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What Are the Unusual Lines Starting from the Corners of my Eyes and Extending to my Cheekbone?

I am 25 years old and take VERY good care of my skin (clarisonic cleansing; peptides, moisturizer and spf 90 in the morning, retinol, moisturizer at night; face masks, peels; good diet and exercise; plenty of water, vitamins etc.) However, I've had unusual lines on my face since I was a teenager. They start in the corner of my eyes and curve down past my eye socket area to the point of my cheekbone. I just want to know what they're called and if there is a treatment. Thank you very much.

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5 Doctor Answers | Asked by vermont in vermont

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Malar festoons and tear troughs.

Great job on the skincare. Essentially you are developing both a prominence of the nasojugal groove (tear trough) and lengthening of the malar supporting cheek ligaments (festoons). The tear trough anatomically travels from the medial eye corner to the mid pupillary line (a line straight down from the pupil). The malar festoon travels from the mid pupillary line to the lateral cheek. Although they are anatomically distinct and caused by separate mechanisms, the best treatments are always... more

Tear Trough Treatment with Restylane

Tear troughs on the cheeks can be treated with a dermal filler. For you, I would recommend Restylane. 1) Restylane is long-lasting, but not permanent. Lasts about 1 year. 2) Doesn't seem to swell excessively like Juvederm sometimes can. 3) Is reversible with Hylauronidase, in case you don't like it.

The lines that extend from the corner of your eyes down onto your cheeks may be improved by a well-performed Injectable Filler.

It is fairly common to see lower eyelid grooves that extend down into midface depressions. A well-performed Injectable Filler procedure may be performed to significantly improve the appearance of these indentations. You should consult several reputable physicians experienced in the delicate art of filling these areas. My personal preference is to use Silikon-1000, an off-label filler, for permanent results. I've attached a link to a photo from my RealSelf gallery of one of my... more

Eric M. Joseph, MD

204 reviews

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

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Facial lines

In the young individual the transition between lower eyelid and cheek is imperceptible. The dividing line between these areas in older individuals is the nasojugal crease also called the nasojugal groove or tear trough. The aging process starts near the nose as the tear trough and progresses outwardly towards the same side ear becoming what is called the palpebromalar groove. The facial skin is different than other areas of the body in that there are ligaments directly connecting the... more

Unusual Lines in the Cheek

The lines you are concerned about are caused by sagging of the cheek tissue downward. The tissue above the line is being held up by ligaments to the cheekbone, the tissue below the line lack these strong ligaments and are more susceptible to falling. The line then is the division between these two areas. There are many names for these lines but the most common is 'tear trough'. Treatment is generally with filler. Getting this line to go... more

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

Wrinkle Treatment: Q&A