Probably the best procedure would be to adminster Botox. These are dynamic lines and respond to Botox (treatment of these lines, the glabella lines, are still the only cosmetic approval for Botox). Two weeks later you could come back to the office and see whether Restylane might be needed to fill in the slight more superficial lines that remain.An alternative is to have the fillers plased first and then have Botox injected ( in this order so the Botox does not obliterate the lines).
Make sure your physician is experienced at injecting this area. I would absolutely not let a physician out of the cosmetic core of physicians (plastic surgery, dermatology, oculo-plastic surgery) inject this area. The injections required should be done superficially, slowly with serial puncture technique to prevent embolism into the retinal artery or ischemia . Sometimes filler can intrude and push the vessels closed causing ischemia (lack of blood flow) and necrosis. Rare but it happens.
