Best treatment for dynamic wrinkles?

I'm desperately seeking some help for the deep lines or wrinkles that appear under eyes when I'm smiling. I don’t have the typical crow’s feet, just these deep lines under my eyes that appear when I smile. It's still visible when I'm not smiling, but not significant. Are there any treatments to address this problem, because I certainly don't want to stop smiling.

Best treatment for dynamic wrinkles?
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6 answers to “Best treatment for dynamic wrinkles?”

A: Botox Treatment for Crow's Feet and Undereye Wrinkles

Raffy Karamanoukian, MD

Botox cosmetic is effective in the treatment of dynamic wrinkles associated with overactivity of the orbicularis oculi muscle.  In many cases, the lateral crow's feet are prominent as a result of soft tissue and skin atrophy, as well as overactive orbicularis muscles. Rarely, the lower eyelid wrinkles can... more

A: Dynamic Wrinkles=Botox

Anil R. Shah, MD

For the dynamic portion of your lower eyelid, a small amount of concentrated botulinum toxin can be effective. As mentioned in previous post, botulinum toxin can deactivate a portion of the orbicularis oculi muscle. This muscle helps in providing tone to the lower eyelid. Your doctor should assess the... more

A: Keep smiling

Richard P. Rand, MD

Your lines are from a combination of smiling and sun exposure. Dynamic lines in the lower lid are impossible to eliminate completely and any treatment will not prevent recurrence as long as the muscles are being used for smiling and squinting. So if your goal is a slight softening of these lines, go ahead... more

A: Dynamic under eye wrinkles

Brent Moelleken, MD

Botox is the easist solution for dynamic wrinkles, that is wrinkles that occur only when the patient is animating. For wrinkles elow the eye, your doctor should be careful not to be too aggressive. Why is aggressive Botox around the eye potentially bad? Aggressive Botox below the eye deactivates the... more

A: Botox, fillers or skin resurfacing

Hisham Seify, MD, PhD

Dynamic wrinkles are usually caused by muscle contraction. However, there is an underlying skin excess as well. Botox works on relaxing the muscles and could help to eliminate some of these wrinkles that exist on the outside of the eye (crow feet) As a general rule, I do not like to inject Botox too close to... more

A: Botox and filler may be just the thing for you.

Bryan K. Chen, MD

Botox alone can be useful for dynamic rhytids of the lower eyelids.  Loss of fat in the tear trough/lower eyelid region can also make the wrinkles of the lower eyelids appear more prominent in which case you might also benefit from a small volume of filler (e.g. restylane). Good luck.

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