How to best treat under eye dynamic wrinkles? (Photos)

I have since my early 20's had dynamic under eye circles. Much more then the average person. Now that I am almost 40 I've noticed them drastically becoming worse. I don't like how much it ages me and tend to try and not smile now for pictures which I don't like. I have tried Botox, didn't help. I have tried recommended eye creams and retin a products given by dermatologist which doesn't do much. Please help

Doctor Answers 3

Dynamic wrinkles not responding to Botox

This needs filler to replace volume loss. I like to use Restylane with cannulas for this. The tear trough and cheek complex needs filler. Probably at least 2-3 cc would be best. Other treatments such as Infini and laser resurfacing can give added benefit.


Panama City Facial Plastic Surgeon
4.7 out of 5 stars 40 reviews

Approach to Under Eye Wrinkles

Dear buckeyes1218:

Looking at your photos and taking your question into context with regards to previous treatment, I would recommend assessing your face in its entirety.  I would recommend initial filling of your cheeks with a filler like Voluma and thereafter on 2 week re-assessment filling on your tear troughs with a filler like Teosyal Redensity II.  I would also recommend use of chemical peel and/or lasers as well keeping up with maintenance topical retinols.  Please see an expert injector.  Hope this information helps and wishing you treatment success.

Praven Chetty, MD
Kelowna Physician
5.0 out of 5 stars 6 reviews

Getting Your Smile Back--Under Eye Circle Treatments: fillers, lasers, microneedling/prp

Fillers, lasers, and microneedling/PRP can improve under eye circles. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 188 reviews

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