55 - how can I treat the deep lines under my eyebrows? (Photos)

The area under the eyebrows is one of those regions where aging changes can become quite noticeable over time, especially in the 50s. The skin there is very thin, and over the years it loses collagen, elasticity, and underlying support. As a result, lines can become more etched and sometimes even appear “creased in” rather than just surface wrinkles.

At 55, deep lines in this area are usually not from one single cause—they’re typically a combination of:

long-term sun exposure and collagen loss
repetitive facial movement (squinting, brow expression)
thinning skin
and gradual volume loss around the upper face and brow support structures
What actually helps

Treatment depends on how “static” (visible at rest) versus “dynamic” (movement-related) the lines are.

1. Botox (if there is movement contributing)
If part of the lines become more visible when you raise your brows or squint, Botox can help soften the muscle activity that is deepening those creases. However, Botox alone will not erase deeply etched lines at rest.

2. Skin resurfacing (very important in this area)
For true etched lines, resurfacing treatments often make the biggest difference:

fractional laser (like CO2 or Erbium)
RF microneedling
gentle chemical resurfacing in some cases

These help rebuild collagen and gradually smooth the skin texture over time.

3. Biostimulatory treatments
Treatments like PRP, PRF, or collagen stimulators can improve skin quality and elasticity in this delicate area. They are subtle but helpful when combined with other modalities.

4. Soft filler (carefully placed, in select cases)
Very small amounts of filler can sometimes be used to soften deep creases, but this area requires extreme caution. The skin under the brow is thin, and overfilling can easily look heavy or unnatural.

What matters most

In this region, no single treatment completely “erases” deep lines once they are fully established. The best outcomes usually come from a combination approach—improving skin quality, supporting collagen renewal, and selectively addressing muscle movement if present.

Bottom line

At 55, deep lines under the brows are very treatable, but the goal is usually softening rather than total elimination. The most natural improvements typically come from combining resurfacing treatments with collagen stimulation, and using Botox only if muscle movement is contributing to the depth of the lines.

Hello. You can go for Botox in case of dynamic lines & facial rejuvenation with fillers/ fat/ morpheus 8 for facial rejuvenation. If theres a lot of skin sagging, you can consider facelift as well.
thank you.

Regards,
Dr. Sameer Karkhanis,
Centre for Cosmetic Surgery, Mumbai, India

Thank you for sharing your photos. Based on the images provided, the lines appear to be primarily crow's feet and lateral lower eyelid wrinkles.

These lines are typically caused by a combination of repetitive muscle movement from smiling and squinting, age-related loss of skin elasticity, and thinning of the skin around the eyes. Treatment options depend on the severity and whether the wrinkles are present only with animation or at rest.

For dynamic crow's feet, neuromodulators such as Botox are often the first-line treatment. If the lines remain visible at rest, treatments that improve skin quality and collagen production—such as laser resurfacing (CO2, erbium, or fractional lasers), chemical peels, microneedling, or radiofrequency-based treatments—may provide additional benefit. In some patients, a combination approach yields the best results.

An in-person evaluation would be needed to determine whether skin laxity, volume loss, or muscle activity is the primary contributor and to develop the most effective treatment plan.

Hi there thank you for your question and sharing your photos. I see that you are concerned about the deepened wrinkles around the eyes. This is a combination of 2 issues. One is a skin problem where constant sun exposure and aging has caused the elasticity of the skin to diminish with time. The other is a muscle problem where the constant activation of the muscle around your eye has created these wrinkles.
To treat this, you would need to address both concerns. Typically, this would be BOTOX (or another brand of neurotoxin) to relax the muscles. Then a skin treatment using a peel or laser would be needed to refresh/restore the skin and collagen. Doing BOTOX along would help reduce the wrinkles but you are seeing more lines at rest now, which would only be sufficiently be treated with a peel or laser. Hope that helps!

Lines directly under the brow (often called the upper sulcus area, or the hollow above the upper eyelid) at 55 are typically a combination of three age-related changes:
Volume loss in the deep upper orbit and brow fat pad — creates the hollow appearance.
Skin quality changes with thinning, fine wrinkling, and pigmentation shifts.
Brow descent that crowds the upper lid space.
Why Botox alone won't fix this:Botox softens muscle activity (helpful for between-the-brow lines like the 11s). But under-brow hollowness isn't a muscle issue — it's a structural/volume issue. Botox can sometimes accentuate the hollow by relaxing the surrounding muscles further.
What actually addresses it:
Conservative HA filler in the upper sulcus (technique-dependent, requires an experienced injector — wrong placement can cause puffiness or lump). Restores volume that's been lost. Lasts 12 to 18 months.
Autologous fat grafting to the upper orbit and brow. More permanent (50 to 70 percent retention), looks more natural because it's your tissue. Often done at the time of a brow lift or upper bleph.
Brow lift if your brows have descended. Repositions the brow upward and gives the upper lid space back. Often combined with conservative upper bleph if there's skin redundancy too.
Skin quality treatment as adjunct. Microneedling with RF or fractional CO2 laser improves the fine wrinkling and tone in the area.
What I'd avoid: aggressive upper blepharoplasty with significant skin/muscle removal in an already-hollow patient. That makes the hollow worse, creating a skeletonized appearance.
Best path: see a surgeon who does both upper-face surgery and injectables. They can give you an honest read on whether volume alone solves it or whether the brow needs lifting too. Bring photos from your 30s if you have them — they're useful baseline data for 'what was missing.'

These lines are often caused by a combination of muscle movement, skin laxity, and volume loss. Botox may help soften the area, but deeper lines sometimes respond better to a combination of treatments like laser resurfacing, filler, or skin tightening treatments such as Ultherapy. An in-person evaluation would help determine the best option for you.

When considering Botox it is first important to understand what it can and cannot do. Botox works on the ability of a muscle to contract. So wrinkles that are caused when we make facial expressions, also called dynamic wrinkles, are improved with Botox. Wrinkles that are present when the face is at rest, also called static wrinkles, aren't really impacted with Botox. For these areas you want to look for treatments that improve skin texture. Some options include chemical peels and laser treatments. I've included a video that I hope you find helpful. See a board certified plastic surgeon near you to learn more.