How Can I Remove Creases and Wrinkles in Tear Trough Area?
asked 1 year ago by Siouxsee Q in Troy, MI
Latest answer by Steven Wallach, MD
Question viewed 945 times
Tags: age 45-54, tear trough, under eyes, wrinkles, female, crease, options
Hi, I am a 48 year old female. Used retin A/renova since my late 20's. Also had laser work done on face to restore smoothness, eliminate some discoloration..etc. with great results. Not many crows feet around my eyes when not smiling but when I smile...lots of wrinkles and creases under my eyes. I love to laugh and have a great time, but don't want to look older than I am while enjoying life. How does one go about fixing this since it seems like most Docs. frown on using fillers in tear troughs
4 answers to How Can I Remove Creases and Wrinkles in Tear Trough Area?
+4
Botox helps half the time with under eye creases.
Botox helps to improve under eye creases when you smile in half the cases. When it works it is great. Try botox 1st then if you don't see improvements then try fillers. I like diluted radiesse injected a little at a time for 3 sessions a few days to a week apart. Sincerely,
David Hansen,MD
+3
Botox and Fillers to Eyelids
The presence of wrinkles and creases when you smile suggest that the use of Botox would be an appropriate initial treatment. Botox can be judiciously used to lighten the effect of the muscle in the lower lid, but you do need to see someone experienced in treating this area. When done properly, the risk of lowering the lid in someone your age is not great, although it can happen. An oculoplastic surgeon would be your best source.
As for filler, sometimes when...
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Alan Brackup, MD
Philadelphia Oculoplastic Surgeon
Philadelphia Oculoplastic Surgeon
+3
Wrinkles and creases under eyes
The wrinkles and creases that are accentuated when you smile are due to the movement of your cheeks "pushing" your skin upward towards the lower lid area. Botox injections in the lower eyelid area are very meticulous and it requires an injector who is skilled and has a done a number of injections in that area with positive results. I do not recommend injecting Botox in the lower eyelid area as there is a risk that your lower eyelid could pull down leaving you with...
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Arnold Zweig, MD
Atlanta Facial Plastic Surgeon
Atlanta Facial Plastic Surgeon
+2
Tear trough injections
If you have depressed tear troughs, then fillers like restylane can be very helpful, but the crinkly lines you get when you smile is from the muscle contraction underneath the skin. .Loose skin can sometiems be removed with a blepharoplasty.
