Dynamic wrinkles/creasing under eyes (when smiling) - possible treatments? (Photo)
Doctor Answers 5
Under eye wrinkles
Dark Circles, Eyelid Wrinkles/Bags Treatment -- Laser Resurfacing, Clear+Brilliant, Micropen, Viva, Ultherapy/Thermage
Smile lines under the eyes
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Lines under eyes
Under Eye Botox
Thank you for your question. I have had great success treating the lower lids with Botox. It will not completely rid the wrinkles of your lower lids but has the potential to dramatically improve them. You are correct that this is not a simple procedure and it must be done by someone with experience in this anatomical region. I typically do only 1 - 2 units per eye, very diluted. The main complication of this treatment is ectropion, or a sagging eye. It is rare in young individuals with good skin tone. Most importantly if this occurs it will resolve as the Botox effect fades.
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