Restylane: Q&A

Ask a Question

What Can I Do to Improve Undereye Wrinkles when Smiling? Kind of Like an Accordion Under my Eyes when I Smile?

I know there are so many potential ways to address this problem - Botox, fillers, lasers, etc. Is this a skin texture problem or fullness issue?

Update: Photo added.

Tags:

under eyes wrinkles

Comment on this

16 Doctor Answers | Asked by Amaxy

Doctor Answers (16)
Community Comments (0)

Undereye wrinkles

When evaluating wrinkles it is important to analyze whether they have a component due to underlying muscle motion. Eyelid wrinkles that have a component due to muscle motion usually improve when treated with a neuromodulator. There are three neuromodulators currently available in the U.S.: Botox(R), Dysport(R), and Xeomin(R). Currently Xeomin has only limited availability but there should be greater availability in 2013. Eyelid wrinkles can have more than one cause and... more

Paul Carniol, MD

Summit Facial Plastic Surgeon

drcarniol.com

Improving undereye Wrinkles

Skin wrinkles under the eye can be addressed with fillers, most commonly Restylane, because it is a smaller molecule. In the past we have also used Fat injections to fill the eye hollows and improve eye wrinkles. In some cases you can also use dysport to freeze and soften wrinkles around the eye. It is most likely a volume loss in the area that is causing the skin to wrinkle, however I would need to see pictures to judge more completely. Hope... more

Philip Young, MD

6 reviews

Bellevue Facial Plastic Surgeon

Combining Volumizing Fillers, Fillers, And Neuromodulators Can Nonsurgically Rejuvenate The Eyes and Eyebrows

The upper inner cheek region, i.e. that inner area immediately under the eye and extending diagonally upward and inward toward the inner angle of the eye, plays an important role in supporting the lower lid. Loss of fat and downward displacement of the remnant of the upper cheek fad pad with age contribute to wrinkling and tear trough formation (and even dark circles) under the eyes. Revolumizing that region nonsurgically with the use of injectable volumizing fillers, such as Radiesse... more

Under eye wrinkles can be treated with combination Dysport and Restylane

Wrinkles like these are not that simple to tackle with nowe type of treatment but a good combination can give you good results. I would use Dysport or Botox to relax the wrinkles and stop those that occur from movement. I would then use a filler such as Restylane or Belatero to add some volume to the area to decrease the folding

Wrinkles around and under eyes

There are several treatments that address different aspects of your problem. Some of your wrinkles are dynamic, meaning they worsen with movements and some are due to the looseness of your skin around your eyes. Neurotoxins such as Botox or Dysport work by weakening part of the circular muscle that surrounds your eye. Partially weakening this muscle will reduce the "crows feet" wrinkles that form when you smile. You also have laxity in the skin under the eyes that... more

Lower eyelid wrinkles are caused by one of three things: muscular tone/contraction, volume loss, or creepy skin. I

If you are relatively young and the wrinkles disappear when you aren't squinting or smiling , the lines are caused by muscular contraction and can be treated with a neuromodulator like Dysport or Botox. If the wrinkles don't disappear with relaxation and there are minimal lines, fillers can be used to restore volume to the area. If the skin has significant wrinkles with creepy skin, the skin needs to be tightened to reduce the crepiness and or redundant skin. You would need... more

Hello

Thank you for your question, yes you have a few options to get rid of the wrinkles and excess skin. You can do lasers, that will improve but it will not be long lasting results. For best results it would be a Blepharoplasty (eyelid tuck) that will remove the fatty deposits and excess skin. That surgery in itself will take away about ten years from your face. It is surgery and it is longer lasting results. Fillers cannot correct any of your issues. You should go to a... more

What to do for wrinkles under the eyes

We have had a great deal of success having our patients use NeoCutis Lumiere Bio-restorative Eye Cream for treating under eye wrinkles. Several well done studies reported significant improvement in color, texture, sagging, and wrinkles under the eyes when used twice daily.

Aging Eyes - Multiple causes and treatments

Basically there is aging of the Periorbita (eyelids and tissues surrounding the eyes including the mid-face) I would look at the smiling and non smiling appearance to determine the options and priorities. For a non surgical choice, Botox to the squint/smile lines and a small amount to the muscle below the lashes may get you to your goal. If there is still a sunken area between the cheek skin and the lower lid then a filler would offer additional help. If there are still wrinkles and... more