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Treating Dynamic Under Eye Wrinkles After Lower Eye Lift and Fat Removal

asked 2 years ago by Beachbabydarragh in Florida
Latest answer by Richard P. Rand, MD, FACS
Question viewed 1,414 times
Tags: smile, under eyes, wrinkles, female, dynamic, eye bags, fat, removal, tightening

I want to minimize or eliminate the wrinkles under my eyes. I have always had wrinkles and bags under my eyes from birth. I had a lower eye lift in my late 20's and the doctor removed fat pockets and did a bit of tightening I think.

I wasn't satisfied with the results and I think perhaps I have more lines because of the fat removal. What would be the possible treatments for me? They are dynamic wrinkles because the move when I smile. Thanks for your kind attention.

3 answers to Treating Dynamic Under Eye Wrinkles After Lower Eye Lift and Fat Removal

+1

Treating bunchy lower lid skin

There are patients like you who have very active muscles around the eyes and who squint vigorously from smiling and the sun. When you are smiling it looks like there is a ton of extra skin. This is deceptive however and the true skin excess can only be determined at rest. At rest, there is much less extra. Additionally, even if you remove skin or laser it the muscle will re-create this "look" over time because you can't remove the muscle without losing vital eye closure... more
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Treating Lower Lid Smiling Wrinkles

The wrinkles you are bothered by are caused by several converging mechanisms. Loose skin / sun damaged skin with excessive active lower lid muscle. There are no totally reliable treatments for your problem and the solutions would depend on your preferences and risk acceptance as well as depending on how your lower lid looks at rest (laxity, position). In my opinion, your best option is lower lid kin tightening and rejuvenation (provided there is lid support) with Sciton Erbium PROFRACTIONAL... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

There is no effective treatment for the dynamic wrinkles under your eyes.

The roll of wrinkled skin that forms in your lower eyelids with smiling (orbicularis roll), is a difficult problem to treat. It's the result of the contraction of your lower eyelid orbicularis muscles, and I am not aware of any solutions. Further surgery should certainly be avoided. I have tried BOTOX many times to this area and have been disappointed by the lack of response. I hope this is helpful for you.
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

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