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Under Eye Wrinkles Caused By Smiling - Will Botox/Fillers Help?

asked 1 year ago by ksg1648 in australia
Latest answer by Lawrence Kass, MD
Question viewed 2,483 times
Tags: age 25-34, smile, under eyes, wrinkles, female, filler

Hi When i smile i get these horrible lines caused by my cheeks pushing up and causing a fold - they dissapear when i smile. How can i treat these? fillers/botox? anything?? i absolutely hate them and they are getting worse as i age. I am only 29. any advice would be fantastic thanks so much

18 answers to Under Eye Wrinkles Caused By Smiling - Will Botox/Fillers Help?

A little botox goes a long way in improving under-eye creases.

Botox only works half the time for under eye creases but when it does, it is really nice for about $300 for 3-4 months of bliss.

David Hansen, MD
Beverly Hills Dermatologic Surgeon

www.DrDavidHansen.com

Squinting and Smiling are two different things: like Yin and Yang

You are very accurate and precise in your description. Yes these can be caused by contraction of the eyelid muscles which people do when smiling and this can be weakened with Boulinum Toxin. However this can cause more fullness of the lower eyelid by relaxing the muscles similar to relaxing your stomach muscles causes a fuller appearing belly. However, you also push skin up to the eyelid when smiling with the zygomatic muscles and this cannot be weakened unless you want to look... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

BOTOX will reduce the lines but fillers are a better answer.

Dear KSG Please recognize that you don't need to go out and fix everything you identify in the bright, unforgiving lights of your bathroom mirror. These lower eyelid lines can be softened with BOTOX. However, what you really need here is volume. Restylane is the product of choice to fill this area.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Botox of fillers for under the eyes

I think Botox might be beneficial here. But I also agree that a conservative skin only lower eyelid surgery might provide lasting improvement.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon

Botox for under eye creases~less can be best

For the problem you're describing just a little bit of Botox properly placed in that lower eyelid area can make a big difference. A slight bit of filler in the hollows under the eyes can also help to smooth the appearance. And last but not least, don't under estimate proper hydration with a good eye cream in that area....dehydrated skin can bunch up and look horribly wrinkly.

Grant Stevens, MD
Los Angeles Plastic Surgeon

Botox helps with lower lid lines

Botox can soften lower lid lines. Your doctor should put emphasis on giving you a natural appearance.

Robert Kasten, MD
Mainz Dermatologic Surgeon

Go with Botox

Go with Botox. These are dynamic wrinkles (present with smiling and go away without smiling). This is the classic reason Botox helps. Do NOT use a filler (better for VOLUME loss issues). Make sure you go see either a Dermatologist or plastic surgeon, as this can be tricky area to inject.

Tracy Kuykendall, MD
Tulsa Dermatologist

Lower lid creases

You mentioned that the lower lid creases form when you smile and then you mention they go away when you smile, but you probably meant they go away when you stop smiling. There can be no guarantee but it's worth trying one to two units of Botox in the lower eyelid skin, just a couple of millimeters below the eyelash margin. the lid may change its shape and you may see some white of the eye below the iris. lastly, if you have had preexisting puffiness in the eyelids,... more

Ronald Shelton, MD
Manhattan Dermatologist

Under Eye Wrinkles Caused By Smiling - Will Botox/Fillers Help?

Thanks for posting a photo. The answer is worth a try. Seek a boarded injecting doctor in the "land downunder". From MIAMI Dr. Darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Botox for Excess Lower Lid Skin

Gid Day ksg, You can have a few units of Botox properly placed to help your under ey smile wrinkles. Choose your injector most carefully. Good luck and be well. Bee's knees! Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Under eye fine lines

The fine lines that you are complaining about are from loose skin. It is best to remove the skin conservatively to soften this.

Steven Wallach, MD
Manhattan Plastic Surgeon

Help for eyelid wrinkles

Lower eyelid wrinkles can be reduced by proper placement of Botox or Dysport. In many people, Botox alone is sufficient. However, the wrinkles come not only from muscle contraction, but also from loss of volume and decreased skin elasticity. Hydration of the delicate eyelid skin with an excellent moisturizer reduces wrinkles. In many cases the loss of volume can be corrected with Restylane injections. Other patients may require a laser procedure to help improve the eyelid skin... more

David Schlessinger, MD
New York Oculoplastic Surgeon

Treatment of fine lines under Eyes

Botox can be used in small quantities and should be diluted specifically for that area. You should consult with an experienced facial plastic surgeon. Similarly, restylane can be used carefully to stiffen the lower eyelid skin.

Roy A. David, MD
San Diego Facial Plastic Surgeon

Eyes and filler/botox

Either can be used there. In my experience, it is a subtle improvement at best. You should know that before investing in it.

David A. Lickstein, MD
Miami Plastic Surgeon

Botox to relax the under eye creases

Those under eye wrinkles and creases should do well with a very small amount of botox injected into the lower eyelid. It really requires one or two units on each side. Once the creases are relaxed, it will be more evident whether you need filler in that area or not. Judging from your photo, you may do just fine with a botox injection.

Emily Altman, MD
Short Hills Dermatologic Surgeon

Botox and fillers for fine eyelid lines.

Yes, you can improve this with botox and fillers. It should only be done by someone with a great deal of experience so you don't end up with lumps.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Off Label use of Botox/Dysport for smile lines works

Smile lines around the eyes or squint lines can be diminished with the strategic use of botulinum toxin type A, otherwise known as Botox or Dysport. The goal is to relax the constricting muscles along the sides of the eye and in some cases the cheek lifting muscles. It takes a lot of good experience, by the person doing your treatment, to do this well because you don't want to end up with a weak smile, a known risk. Ultimately, you want to start with a very small... more

Julius W. Few, MD
Chicago Plastic Surgeon

Squint lines can be treated with botox

Squint lines can be treated with botox. These lines are often present on smiling because of the wrinkling of the skin produced when someone smiles. Relaxing only the upper chhek will preserve a natural smile and reduce squint lines.