Options for under eye lines

Richard P. Rand, MD answers: 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?


Richard P. Rand, MD
20 days ago

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. 

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