What Would Be The Best Treatment To Reduce The Aging Signs/Wrinkles When I Smile Under My Eyes?

The wrinkling and bags aren't usually present unless I smile. I am 35.

Doctor Answers 4

Improve lines under eyes

Thank you for asking about correcting lines under your eyes.

  • The photos show a combination of creases caused by the orbicularis oculi muscle, slight skin excess and slight fat bulging,
  • Start with Botox,
  • lower eyelid blepharoplasty will help the skin and fat bulging,
  • A lower lid TCA peel (or several) will help the skin if surgery has no appeal.
  • Best wishes.

Under Eye Treatments


From your pictures and based on your age, I would suggest a combination of non-invasive treatments. Start with Botox to lessen the fine lines in the crow's feet area. An option for under the eye is a chemical peel or light laser to tighten the skin non-surgically. Doing this kind of treatment in the winter is more ideal as you do not want to be overexposed to the sun following treatment. Lastly, I would suggest Sculptra to the cheeks which will replace a very small amount of volume loss in the area and subsequently reduce the excess appearance under the eyes. Good luck!

C. Andrew Salzberg, MD
Westchester Plastic Surgeon
5.0 out of 5 stars 40 reviews

Wrinkle reduction is the key word here.

You need some of these of these lines which tell people your smile is real.

I personally think that a combination of Botox and Restylane fillers are the way to go for someone with your issues.

I see that you live close to Columbus Ohio so I recommend that you consider seeing Jill Foster, M.D. in Columbus for these issues.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
4.5 out of 5 stars 21 reviews

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