How to fix bunching/cheek pushing up excess skin under eyes when smiling? (Photo)

Question

Hello, I am concerned about excess skin under my eyes only when I smile. I am wondering if fillers, botox, losing weight, or something else would help this. I am 24 and my BMI is around 20. I have had some eye bunching for forever, but the troughs seem to be getting more severe.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Shaun Patel, MD · Answer

Honestly, it is hard to give you a recommendation based on these limited photos and so I would highly recommend an in person consultation with an experienced local aesthetic physician. That being said, hyaluronic acid based fillers like Restylane can help with undereye hollows and volume and Botox or Dysport can help with dynamic lines around the eyes like the crow's feet. It's also important to remember, that some lines are expected under the eye with smiling since the skin needs some give to allow for this movement.

Mohammed F. Ahmad, MD · Answer

Hello. Thank you for your question. To get rid of the hollowness under your eye, you will need filler in your tear troughs. You may also need a little Botox to help with the craping.

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there! I would inject directly into that area with a very small amount of neurotoxin (1-2 units per side). This should relax that muscle and decrease the wrinkling you are seeing. I also would recommend treating the laugh lines, since the movement there often contributes to the wrinkling you are seeing. Cheers! Sarah RN BSN

Daniel Lafond, MD · Answer

Hi!
Botulinium toxin (botox) will usually help to attenuate these little lumps under the eyes. If it works, it will need to be repeated on a regular basis. Best regards!

How to fix bunching/cheek pushing up excess skin under eyes when smiling? (Photo)

Answers (5)

Answer: Under eye wrinkling

Answer: Under eye wrinkling

Answer: How to fix bunching/cheek pushing up excess skin under eyes when smiling?

Answer: How to fix bunching/cheek pushing up excess skin under eyes when smiling?

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Everything you need to know about Dermal Fillers

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How to fix bunching/cheek pushing up excess skin under eyes when smiling? (Photo)

Answers (5)

Answer: Under eye wrinkling

Answer: Under eye wrinkling

Answer: How to fix bunching/cheek pushing up excess skin under eyes when smiling?

Answer: How to fix bunching/cheek pushing up excess skin under eyes when smiling?

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.