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

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 tone and texture.

Thank you for your question and for sharing your photo. Botox may help to soften the wrinkles under the eyes. It does require a very small amount and it will help to soften the lines. It will not necessarily reduce all the wrinkles like you might see in the forehead or crows feet region. You will notice a soft relaxation of the dynamic lines under the eyes, and you may notice a slight opening of the eyes. I would start with 1-2 units under the eyes on each side. If you like the effects, then it is very easy to incorporate this into your future treatments. Dermal fillers such as Restylane can be used to fill in shadows under the eye and achieves a more rested look. You can combine the two treatments but it would require a thoughtful approach and careful analysis of your concerns to ensure that treatment options will help you achieve your goals.I would recommend visiting with a board certified plastic surgeon or dermatologist in your area to address your concern as it is an advanced area to treat.

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