Lower eyelid creases and wrinkles

Brent Moelleken, MD answers: Always look tired with creases and wrinkles under my eyes

Should I go with a filler? I bought creams, and they don't work. What should I do?


Brent Moelleken, MD
7 months ago

Patients not desiring surgery benefit most from fillers, chemical peels and Botox.

Patients with a fat bulge often benefit from transconjunctival fat reduction or fat redistribution procedures.

Patients who have loose lower eyelid skin are often candidates for a cheeklift with tightening of the lower eyelid skin.  In our practice we do not favor removal of skin from the lower eyelid without commensurate support.

In all surgical cases, we evaluate whether addition of volume, i.e. grafts of fat or untraumatized fascial fat (LiveFill) will be helpful.

As Dr. Rand has indicated, we would need a photograph to guide our recommendations more precisely.

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