Top 5 Under-Eye Wrinkle Treatments


There are a number of causes for under eye wrinkles unfortunately, and understanding them can help you determine the best under eye wrinkle treatments for you.

Aging is the first and most common cause of eye wrinkles. As we age, we lose elastin and collagen in the skin, making it thin and lax. Smoking is another big cause of under eye wrinkles since smoking generates free radicals in the body that reduce amounts of elastin and collagen as well. Furthermore, when you smoke, you likely squint, which will add to the problem.

General facial movement and expression will enhance those wrinkles over time, such as when you laugh, squint or smile. Sun exposure contributes to aging in general and also causes you to squint and enforce wrinkles lines as well. Poor facial skin care can leave your skin dry and more likely to crease.
Lastly, genetics and hereditary factors play a big part in ones aging process. Some of the genetic factors that contribute to wrinkles is the amount of skin one has, natural oils, elastin and collagen quality, among many other factors. Younger people with under eye wrinkles likely experience them due to genetics.


Dr. Thompson’s Fraction CO2 laser works great at minimizing fine lines and wrinkles for the full face. For the right patient with fine lines and wrinkles around the eyes, this is a great option. The CO2 laser works by completely resurfacing the skin and helps with other issues, such as acne scars and hyperpigmentation, as well.


Dermabrasion works in a similar way by resurfacing the skin and involves very fine wire brushes that scrub or sand away the wrinkled skin. Wounds appear with any resurfacing option and as it flakes off, fresh new skin appears.


Fillers that contain hyaluronic acid can be injected into the tear trough, which is the sunken are beneath the eyes that causes dark circles. Dr. Thompson prefers using Restylane, since it’s a good consistency for that area of the face, and uses a blunt cannula to reduce the risk and swelling and bruising. The procedure alone takes approximately 15 minutes in the office and numbing cream is applied before hand to minimize any pain. Restylane lasts about 6-12 months on average. Using botox around the eyes (crow’s feet) in conjunction with Restylane can provide full eye rejuvenation in one easy trip.


Fat injections work in the same way as a dermal filler but is a more permanent solution to restoring lost volume underneath the eyes. It is more invasive as fat is taken from the thigh and injected into the under eye area. But it’s still a procedure that can be done in the office, just under local anesthesia. Fat injections are becoming more and more popular and are a great way to restore lost volume in the face.


For more severe under eye wrinkles, a surgical approach is best. With lower eyelid surgery, any extra skin and/or fat is removed from under the eyes and tightened for complete rejuvenation. Fat injections can be done at the same time to restore any volume loss that has occurred.

Every patients situation is different and some are treatable with less invasive options, such as laser or filler, while others require surgery or fat injections to leave them looking refreshed and youthful. 
Article by
Salt Lake City Facial Plastic Surgeon