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When I smile a hard crease is created as cheek rises and meets my under eye. Crease occurs directly at bone under eye.

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My Medspa put 2 units under each lower lash line when botoxing my eyes but it resulted in the crease becoming more pronounced. (I've also done some filler to get rid of a nasojugal groove, so that may have added a bit of fullness) Is this something where blepharoplasty is the solution? I've included pics without Botox and then again with Botox in the jelly roll of my eye. You can notice the difference in harshness of line. These are all w/in the same week. Thanks in advance for any insight.

Answers (2)

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Kenneth D. Steinsapir, MD profile photo
Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 78 Reviews
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Dr. Brian Kiesnowski, MD, MPH
Board Certified Plastic Surgeon
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