What is going on with these lines on my cheeks under my eyes? (Photo)

I need help and advice. I'm 30 years old and have always taken excellent care of my skin- moisturizer,tried to avoid too much sun exposure etc. About 3 weeks ago I had an incredibly violent stomach flu that left me drained. Shortly after that I developed these lines running under my eyes to my cheeks. They look horrible and have aged me dramatically. Friends and coworkers think I'm ill. I can't believe this is down to normal aging. I think there's some redness but it almost seems dented. Help!

Doctor Answers 8

Volume Loss

The lines that are visible down from the eyes to one's cheeks are ligaments that are more visible especially when one loses volume. This could be due to weight loss, and aging. 

With strategic injections using Dermal Fillers like Voluma and Radiesse can help revolumize and bring back the apples of your cheeks making you look and feel rejuvenated. 


New York Plastic Surgeon
4.8 out of 5 stars 88 reviews

Facial lines and wrinkles

you have the typical signs of aging, which occurs at different times for different people/genetics.  I suggest a formal cosmetic consultation.  it may be best for you to start mild laser/peel treatments, some fillers, and better skin care to help prevent the process from rapidily progressing.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 165 reviews

Lines on the cheeks

I guess after the stomach flu, you may lose some weight, and those lines became more noticeable, but most probably you had them even before the flu. You can benefit from a filler like Belotero in the U.S. or Juvederm Volbella, that is not approved yet in the U.S. but is approved in Mexico and most of Europe. Volbella and Belotero can be injected more superficially, with less chances of getting a Tyndall effect on the injected area. Volbella in particular can last for up to 12 months, very minimal discomfort with the injections, as it has lidocaine .3% and minimal recovery time.

Correction of tear troughs and cheek creases.

Facial volume loss do to ageing is a slow, gradual process.  Perhaps dehydration has accentuated these creases or have made you more aware of the creases.  Wait several weeks (6) to see if there is improvement. If there is no improvement a hyaluronic acid filler to the tear trough and cheek creases will improve the appearance.

Robert Sleightholm, MD
Brampton Plastic Surgeon
5.0 out of 5 stars 9 reviews

Malar Creases & Tear Troughs Respond Well To Fillers, Such As Belotero Balance & Teosyal Redensity II

In my experience, malar creases and tear trough problems do not come about overnight. Quite possibly your recent illness accentuated a process that may have been developing slowly. If in another few weeks the creases remain, fillers, particularly Belotero Balance (in my Upper East Side Manhattan office), would make a good and simple treatment approach. Belotero has little or no tendency to engender the unwanted bluish Tyndall Effect when injected superficially into the delicate tissues below the eyes. In my Israel satellite facility where a far greater number of regulatory agency approved fillers and volumizers are available I would opt for Teosyal Redensity II for this purpose.

Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.8 out of 5 stars 23 reviews

Crease on the cheek

it appears that you have malar creases that come form an underlying predisposition to them along with facial fat loss Fillers are a very good option if they do not go away once you are feeling better.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 25 reviews

You loose weight so infrapalpebral sulcus improved

you might  easeally corrected by  plastma  and  fat autologus implanted  there, this  sulcus  normally forms  after 35 y.o but in slim and light  color  forms  quickly  preciselly  after a dehidration, it is quite  easeay   to correct with autologus  fillers than lasts 5 yars  contrary to collagen or  hialuronic acid  than lasts  less than a year to be reabsorved

Ramon Navarro, MD
Mexico Plastic Surgeon

What is going on with these lines on my cheeks under my eyes? (Photo)

Appears as tear trough deformities. This can be improved with fillers like Belotero Balance. Fee $600....

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.