Lower eyelid wrinkles.

Otto Joseph Placik, MD answers: Restylane, Botox, or laser treatment for under eye wrinkles?

Hi there! I just turned 40 and noticed these horrible wrinkles under my eyes when I smile. They are just fine lines when not smiling. I don't really have deep troughs or hollows--just bad smile wrinkles, perhaps due to bleaching creams for dark circles, or lack of sleep over the years.

Nowadays, the concealer sinks into the wrinkle and looks really bad! I am trying to see what procedure is best for me. Which treatment is better among Restylane, Botox and laser treatment? I am desperate for help and guidance. Thank you!


Otto Joseph Placik, MD
1 month ago
By Otto Joseph Placik, MD - Chicago Plastic Surgeon

This is a difficult problem because it appears that there are multiple associated conditions. There appears to be true hyperpigmentation but that may be due to the photograph. A light chemical peel or laser treatment could improve this. Botulinum Toxin may help the hyperdynamic component as well. Surgery with skin redraping may ultimately be your best solution. I do not see a role for fillers such as juvederm or restylane.

Web reference: http://www.bodysculptor.com/eyelid.html
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