In need of serious help for serious premature under eye wrinkles, what are my options? (Photos)

Hello! It looks like you have early signs of crows feet wrinkles in the corners of your eyes. First, protect your skin from the sun and tanning beds as these accelerate aging and wrinkles greatly. Second, consider Botox to the crows feet area to weaken the muscles and prevent the wrinkles from worsening. And finally, consider skin resurfacing with a peel or lasers and a good skin care routine if Botox is not effective in smoothing the wrinkles. Good luck!

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Dear jji008Thank you for your questions and photos! Sorry that you do not want to smile!!  Baby steps would include Botox, PRP and possibly some light laser treatments.With Warm RegardsTrevor M Born MD

Under eye wrinkles can be permanently corrected with surgery or temporarily camouflaged with fillers.There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eyelift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression. Cost will vary and can be discussed at your consultation.
I hope this helps!

Dear 31 from IOWA,It appears from your photos that you have some early sun damage to the skin in the lower eyelid region. In addition, your smiling muscles are crinkling the skin in the lower eyelid. Botox can help to relax the smiling component of those lines.To improve the skin quality is more challenging. First wear sunblock daily and sunglasses whenever your are outside for any amount of time. Second to improve the skin, you can start with Retin-A and then consider deep procedures like laser skin resurfacing to improve the skin in this area. I hope this was helpful.

You can use Botox to treat the wrinkles at the outer corner of the eyes.  It's a quick treatment with no downtime and lasts 3-4 months. You would also benefit from treatments such as chemical peels, lasers, and microneedling to improve skin tone and texture.  Remember to use sunscreen daily.

Specific advise is hard to give without an in person evaluation, but I would start with skin care, including tretinoin, Botox, and then microneedling or a fractional CO2 laser. See link below for an example. 

Hi thank you for your question and photos. I recommend Botox in the crow's feet to start, as that will significantly improve the lines on the outer corners of your eyes. If after Botox you are unhappy with the appearance under your eyes, you can treat the tear trough area with dermal fillers. 
You should see plenty of improvement after Botox. Good luck to you!

Thanks for sharing your question and photos. You have dynamic lines around the eyes which I believe would respond nicely to treatment with Botox/Dysport. You also appear to have some undereye volume loss which maybe improved with filler. I would combine these injectable treatment with a good at home skincare regimen (sunscreen, antioxidant, retinol). Microneedling, fractionated lasers, and RF skin tightening (Thermage FLX) may help with texture of the skin around the eyes as well.

Thank you for your question.  The wrinkling that you see in the crows feet area is caused by contraction of the underlying eyelid muscles.  These wrinkles can be lessened with Botox injections into the crow's feet area. Surgery will not correct this problem and should be avoided.  Of course consult an experience board certified plastic surgeon for proper diagnosis and recommendations.