Age 41 - Wrinkles under eyes (photo)

Question

Hello, I am a 41 year old woman with deep wrinkles under my eyes. I have botox around my eyes, and my Dr does put a little underneath but it's not helped in this area. My dr has said I'm not a candidate for tear trough as I'm not hollow under my eyes and he says my skin is too thin and it will show. I've tried 2 polyneucleotides and 3 lumi eyes too. I'm getting married in 4 months and desperate to lose these lines. Would welcome advice please. Thank you.

Edward Buckingham, MD · Answer

Hello and thank you for your question. Various options exist for adding volume to the lower eyelids, including injectable filler vs autologous fat transfer. The photo provides a somewhat limited view for assessment, however you may have volume deficiency of the lower eyelid and cheek. A detailed in person consultation with a facial plastic surgeon experienced in fillers and fat transfers may be of benefit to you.

Chet Mays, MD · Answer

Thank you for your inquiry! By your photos, it looks like you would be a great candidate for a lower bleph procedure as that procedure will remove excess skin to your lower eyelids. I recommend scheduling a consult appointment with a board certified plastic surgeon like myself so we can assess your eyes, listen to your goals, and create a surgical plan that is best for you and your goals!

Jeffrey M. Darrow, MD · Answer

For people who have wrinkles of their lower eyelids, but do not have the need for a formal lower blepheroplasty, smoothing of the lower eyelid skin can be achieved with a pinch lower blepharoplasty. This is performed under local anesthesia and the lower eyelid skin, just below the eyelashes, is simply repeatedly pinched between the tips of forceps until a standing ridge of the loose excess eyelid skin is formed.  This excess skin is trimmed off with scissors and closed.  The incision line is hidden just barely below the lower eyelid lashes and is very well camouflaged and as only skin is removed the muscle support of the lower eyelid remains intact.  Four months is completely adequate time for the incision line to mature and be nearly invisible.   Best wishes.

Kyle Kimura, MD · Answer

Thank you for your question and the photo you provided! 
I think it is always a great idea to start with the more conservative treatments to address minor issues around the eyelids like you have done (botox, nucleotides, etc). However, some patients reach a point where the non-surgical options begin to make less of an impact than what is advertised. My opinion is that you should consider something like a laser resurfacing of the lower eyelid or a lower blepharoplasty with the focus on addressing excess skin. I think either would be an option for you based on your overall goals. Fortunately, both of these options have a reasonably quick recovery time (laser likely shorter than surgery) that may fit with your timeline. 
Hope this helps!Kyle Kimura, MDFacial Plastic and Reconstructive Surgeon

Camille Cash, MD · Answer

An in person evaluation is best but it appears you could consider carefully placed under eye filler.  If you are wanting a different option you may consider AccuTite or Morpheus8.   These both use RF technology to tighten skin and are safe to use under the eyes.  I've included a video I hope you find helpful.

Age 41 - Wrinkles under eyes (photo)

Answers (9)

Answer: Under Eye Wrinkles

Answer: Under Eye Wrinkles

Answer: Under eye concerns

Answer: Under eye concerns

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Age 41 - Wrinkles under eyes (photo)

Answers (9)

Answer: Under Eye Wrinkles

Answer: Under Eye Wrinkles

Answer: Under eye concerns

Answer: Under eye concerns

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Recommended reading

Everything you need to know about Eyelid Surgery

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