Those Darn Lower Eyelid Wrinkles

Michael A. Persky, 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!


Michael A. Persky, MD
1 month ago
By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi Go Go,

Restylane is good for filling the hollows under the lower lids.  Botox in very low doses placed along the lower lash line will help a little with the wrinkles.

Fraxel repair laser works very well in many patients (almost as good as surgical blepharoplasty), in other patients it just helps a little.

Lastly, if all else fails, a skin pinch under local anesthesia will remove some of the lax skin.

Above all, choose your physician most carefully.

Good luck and be well.

Dr. P

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