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Deep Lateral Lines Under Eyes- Other Options?

asked 6 months ago by shelleydoos in belfast
Latest answer by Ronald Shelton, MD
Question viewed 305 times
Tags: under eyes, wrinkles, alternative, options

i had botox on my eyes,it cleared up the lines at the sides of my eyes,but the lines underneath my eyes,and wrinkles that run undre my eyes.and from the side of my eyes in straight lines down to my cheek bones r so bad,and i have been told they dnt do botox under the eyes,how can i clear up ths problem, i look so old and its making me unhappy!!

14 answers to Deep Lateral Lines Under Eyes- Other Options?

Deep Lateral Lines Under Eyes?

Hi Shelly. For lateral lines under the eyes, you have several options including lasers, injection products and surgery. To know which one is most appropriate we would need to see a picture. Our preference is normally for Restylane injections (tear trough procedure) or surgery. Although we use lasers extensively, they kinds of lines you are describing may have more to do with volume loss or muscle contraction and these issues are better addressed with... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Some line around the lower eyelids just can't be treated well with botox or Fraxel

One can relax the muscles on the sides of the eyelids and help lessen the crows' feet but the smile muscles, which you don't want to decrease function, contribute to the crows' feet also. Even if you smoothen the skin significantly and reduce the sundamage with Fraxel laser resurfacing in this area, the lines will return once you smile again. Sometimes fillers when used cautiously for superficial lines can help. Sometimes a couple of units of Botox near the cheek bone... more

Ronald Shelton, MD
Manhattan Dermatologist

Botox unlikely to improve deep under eye wrinkles

Botox can improve wrinkles to the side of the eyes (crow's feet), but the wrinkles you are describing are likely a combination of volume loss in the face and possible UV damage from sun exposure. Combination treatment with volume replacement from injectables and possible laser resurfacing would compliment treatment with Botox for the crow's feet.

Melanie D. Palm, MD
San Diego Dermatologic Surgeon

Lasers for under eye wrinkles

Laser treatments for wrinkles under the eye can provide great results, but you need to see a very experienced laser physician when treating this delicate area.

Mitchel Goldman, MD
San Diego Dermatologic Surgeon

Deep Lateral Lines Under Eyes- Other Options?

Always best to be seen in person. But a combination of the BOTOX + fillers or fat grafts help. Last resort is surgery.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Lines below eyes

Without an exam it is hard to say what exactly can help the lines. If they are fine lines sometimes different ablative lasers can be helpful.

Steven Wallach, MD
Manhattan Plastic Surgeon

Under eye lines

I'm glad that the Botox improved your lateral eyelid wrinkles. To improve the lines under your eyelids, you should consider hyaluronic acid, such as Restylane, to restore the contour of the upper check and fill in the hollows. Frequently, once one issue involving facial aging is addressed, patients become more aware of additional problems which can be corrected. You may also be a candidate for lower lid blepharoplasty but this can only be determined during a consultation with a board... more

Robert L. Kraft, MD
New York Plastic Surgeon

WRINKLES

There are two types of wrinkles: dynamic and statis. Dynamic wrinkles are causes by muscle motion and can be improved by botulinum toxin which weakens muslces. Static wrinkles are present at rest, which can be improved by laser, peel, and/or surgery. Botox can help with some wrinkles under eyes while surgery/peel/laser may be needed for others. You need a personal evaluation.

Mehryar (Ray) Taban, MD, FACS
Los Angeles Oculoplastic Surgeon

Botox, fillers and laser as well as surgery to treat wrinkles under the eyes

All non invasive treatments such as Botox, Restylane and laser treatment combined (laser treatment at a different setting) are much better when used to compliment each other but need to be repeated. A more permanent solution would be a skin only lower eyelid Blepharoplasty (with special methods to avoid ectropion when needed) may be more permanent although non will completely eliminate all lines since most of those lines are created by smiling which you want to keep natural!! Good luck more

Tal T. Roudner, MD
Coral Gables Plastic Surgeon

Lasers vs. Fillers

It's a very difficult zone. I think that Cynosure fractional Laser would be a good solution. In the other hand, fillers like NTCF (Filorga) or Juvederm Hydrate (Allergan) or Restylane Vital (Galderma-QMed), are a good choice. They are soft enough fillers that do never overcorrect (they don't create noticeable deformities when motion).

Enrique Etxeberria, MD
Spain Plastic Surgeon

Increasing the lines under the eyes

In some people with fuller cheeks, when the crows feet area is injected with neurotoxin there can be accentuation of the maxillary cheek. Discussion and evaluation with your injecting physician can correct this problem.

Purvisha Patel, MD
Germantown Dermatologist

The lines under the eyes are best filled.

BOTOX under the eyes does soften these lines but it can also weaken the muscle the helps hold the lower eyelid into position. This can cause the lower eyelid to slump. Restylane filler is a much better alternative to BOTOX for this purpose. You need to find an injecting physician with expertise in this type of treatment.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Wrinkle lines around eyes options

I have been finding a lot of success with fractional laser treatments with the artisan laser. Go to palomarmedical.com to look at photos.

Rick Rosen, MD
Norwalk Plastic Surgeon

Where botox fails

Botox is good for the lateral ines, but used underneath the eyeld can lead to drooping of the lower lid or ectropion. You may wish to consider lower eylid laser resurfacing or chemical peel which which help to tighten fine lines or wrinkles. You may be a candidate for lower eyelid blepharoplasty if you have too much excess skin. A board certified plastic surgeon can help guide you through the options. Nothing can or should get rid of the lines completely, too much... more