Wrinkles Under Eyes

I have wrinkles under my eyes and crow's feet wrinkles on the outside of my eyes. What's the best treatment for these areas?

Doctor Answers (11)

Sunglasses and Botox for eye wrinkles

+4

Botox is best for your crow's feet. A very small dose (2 units) of Botox injected just below the lower lash line helps with lower lid wrinkles.

A great new technology is Fraxel re:pair, an ablative fractionated CO2 laser that has shown very impressive results for both lower and upper lids. A light glycolic peel also works well for lower lid wrinkles. Surgically, a skin pinch is excellent.

Save the sunglasses for after your treatment.

Good luck.
Dr. P


Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Eye rejuvenation

+3

The eyes are surrounded by a frame that helps shape our face. A loss of volume to the temples and tear trough areas, combined with fine lines around the eyes leads many to seek out treatment options. Volume and support are easily restored with cosmetic dermal fillers. Using Botox around the eyes is an excellent option in softening, if not resolving, the lines that devlope. We have good outcomes using a combination of fillers, Botox, and the Erbium MicroLaserPeel. Find a practitioner that is able and willing to provide you with a tailored treatment plan to help you meet your goals.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Crow's feet and wrinkles around the eyes

+3

BOTOX Cosmetic may be used to reduce the appearance of wrinkles around the eyes. Mild chemical peels or laser resurfacing may be used to help reduce the prominence of these wrinkles as well.

A physician will be able to provide you with the most appropriate treatment options after examining you in person.

Adam Schaffner, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 16 reviews

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Best treatment for undereye wrinkles and crow's feet

+1

The best treatment depends on why the wrinkles are there. Most wrinkles around the eye are caused by muscle movement, so everyone will get improvement with neuromuscular toxins (Botox, Dysport, Xeomin), which prevent and treat wrinkling due to facial expressions. 

Patients with significant skin damage due to sun exposure or smoking may also benefit from laser or peel resurfacing.

Fillers or fat grafting can be useful for hallowing in the temples or under the eyes, and will contribute to smoothing both deep folds and superficial wrinkles.

Some patients have wrinkling due to excess skin, which is treated with blepharoplasty, often in combination with the treatments above.

In order to prevent and treat wrinkles, everyone should also use SPF 30 or higher (and re-apply frequently), wear sunglasses regularly, and wear a wide brim hat when out in the sun for prolonged periods.

Dana Goldberg, MD
Jupiter Plastic Surgeon
5.0 out of 5 stars 8 reviews

Wrinkles of the Lower Eyelid. A Common Complaint, A Individualized Treatment Plan

+1

You must first determine how aggressive you want to be with the treatment and the amount of downtime you will accept:

  • BOTOX properly placed is the current standard
  • Limited to no downtime: Peleve' Radiofrequency Treatments(3 times per year)+  Twice Dailey Tri-Peptide topical Application
  • Downtime 2-3 Days: Profractional Laser +Peleve' and maintenance with Tripeptide Topical
  • Downtime 7-10 days (but more permanent result): Erbium Laser + Skin Care maintenance

Joseph Rucker, MD, FACS
Eau Claire Plastic Surgeon
3.0 out of 5 stars 3 reviews

Injectables and Lasers Are Viable Treatment Options

+1

One of the most popular treatments for wrinkles around the eyes and forehead, Botox or Dysport injectables both work to relax facial muscles and eliminate the appearance of unwanted lines. FDA-approved for wrinkle reduction, these injectables are made from a purified protein that, when administered by a trained physician, can smooth wrinkles around the eyes.

Another option would be Fraxel or DOT Laser Skin Resurfacing to help eliminate under-eye wrinkles. These technologies both help to eliminate the dead and damaged surface layers of skin, leaving behind dewy, younger-looking skin. By inducing your body’s natural healing responses, these laser skin treatments encourage the production of new skin cells and collagen.

A combination of these two treatments may be the perfect solution to your cosmetic issues.

Ashley R. Curtis, MD
Atlanta Dermatologic Surgeon

Botox, lasers or fillers are all great treatments for wrinkles under the eyes

+1

There are 3 main treatments for this problem.  The first is Botox or Dysport to reduce the muscle movement that makes the crow's feet.  The second is a laser to tighten the skin under the eye like a fractionated C02 laser, and the third is using a filler like Restylane or Juvederm to fill in the tear troughs that cause shadows and dark circles.

Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Eye wrinkles can be treated in a variety of ways

+1

Wrinkling around the outside of the eyes can be caused by smiling, squinting, sun damage, loss of fullness in the face that occurs as we age, and just our heredity as we get older.  There are many ways to address this area, and often a combination of approaches will give you the best result.  Botox and Dysport relax the muscle in that area so that you avoid that extra little scrunch of skin when you smile wide.  Sun damage or photo aging can be treated with medically supervised skin care such as Obagi NuDerm, or with laser resurfacing and or photofacial type treatment.  Injectable fillers such as Restylane, Juvederm, Perlane or Radiesse can be carefully used to fill out the face where we can lose volume with age.  In short, there are many, non surgical tools available to rejuvenate this area.  Make sure you see a physician with good experience in all these techniques.

Elizabeth Slass Lee, MD
Bay Area Plastic Surgeon
5.0 out of 5 stars 32 reviews

Treatment for Crows Feet

+1

The best treatment for the wrinkles at the outer corners of the eyes (Crows Feet area) would be the Botox it will relax  and smooth out the area. The Botox will last about 3 to 4 months.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 7 reviews

Best treatments for wrinkles around the eyes

+1

You mention that you are experiencing lines on the outer part of the eye, or "crow's feet", and wrinkles under your eyes. Botox or Dysport can be very effective in eliminating the appearance of crow's feet. Sometimes a filler such as Juvederm can be used to reduce the appearance of lines or wrinkles to the under eye areas. Some people see success with treatments like Thermage skin tightening or chemical peels. These can be effective with very fine lines although you may need a series of these treatments to really see a difference.


Depending on the severity of the lines under the eyes, a lower blepharoplasty (or eyelid surgery) may be a good option. The best bet really is to schedule a consult with a Board Certified Plastic surgeon, allow him or her to assess the problem in person, and make recommendations based on your unique situation and desired outcomes.

Scott W. Mosser, MD
San Francisco Plastic Surgeon
5.0 out of 5 stars 6 reviews

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.