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Shop my medical-grade skincare line, MDAiRE™: https://www.mdaire.com/ Connect with me: My practice 🩺 stefanikappeldermatology.com Instagram 📸 instagram.com/stefanikappelmd TikTok 🎵 tiktok.com/@stefanikappelmd Welcome to my first "Open Office Hours"! Because so many of you are overwhelmed by the endless (and often misleading) information about lasers and under-eye treatments online, I sat down to answer your specific questions live. From the truth about Thermage melting fat to why you can use lasers on dark skin, we are cutting through the med-spa marketing fluff. The skin under our eyes is the thinnest on our face, which is why it shows age, collagen loss, and volume depletion first. In this live Q&A, I explain why there is no "one-size-fits-all" treatment for tired eyes. We discuss the critical differences between ablative lasers (CO2 vs. Erbium), why I prefer Erbium for a full-field treatment , and how to fix genetic dark circles using the Vbeam laser. I also answer your questions about fat repositioning vs. fat transfer , whether Retin-A is safe for the eyelids , and the biggest red flags to look for when booking a provider. About Dr. Stefani Kappel: Dr. Stefani Kappel is a Board-Certified Dermatologist and Fellowship-Trained Laser Surgeon. A renowned expert in cosmetic dermatology and non-surgical rejuvenation, she specializes in using advanced laser technology and medical-grade skincare to treat aging, pigmentation, and complex skin conditions. 0:00 - Why I’m hosting "Open Office Hours" 2:17 - Periorbital Rejuvenation: Why the eyes age first 4:35 - CO2 vs. Erbium Lasers: Which is better for under eyes? 8:59 - Fat Grafting vs. Fat Repositioning for tear troughs 12:40 - Does Thermage cause dark circles or melt fat? (The Truth) 15:52 - Do you accept insurance for Blepharoplasty? 16:58 - Treating under eyes if you have Eczema (No Steroids!) 18:29 - How often should you get Halo or Moxi lasers to maintain skin? 21:35 - Vbeam Laser for Dark Circles & Vascular Hues 23:58 - Thermage Protocols: How many pulses per eye? 25:34 - Best first laser for a 49-year-old with sun damage 28:53 - Is "Forma" a good alternative to Thermage? 30:04 - Treating Hypopigmentation (Loss of color) 31:38 - "I had lower bleph surgery & look the same. What now?" 33:57 - The truth about Filler Migration & "Bad Filler" 36:12 - Why filler suddenly swells when you get sick 37:28 - Laser Stacking: Profractional, Contour TRL, & Thermage 41:37 - How to treat heavy eye bags without filler 46:40 - Is Retin-A (Tretinoin) safe to use under the eyes? 50:12 - The controversy around PDGF (Platelet-Derived Growth Factor) 52:45 - Radiesse for under eyes? (Why I avoid it) 54:27 - Lasers on Dark Skin (Skin of Color safety) 57:23 - Can a CO2 laser melt my under eye filler? 58:46 - How to find a qualified laser provider near you #undereyebags #darkcircles #laserresurfacing #dermatologist #thermage Disclaimer: Disclaimer: The videos on this Youtube channel are for informational purposes only and are not intended for medical advice or management. Information on this channel should not be used to treat, diagnose or manage medical and/or dermatologic conditions. Please consult with a physician or other medical professional regarding the diagnosis and management for any skin or health related issues.