Tixel | Eye Rejuvenation

Treatment of Under-Eye Wrinkles

A combination of volume (fat) loss beneath the eyes, frequent eye movement, inflammation, and sun damage results in wrinkles under the eyes. Volume loss is often the determining factor in under-eye wrinkles.

The under-eye fat pads shrink and slide down the cheeks, which causes a deficit in the area immediately under the eyes. The volume loss creates a shadowing or dark circle and a crinkling and bunching of skin on facial expressions. Repeated facial expressions have less of an effect on the development of undereye wrinkles than crow feet. However, there is some impact.

• Our cosmetic doctors volumise and fill under the skin to treat under-eye wrinkles.
• PDO mono threads are a new emerging treatment to volumise under the eye, along with specialised Avaderm thread treatments.
• Smoothing under eye wrinkles usually necessitates laser resurfacing or Tixel treatment.
• Crow’s feet and under-eye wrinkle laser treatments are frequently combined.
• Our doctors can combine other treatments.
• CO2 laser treatment for under-eye wrinkles is limited, and ocular shields must be worn.
• Collagen-stimulating treatments, including Tixel, PRP and skin needling, are commonly combined with laser treatment of the under-eye area.

Although eye cream is essential, you can usually extend the wrinkle cream on your face to the eye area. Also, ongoing sun protection with sunglasses to retard the progression of ageing changes should always be included with any laser for wrinkles under the eye.

• Treatment of Wrinkles at the Side of the Eyes (Crow’s Feet)

  Crow’s feet form mainly from repeated muscle movement — smiling, laughing, squinting — combined with sun damage. Skin that once bounced back smoothly after each expression gradually develops deeper, more fixed lines with wear and tear.

  Our doctors treat crow’s feet with wrinkle injections to soften the movement-related cause, and Tixel to rejuvenate the skin itself. Starting early helps prevent lines from progressing, and a good Vitamin A eye cream plus daily sun protection support results at home.

  Tixel: Our Preferred Treatment for Crow’s Feet

  Tixel is our main treatment for the delicate under-eye area. It isn’t a laser — a heated titanium tip briefly contacts the skin to create controlled micro-channels, rejuvenating the area without the pigment-related risks that come with laser wavelengths. This makes it safe for all skin types (lower settings are used on darker skin to manage heat response) and effective right to the lash line. Tixel is often combined with wrinkle injections, PRP, or PDO threads for enhanced results.

  Other Options for More Sun-Damaged Skin

  • Pico laser — suits skin colour concerns; better results in Asian or Fitzpatrick type 4 skin, less suited to fair skin
  • CO2 laser — the go-to for more severely sun-damaged skin, suitable up to skin type 4
  • RF microneedling — an alternative option working by a different mechanism

  Wrinkle Injections for Crow’s Feet

  Wrinkle injections are commonly used since these lines are primarily movement-related. You can resume normal activities immediately, with results visible in 2–7 days and lasting three to four months. Temporary bruising or eyelid/brow drooping can occur. Learn more about anti-wrinkle injections.

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Undereye Bags or Malar Festoons

Tixel for Undereye Bags and Malar Festoons
Tixel is a highly effective treatment for addressing puffiness and undereye bags, including malar festoons. Using advanced thermal technology, Tixel tightens the skin, reduces swelling, and stimulates collagen production to rejuvenate the undereye area. This non-invasive treatment delivers impressive results, helping to smooth and firm the skin for a refreshed, youthful appearance.

Tixel for Droopy and Hooded Eyelids

Tixel is an excellent droopy eyelid treatment, offering a non-invasive solution for hooded or saggy eyelids. By delivering precise thermal energy, Tixel stimulates collagen production and tightens the skin, lifting and rejuvenating the eyelids. This advanced treatment reduces the appearance of droopy or hooded eyelids, providing a natural, refreshed look without surgery. Sometimes surgery is advised, but Tixel may provide an option for those not wanting surgery or for treating early sagging.

Brow descent, volume loss in the temple and around the eye, sun damage, and aging contribute to upper brow laxity, lines, and droopiness. The brow descent results from changes to soft tissue in the face and the pull of gravity. As a result, the eyebrow descends, leading to droopy and hooded eyelids. Once this advances, it causes upper lid bagginess, which may eventually require surgery. Volume loss also occurs in the entire eye area, with general sagging of the brow, formation of fine lines and wrinkling. Optimal treatment of this area includes a combination of Tixel or another skin tightening or volumising treatment, eye creams, and ongoing sun protection.

• A non-surgical brow lift is achieved with a combination of treatments from our doctors to the temple or under the brow and laser or other skin-tightening treatments.
• Treatment for this area needs primarily to be skin tightening and lifting.
• HIFU and Tixel are both suitable for a non-surgical brow lift.
• Surgery becomes an option for advanced brow laxity
• An eye cream with Vitamin A is essential.
• Protection from ongoing damage and sun protection measures.

Eye Rejuvenation Treatment Costs

TIXEL stimulates new collagen in the skin, resulting in long-lasting results. Therefore, you may require a yearly top-up treatment. You can treat right over the eyelid, which is safe for all skin types. The entire area and all three major ageing concerns are addressed.

Cost of Other Modalities

Wrinkle treatment, with our doctor’s effectiveness, varies greatly depending on muscle strength and the pattern of eye wrinkles. Depending on the required amount, the ballpark ranges between $200 and $350; please consult our cosmetic doctors. It needs to be repeated every 3–4 months.

Similarly, the cost of volumisers our cosmetic doctors provide varies greatly depending on where the volume loss occurs. These can cost up to $900. Repeat treatment for 12-24 months. Please book a consultation to talk about your options.

Platelet Rich Plasma (PRP) for Undereye Wrinkles: You can combine PRP with volumisers or PDO threads for a more complete treatment. PRP and under-eye treatments are specialised, and we recommend seeing our doctors for a free consultation to get an accurate quote.