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Restylane, Botox, or Laser Treatment for Under Eye Wrinkles?

G
GoGoEyesOct 14, 2009

Hi there! I just turned 40 and noticed these horrible wrinkles under my eyes when I smile. They are just fine lines when not smiling. I don't really have deep troughs or hollows--just bad smile wrinkles, perhaps due to bleaching creams for dark circles, or lack of sleep over the years.Nowadays, the concealer sinks into the wrinkle and looks really bad! I am trying to see what procedure is best for me. Which treatment is better among Restylane, Botox and laser treatment? I am desperate for help and guidance. Thank you!

Answers (39)

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Dr. Harold J. Kaplan, MD
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Dr. Harold J. Kaplan, MD
Board Certified Facial Plastic Surgeon
4.8 | 20 Reviews
Answered on Aug 9, 2018
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9 people found this helpful
Dr. Benjamin Caughlin, MD, FACS
Dr. Benjamin Caughlin, MD, FACS
Board Certified Facial Plastic Surgeon
Answered on Oct 8, 2018
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2 people found this helpful
Dr. James R. Gordon, MD, FACS, FAAO
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Dr. James R. Gordon, MD, FACS, FAAO
Oculoplastic Surgeon, Board Certified in Ophthalmology
5.0 | 283 Reviews
Answered on Mar 22, 2020
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Dr. Tim Neavin, MD
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Dr. Tim Neavin, MD
Board Certified Plastic Surgeon
4.9 | 116 Reviews
Answered on Dec 9, 2019
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Dr. Steven J. Pearlman, MD, FACS
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Dr. Steven J. Pearlman, MD, FACS
Board Certified Facial Plastic Surgeon
4.7 | 204 Reviews
Answered on Aug 1, 2018
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1 person found this helpful
Dr. Jason Emer, MD
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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Jan 22, 2018
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2 people found this helpful
Dr. J. Jason Wendel, MD, FACS
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Dr. J. Jason Wendel, MD, FACS
Board Certified Plastic Surgeon
4.9 | 388 Reviews
Answered on Dec 13, 2017
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1 person found this helpful
Dr. Cesar Velilla, MD
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Dr. Cesar Velilla, MD
Physician
4.0 | 156 Reviews
Answered on Jun 30, 2017
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Dr. Matthew Richardson, MD
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Dr. Matthew Richardson, MD
Board Certified Facial Plastic Surgeon
5.0 | 176 Reviews
Answered on Jun 22, 2017
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Dr. Jimmy S. Firouz, MD, FACS
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Dr. Jimmy S. Firouz, MD, FACS
Board Certified Plastic Surgeon
4.8 | 28 Reviews
Answered on Dec 21, 2018
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4 people found this helpful
Dr. Young R. Cho, MD, PhD
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Dr. Young R. Cho, MD, PhD
Board Certified Plastic Surgeon
4.8 | 122 Reviews
Answered on Jul 28, 2018
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6 people found this helpful

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Treatment of dark circles of the lower eyelids is difficult. There is no predictability in the results for coloration. Sunken eyes often look darker and fillers in the tear trough may help. If the Restylane is placed under the muscle the cosmetic result may be better than if it is placed above...

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Hello oulipo.  The answer to the question very much depends on the patient.  In most cases, we will use between .5cc and 1cc for both sides combined.  With that said, we have had a patient that required 1 cc for each side because of her facial anatomy. When we reach for a 1 cc...

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