What can I do about the bags / wrinkles under my eyes when I smile? (photos)

Question

When I smile, it seems like I have too much cheek fat and it causes my eyes to look so baggy and wrinkly. What can I do to fix this? Is it because of how fat my cheeks are or could it be another problem?

Stanley Okoro, MD · Answer

Thank you for your question and photos you provided. You are a beautiful woman and do not need any treatment to your face at this time! Enjoy your youth and re-consider facial treatments in 5 -10 years.

Jason Emer, MD · Answer

For puffiness and sagging under the eyes, we often use Renuvion helium plasma radiofrequency energy to achieve incredible results and take years off of your appearance. Combining RF energy and cool helium plasma, the signs of aging (wrinkles, pigmentation, skin laxity) are improved in a ‘Nonsurgical Eyelid Lift.' The focused heating tightens and peels the upper layers of skin with extreme precision, leaving the surrounding area undamaged, smoothing and tightening the periorbital skin, and improving the overall skin quality around the eyes. It's an aggressive treatment, and the recovery time is longer than with other nonsurgical procedures, but the results can be life-changing.​ See an expert to determine if this is the best solution for you. Best, Dr. Emer

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. In general this part of the anatomy appears overall normal. However, there might be some treatments you could attempt to soften the appearance. Neuromodulators (Botox) can help soften the muscle activity in this area and also laser treatments might also help.
Good luck!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

David Plank, MD · Answer

A board-certified plastic surgeon is qualified to address your issues. Board-certified plastic surgeons have spent years of training and have reached the top level of experience and skill. Seek out a board-certified plastic surgeon for your cosmetic needs.

Darryl J. Blinski, MD · Answer

Nice posted photos. I offer a combination treatment over 3 sessions. For tear trough hollows HA filler like Volbella, skin issues with micro dosed Botox and PRF ( platelets/stem cells). Fee $2,500. Best yo virtual or in person consult with…

Scott C. Lindsay, DO · Answer

Thank you for your question! That is simply a function of your cheeks and facial structure. In my opinion, it does not make the lower lids look baggy or wrinkly. I would be cautious of doing anything to try and correct this. Good luck!

What can I do about the bags / wrinkles under my eyes when I smile? (photos)

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