Lines Under Eyes, Only 24 Years Old, How Do I Get Rid of These?

The photo is not very clear but there are 2 visible creases, and even more beneath that (5 or 6) that look like they will eventually turn into creases that extend from under my eye over the top of my cheek. These are visible when I smile. I have quite thick cheeks and the skin under my eyes is very thin and seems looser than it used to be. After my eyes were swollen from allergies this summer it got worse. Would anythin remove these completely?

Asked 27 months ago by saladsnowflake in Philadelphia
Under eye lines for 24 year old Under eye lines for 24 year old
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+1

"Lines Under The Eyes"

Thank you for your question. Simply things I tell my patients, try not to rub the eyes as the skin is thin and easily damaged. Rubbing the eyes can also lead to increased broken capillaries causing the so called dark circles. You mentioned allergies, controlling them with medication may hlp alleviate the swelling around the eyes. A hyraluonic acid will help fill in the tear trough where you look to have depleted volume. You are young but this can be hereditary. If you are mentioning fine... more
Sharon Theresa McLaughlin MD
Long Island City Plastic Surgeon
+1

Conservative approach for lines under eyes on young patient

As you can read most responders are in favor of a CONSERVATIVE approach. I too would try Botox first, better sun protection, than on to the fillers like restylane (first). Even IPL or light skin lasers can improve this.  Just be careful out there. Slow is better than in a hurry for the result.
Darryl J. Blinski, MD
Miami Plastic Surgeon
+1

Treatment for lower eyelid wrinkles in a young patient

The photo you have submitted is not very clear but I can say that excellent results can be achieved with injectable fillers placed where your lower lid meets your cheek. Make sure that the physician you see does a lot of this procedure. Your best outcome will definitely depend on the comfort your MD has with filling this area and with his and her comfort and familiarity with the various products available for this.
Elizabeth Lee, MD
Bay Area Plastic Surgeon
+1

Tear trough hollow

Dear Saladsnowflake I have a number of young actresses in my practice. They are truly beautiful. Yet they come to have the top the cheek, the tear trough hollow, plumped up. It makes a world of difference and there is only one best product for this service and that is Restylane. Other products are too thick of too runny. Also because this area is so thin, you need a product that can be adjusted after the fact if there any lumps or bumps. On concern that I do have is the inflammatory... more
Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
+1

Sculptra Will Thicken Your Skin and Minimize Wrinkles.

I have 4 suggestions, but the only novel suggestion is Sculptra.... Avoid the sun: You have a lot of sun damage for such a young woman. Please stay out of the sun. Wear a large hat and sunscreen when you are outside. Resurfacing laser: Various lasers can be used to remove the pigment/freckles from your skin and provide some skin tightening. Botox/Dysport: Neurotoxins like Botox and Dysport can minimize your dynamic wrinkles (the wrinkles that occur when you smile). Sculptra: Rather than J more
Michael C. Pickart, MD
Ventura Plastic Surgeon
+1

Lower eyelid lines in a young woman

Lower eyelid lines at rest and while smiling in a young patient is indicative of underlying loss of skin elasticity from sun damage. Start with daily use of a good sunscreen to prevent further damage, consider getting on a good skin care regimen with tretinoin cream, alpha hydroxy acids. Botox can help but be careful in this area because a little too much and too deep and you can get a flaccid orbicularis oculi muscle which will cause other issues. For the lines at rest, fractional CO2... more
Peter T. Truong, MD
Fresno Oculoplastic Surgeon
+1

Eye wrinkles in a young woman

 Eye wrinkles in a young person may be the result of many things. Including a normal lower lid crease related to the muscle.  I probably would not suggest anything to you.  WIthout an exam it would be difficult to tell.  
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Options for under eye lines

First, as Dr. Placik said, start with Botox if the lines are smile related. Secondly, do better with sun protection as you already have a lot of freckles and over time your skin won't handle the sun well. Third, use fillers such as Juvederm if there are hollows called "tear troughs" that show up as deep grooves over the bone rim below the lid. Topical skin care and even lasers can also help, but start with the skin care, Botox and sun avoidance.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+1

Start with Botox

If the lines worsen with smiling Botox may help soften the appearance of these lines by diminishing the underlying muscle activity. There are multiple other options including the use of chemical peels and laser treatments. Unfortunately because they are associated with smiling, it is likely that they will recur..
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Improving under eye wrinkles

Improving under eye wrinkles depends upon whether the lines are static (present at rest) or dynamic (present with movement). Smile lines that only appear when moving or smiling are best treated with botox or dysport at any age since they weaken the muscle that is causing them. If the lines are present at rest, given your age you can do a medium chemical peel, erbium laser treatment or Fraxel treatments to soften and diminish those lines. I hope this information helps.
Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
+1

Treatments for 24 year old with lines under the eyes

According to the picture, even at age 24, there are excess fat bags in the lower lids present. Make sure that any allergies are under control and try a low-salt diet as excess salt can exacerbate the bags by fluid shift into this area. Allergies can be controlled with nasal sprays, antihistamines, and decongestants. If all else fails, transconjunctival blepharoplasties on the low lids can be performed to remove the fat pads causing the tired look.
William Portuese, MD
Seattle Facial Plastic Surgeon
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