Surgery Best for Lower Eyelid Wrinkles

Tanveer Janjua, 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!


Tanveer Janjua, MD
1 month ago

Surgery (Blepharoplasty) remains to be the best option for reducing wrinkles in the lower eyelid. After that laser resurfacing or chemical peel would be the second best option. Fillers in that area are not good, they are only good for tear trough area. Botox can help some but not enough as too much Botox can cause saggy eyelids.

Regards

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