What is best for under eye wrinkles: Botox or Fillers? (Photo)

Hi GG.  In many cases we will recommend a dermal filler under the eye to help with wrinkles, but for the dynamic kind you have, we would likely recommend a laser resurfacing procedure.  No treatment is going to be perfect, but we wouldn't use Botox as the amount of product required to help would be extremely small, which would mean that it wears off very quickly.  In addition, the possibility for making the under eye area sag because of the Botox would be high.  Botox is not commonly used in this way.  In person, we would be able to see you smile and discuss the benefits of filler vs. resurfacing.  For an example of Orange County eye rejuvenation using Restylane and laser resurfacing, check the link below.

Undereye wrinkles need to be treated with a combination approach of skin care, botox, lasers and/or radiofrequency. You can get amazing results, but you should see a cosmetic dermatologist with experience in treating this area which is sensitive and requires a meticulous provider to limit any complications.

Hi GG. You do have some volume loss in your tear trough areas underneath your eye. You would benefit from a superficial filler such as Belotero to naturally fill these. As for the creases directly under your eye, in someone your age what I would recommend is a series of chemical peels that may help improve their appearance. There are also at home prescription strength creams that you can use, but they are more for maintenence and prevention than actual treatment. Laser resurfacing would be a more aggressive treatment. I would stay away from Botox and fillers in those areas. Hope this helps.