10 September 2021

TOWhich laser is more effective in treating wrinkles around the eyes and what is plasma therapy good for? Anzhelika Uzhva, a cosmetologist at the GMTClinic clinic, explains why MesoEye and chemical peels are effective in fighting wrinkles in the periorbital zone.

Angelica Uzhva

Angelica Uzhva

Doctor-cosmetologist, dermatovenerologist of the Clinic of German Medical Technologies GMTClinic

Laser therapy

The procedure is suitable for patients of all ages. Laser therapy has a powerful stimulating effect at the cellular level, which leads to a decrease in macro- and micro-relief. The result is a visual reduction in the depth of wrinkles. The number of procedures is determined by the cosmetologist, depending on the severity of the problem. The course of treatment is from 1 to 3 sessions (once a month).

To correct wrinkles in the periorbital area, two lasers are most often used: erbium and CO2. The laser beam acts on the skin, causing active cell regeneration. In general, laser therapy is aimed at improving the quality of the skin and fighting wrinkles. Before laser rejuvenation, the doctor may recommend preparatory procedures for you: for example, plasma therapy or biorevitalization with drugs based on hyaluronic acid.

During the procedure, the doctor necessarily applies application anesthesia to the skin. After laser therapy for about two weeks, you cannot go to the bathhouse and sauna, apply scrubs and treatments with alcohol and retinol in the composition, be sure to use products with SPF (the higher the better).

Contraindications for laser rejuvenation are the same as for other physiotherapeutic procedures: exacerbation of chronic skin diseases, acute somatic conditions, pregnancy, cancer.

Chemical peels

To correct wrinkles in the periorbital area, I recommend a chemical TCA peeling using a 20% (and higher) solution of trichloroacetic acid. This is a mid-peel that can be done 1-2 times at any time of the year.

The procedure takes about 30 minutes. In the process, the doctor applies a solution of trichloroacetic acid in layers (the number of layers depends on the thickness of the skin).

Immediately after the peeling, hyperemia is expressed on the skin (an increase in the level of blood flow), after 1-2 days the site of exposure acquires a bronze tint, and on 3-4 days macro-lamellar peeling appears. It is very important to follow all the doctor’s recommendations after the procedure. The specialist will give the patient a protocol of the rehabilitation period.

The result of TCA peeling is the correction of fine wrinkles around the eyes. Such peeling is also good for reducing wrinkles on the forehead, cheeks, around the lips and for improving the condition of the skin in general: it becomes smooth and even. Important: after peeling for a day, do not wash the affected areas with water, use regenerative creams and thermal water. During rehabilitation, be sure to use products with SPF (30 and higher).

The procedure has contraindications: herpes, inflammation, deep pigmentation, allergies, pregnancy, lactation, malignant tumors.

Plasma therapy

Plasmogel is produced by heating the patient’s plasma in a special centrifuge and injected by the injection method. The procedure is good for replenishing volume and correcting folds in the skin.

Plasma is injected using an atraumatic cannula, which completely eliminates the risk of hematomas. Plus plasma therapy – quick rehabilitation, compared to other procedures. You may experience redness that will go away after a couple of hours.

With plasmogel therapy, the effect is growing, so I advise you to do it as a course – 3 procedures once a month and six months later – another session. The result will be noticeable: firm, elastic skin and visibly reduced wrinkles around the eyes.


Another common injection procedure for correcting wrinkles around the eyes. Fillers are preparations based on hyaluronic acid that help to replenish the deficiency of subcutaneous adipose tissue. If with the help of fillers you need to solve the problem of wrinkles in the periorbital area, the specialist will use Juvederm Volbella, Belotero Soft or Teosyal redenciti II. During the procedure, pain relief in most cases is not required, since the preparations already contain lidocaine. The only exception is Belotero Soft – there is no lidocaine in the preparation. In this case, the cosmetologist performs application anesthesia.

The procedure must be repeated according to the doctor’s indications – the frequency depends on the degree of biodegradation of the filler itself. We work with a fixed area, so there is a chance that the next visit to the doctor will not wait until 2-3 years later.

If shortly before the procedure you have an inflammatory process or a viral disease, it is better to postpone the introduction of fillers. Also, be sure to talk with your doctor about the risk of allergic reaction on the components of the drug.

MesoEye C71 Injection

It is an injectable preparation that is used to correct the eyelid area and the area around the eyes. The basis of the preparation is a DRMC-complex of hyaluronic acid and microelements that moisturize and tighten the skin.

For a noticeable result, I advise you to take a course of at least 3 procedures with an interval of 14 days. The effect can then be maintained every six months. One procedure takes no more than 20 minutes, taking into account the preliminary treatment of the area around the eyes with an anesthetic and antiseptic.