Treatment for Under Eye Wrinkles While Smiling?

If the lines worsen with smiling Botox may help soften the appearance of these lines by diminishing the underlying muscle activity. Unfortunately if they are associated with smiling, it is likely that they will recur.  

Most lines in the upper third of your face that appear with smiling will soften with BOTOX. I have found these under eye wrinkles particularly difficult to eliminate with BOTOX. And this delicate skin is too thin to use Injectable Fillers. I like to check all of my BOTOX patients around one week following their treatment. I have added BOTOX to these stubbron under-eye wrinkles so many times with only marginal improvement. This area is called the "orbicularis-roll", and I have not... more

In order to treat under eye wrinkles, one has to understand the causes: Thinning out of collagen creaking more crepe skin appearance Loss of volume beneath the skin results in a relative excess of skin Increased resting tone in the lower eyelid muscles from a) can be caused by Botox when injected only in outer part of eye lid and the area under the eyelashes compensates by squeezing harder and creating more lines b) vs. natural increase in muscle tone in the face with age. Treatment... more

Under eye wrinkles are not such a problem as some patients think because the observer is seeing someone smile at them. This is a pleasing experience so the observer is not at all critical of the lines. Since they are muscle related, the only way to soften them is with Botox. You can smoothe the skin with lasers or peels also but the wrinkles will come back after the muscles start to work on the skin again.