How can I fix bags under eyes while smiling? (photo)

Thank you for your question. Most likely small doses of botox to the underlying muscle will help soften the lines, as well as prevent the skin from creasing as much. This will also help prevent the formation of wrinkles over time. I hope this answers your question, and all the best to you.

Given your age I would recommend trying botox to decrease the action of the orbicularis muscle around your eyelid margin. This should be done by someone who performs this often to avoid side effects.

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.

Thank you for your question. The bags that are seen in the photo are from fat pads under the eyes. Genetically, some are larger than others. You can get them surgically removed by a plastic surgeon or a highly trained Doctor can place a little filler in the indentation under the bag to improve the look. You would want to make sure to seek a Board Certified and very skilled Doctor for either treatments, but both are good options.

To best assess your under eye area, we will need photos in standard lighting with you smiling and without expression. Best way to do that is to go to an office for an evaluation. But primarily, we would want to know if what you see here is a problem related to volume deficient or muscle. I suspect what you are shown here is related to a little bulk of your eye muscle and the creases are dynamic wrinkles that created by the eye muscle call orbicularis as well. So my first inkling is to treat this problem with neurotoxin like that of Botox but not filler. However, if there seem to be a volume deficiency in your tear trough that is making the bulge of muscle more pronounced, that should be treated with a lighter filler in the under eye area.

Thank you for your question! It looks like that its just part of your anatomy of the cheek/under eye when you smile. What you can try is a little bit of botox for the crows feet/underneather the eye to relax the muscle so it doesn't bunch up. Hope this helps!