-5 sessions) are needed for best results.
There is mild redness after the laser sessions that lasts 3-6 hours.
Prices: from $300/session (eye region)
3. Fractional Radio-frequency Microneedling
Infini is another good treatment for fine lines, saggy skin and scars.
This involves delivery of Radio-frequency energy (heat) into the deeper layers of the skin through micro-needles.
Similar to Fractional Picolaser, a series of monthly sessions (approx. 3-4 sessions) are needed for best results.
There is mild redness after Infini that lasts 1-2 days.
Prices: from $600/session (eye region)
4. Fractional CO2 Laser
A series of monthly sessions (approx. 3-4 sessions) are needed for best results.
There is mild redness after Fractional CO2 that lasts 2-3 days.
Prices: from $300/session (eye region)
To prevent new active wrinkles from forming, Botox/Xeomin/Dysport can help to weaken the muscles that cause wrinkles.
Hope that this helps!
Warmest regards,
Dr Justin Boey