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

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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
4.9 out of 5 stars 75 reviews

Approach to Under Eye Wrinkles

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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.

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

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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
4.8 out of 5 stars 207 reviews

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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.