Under eyes bunch up when smiling - how can I fix this? (Photo)

Under eye lines and wrinkles can occur from extra skin or increased muscle activity. Botox can be used to treat the muscle and eyelid surgery (or lasers or chemical peel) to treat the skin. I would recommend you seek a consultation with a board certified surgeon that performs both injections and surgery.

This kind of infraorbital bunching up with smiling often comes from overactivity of the horizontal under-eye muscles. Because of its appearance resembling a "jelly roll," it is typically referred to in this way. Happily, a few microdroplets of Botox placed along the "belly" of the muscles relaxes them and diminishes their appearance with smiling and laughing. You would be wise to consult an experienced, board certified cosmetic dermatologist filler expert, and best of luck.

When person smiles skin of the cheeks and around the mouth is pulled up and on a side and creates a bunching; this can be seen even in the babies. As people grow older elasticity of the skin is decreased and this phenomena is even more visible. Hope this helps.