Which procedure would reduce under eye bunching when smiling? (Photos)

When you smile, you appear to have a large orbicularis muscle that forms a roll on both sides, and it appears to be larger on the left side than the right. This is also associated with small fat pads and you also have crow's feet when you smile. Perhaps you may be a candidate for lower eyelid blepharoplasty depending on your examination.

Crow's feet at the lateral corners of your eyes would be well addressed with a neurotoxin like botox. In our experience, injecting the orbicularis roll with botox may not lead to significant Improvement. Fillers may lead to a more puffy under eye appearance so please be cautious. I hope this helps! Sincerely, Dr Joseph

You are beautiful! But Botox will help to soften the bunching around your eyes when you smile. We should all have some movement/scrunching around our eyes which we refer to as "crows feet". A little movement is needed as we express ourselves with our eyes and our smile. But we can soften the amount of bunching that occurs with a little bit of Botox. Hope this helps!

Botox can be used to soften the appearance of the bunching that concerns you. The treatment is done in the office with final results seen after two weeks. The product results last about 3 to 4 months. See an expert injector near you for treatment.

This kind of "bunching" typically results from an overly active under-eye muscle. The use of a couple of microdroplets of Botox injected into the belly of this muscle can diminish this considerably. Volume deficit in the adjacent upper cheeks typically accentuates this problem. So, if this is indeed the case here, the use of an HA volumizing filler for the cheeks will not only create a more desirable oval, heart-shaped face, but will secondarily further improve the under-eye regions. You would be wise to consult with a board certified cosmetic dermatologist and best of luck.

Botox can be used to improve wrinkles around the eye. Deeper wrinkles need a combination approach with Botox and lasers, microneedling/prp and fillers. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Under-eye bunching when smiling or making facial expressions can be due to several factors, including skin elasticity and underlying muscle activity. For under-eye bunching, treatments such as Botox or Dysport can be considered. These are injectable treatments that work by temporarily relaxing the muscles responsible for creating these folds, resulting in a smoother appearance when you smile or make facial expressions. Dark circles under the eyes can be due to a variety of factors including genetics, lack of sleep, and allergies. Depending on the cause, treatments can range from topical creams, laser therapy, to dermal fillers such as Restylane or Juvederm. These fillers can help to restore volume to the under-eye area, reducing the appearance of dark circles.It's important to remember that everyone's skin and facial structure are unique, and what works best for one person may not work for another. Therefore, a consultation with a healthcare professional is crucial to assess your specific needs and determine the most effective treatment plan.

There are several options for effectively smoothing wrinkles around the eyes, while also reducing darkness and under-eye bags. For the best result, when patients have multiple goals, we often recommend a tailored treatment that combines several therapies. For your set of concerns, you could benefit from a combination of Botox to reduce the wrinkles around the eyes, dermal fillers to restore volume under the eyes and limit the appearance of shadows, and microneedling or Vampire treatments to promote collagen production and reduce under-eye bags.
It’s so important to feel comfortable in your skin, and we hope these treatments help you do so.

Hello and thanks so much for your question. You might want to investigate neuromodulators to help relax the purse string muscles around your eyes. A few units (10-12) on each side would reduce this crinkling effect. A thin filler, such as Belotero, for the under eye tear trough area would also be worthy of consideration. These two strategies in combination can do a lot to rejuvenate the eyes.