19 with Under Eye Bags/wrinkles: What Should I Do? Is It Normal?

When I smile it only gets worse. I use moisturizer with SPF 15 everyday and use mineral makeup. I also make sure to get plenty of sleep. i don't know what to do.

Doctor Answers 11

Pause before rushing into surgery

Your eyes look youthful and normal. Do nothing for now. If your eyelids still bother you in a few years, then careful placement of Botox to relax the muscle around your eyes and laser skin resurfacing would help. You may have to repeat the injections of Botox every 4-5 months to maintain its effectiveness. All the best.

Botox, skin pinch, laser or fillers

Botox can prevent the muscles under the lower eyelid from bunching and can reduce the wrinkles for a while. You can also get a laser peel there and will tighten up the skin in the area. A skin pinch can reduce the skin in this area also.

At age 19, a loss of volume from aging would be a little early for you. If this was the case, and you can find this out by looking at your pictures when you were younger to see if volume has decreased, you can add volume to the lower eyelid region with fillers and fat transfer. Given that you are so young most will likely suggest botox, skin care, sun protection. It would be better if you would send in pictures of yourself without smiling and you can tell how much volume you've lost in the lower eyelid area.

Philip Young, MD
Bellevue Facial Plastic Surgeon
3.9 out of 5 stars 62 reviews

No surgery! Botox and skin care

The small lower lid bag that you have is not an aging sign but rather a healthy orbicularis muscle. The outer wrinkles could be improved with botox.

I would not recommend any surgery in this young age. Some skin tightening ,botox should help. Hope that helps!

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 19 reviews

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I have lower eyelid bags / wrinkles. Is surgery the only option?

Lower Eyelid Bags can be caused by many different issues. Sometimes a combination of issues are contributing. In your case, the wrinkles are cause by a normal, active muscle called the orbicularis coulee muscle. This muscle causes wrinkling in the very thin skin of the lower eyelid. Relaxing this muscle with a "mini" botox treatment as well as improving the resiliency and elasticity of the skin with daily topical maintenance will really help.

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Youthful Eye Wrinkles. Botox a Great Option

Thank you for your pictures.  The lower wrinkles that you are seeing are caused by your orbicularis muscle.  This is, believe it or not, a very youthful finding.  Eye Bags in older patients are found much lower down on the face.  One option is to strategically place a little Botox or Dysport to the lower eyelid to soften this contraction.  It's important to see a board-certified plastic surgeon or dermatologist who has performed injection around the eye.  If its overdone, it could cause problems with eyelid closure.  Best of luck to you!  Dr. Pacella

Under eye bags at 19

Based on your photo, it appears you have a muscle roll under the eyelid.  The orbicularis muscle is the eyelid muscle and in younger individuals it can present as a roll when smiling.  Botox, Dysport, or Xeomin can help relax the outside of the muscle and lessen the roll.  Surgery is not indicated for your eyelid. 

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Avoid surgery on your eyelids

In your case, the wrinkles you see have less to do with aging and more to do with the underlying muscle of your eyelid which can cause the skin to "bunch".

I'd recommend some topical skin treatments to help tighten the skin, and a very little Botox in the area (depending on how things looked when you weren't smiling).  I would avoid surgery, especially on the lower eyelids, until it was absolutely necessary.

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Age 19 with Eye bags and wrinkles

At age 19, you do not need any surgery on your eyelids. Lower eye lid surgery is performed at rest, not upon animation. The primary goal of  lower blepharoplasty surgery is to remove the fat through a trans-conjunctival  approach. The secondary goal is to remove any excess skin that may be present at rest, through an external incision at the lash line. This is called a pinch technique which is closed with tissue glue. For many examples, please see the link below to her eyelid  surgery photo  Gallery

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Lower eyelid Botox or blepharoplasty in Los Angeles

Botox or Xeomin injections may be your best bet in reducing dynamic wrinkles around the eyes and crows feet. Raffy Karamanoukian, Los Angeles

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Lower Lid Wrinklles and less than 30 years old - Recommendations

First I would address the reason for these lower lid  and crows-feet wrinkles. These type of wrinkles are often seen in patients that squint so first of all I would make sure that if you need visual correction then use glasses or contacts (if not sure, have your vision tested) and use sunglasses on bright days.  .                                                                                                                                                                                Now for treatment options, use of fillers like Restylane and Juvederm are helpful to decide the degree of benefit from supporting the skin. If you like the effect then consider a more permanent solution like fat transfer. Secondly, a deeper TCA peel, or fractional laser often helps. Both fillers and resurfacing procedures are complementary and synergistic in your case. For crows feet lines Botox can help to a degree For redundant skin, a conservative skin pinch blepharoplasty may also be of benefit. A qualified board certified aesthetic surgeon will help you find the right treatment for you

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.