This is a common issue for many people. Multiple factors lead to deep lines around and under the eyes. Generally, to prevent the lines, botox/dysport help to stop the strong muscular contractions that lead to the creation of wrinkles and lines. Once the lines are present at rest they will not go away with botox/dysport. Additionally, you mentioned botox/dysport has not worked for you, so correcting these lines requires different approach. Deep etched in lines respond well to laser resurfacing. The results can be profound and long lasting. From the photo you provided, filler to the tear troughs and cheeks would help rejuvenate the under eye area and decrease the appearance of the lines. Fillers provides lift and stretch the skin, decreasing the appearance of wrinkles and deep lines on the face. John DeNigris, MD
