The skin around the eyes is superthin—in fact, it’s the thinnest skin on the face. Years of environmental damage and squinting can wear away the thickness of the skin, making the eyes look worn out. “The skin here looks like crepe paper—very thin with fine puckers,” says New York dermatologist Heidi Waldorf, MD. While genetics also play a role, patients with eczema often have crepey skin around their eyes, even if they are younger, due to the chronic inflammation and dryness, adds Dr. Waldorf. Once the skin around your eyes begins to look crepey, it can negatively affect your overall appearance.
The extent of how thinned out your skin is will determine what treatment is best. Some dermatologists and plastic surgeons prefer a one-two punch method that consists of first smoothing the skin with a series of chemical peels around the eyes or fractionated CO2 laser treatments on the eyelids (you will be put under anesthesia so you won’t feel anything, but plan for a few days off to fully recover at home), which stimulates collagen to help thicken the skin. Then, once the skin has begun to soften and increase in thickness, Botox and/or a hyaluronic acid filler can be injected into the little lines around your eyes to help minimize them.