Will under eye fillers help with creases under eyes? (photos)

Question

I am currently in my late 20s, and I have noticed in the past year worsening under eye creases when I smile. I have had Botox for crow's feet (and a tiny bit under my eye), as well as voluma in cheeks for volume loss. The surgical dermatologist felt the volume loss was causing the under eye rolls. Given some volume loss under my eyes/tear troughs will fillers help decrease the rolls?

Nima Shemirani, MD · Answer

Hi @aShortOne.  You would be a great candidate for tear trough fillers. Restylane and Belotero work great.  I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

Best of luck,

Dr. Nima

Jason Emer, MD · Answer

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Gregory A. Buford, MD, FACS · Answer

As the previous physician noted, these lines can be challenging to treat and often require a multi-modality approach.  To address your concerns effectively, I would suggest the following:PRP w/Micro-Needling (to the under-eye area to encourage stimulation of collagen)Volbella XC (to the tear trough area to add a small amount of volume and help slightly expand this tissue)BOTOX Cosmetic (to the under-eye area to help soften the transition from the lateral crows feet area to the lower lid)This combination can be challenging and only attempted by an injector with adequate experience. As such, make sure that you know the background and training of whomever you choose to treat you.I hope that helps and wish you the very best!-Gregory A Buford MD FACSBoard Certified Plastic Surgeon and Author

Shaun Patel, MD · Answer

Honestly, these superficial undereye lines can be difficult to treat. Any undereye volume loss can be treated with a filler such as Restylane and while this may improve the appearance of the undereyes/tear troughs, it may not correct the superficial lines you are concerned with. A small amount of Botox or Dysport placed right undereye the eye may soften these lines. Microneedling and fractionated non-ablative lasers as well a good eye cream may further improve the results.

David Jensen, DO · Answer

Filler will certainly help with volume loss and to even out the area that you are concerned about. One syringe is not going to cover both under eye areas, make sure you are getting adequate treatment.

Will under eye fillers help with creases under eyes? (photos)

Answers (7)

Answer: Undereye lines

Answer: Undereye lines

Answer: Crease Under Eye Area

Answer: Crease Under Eye Area

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Everything you need to know about Dermal Fillers

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Will under eye fillers help with creases under eyes? (photos)

Answers (7)

Answer: Undereye lines

Answer: Undereye lines

Answer: Crease Under Eye Area

Answer: Crease Under Eye Area

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.