I have wrinkly crow's feet & crepey sagging under my eyes. I'm Botox/Xenomen intolerant. Any suggestions? (photo)

Undereye wrinkles need to be treated with a combination approach of skin care, botox, lasers and/or radiofrequency. You can get amazing results, but you should see a cosmetic dermatologist with experience in treating this area which is sensitive and requires a meticulous provider to limit any complications.

It is unfortunate that you are 'intolerant' of Botox and Dysport. I really don't know what that means ... but .. Sometimes 2-3 units of Botox is used in the lower eyelid to treat hypertrophy of the orbicularis muscle. In essence, the orbiculris muscles of the lower eyelid cause "crinkling lines" and are responsible for holding the lower eyelid against the eye. When you smile, your cheeks are raised and crinkle the skin under the eyelid. I hope this explains why this occurs.The key is to use a judiciously small amount of Botox to relax the orbicularis muscle but not weaken it - weakening this muscle will result in sagging of the lower eyelid margin. You would not like that effect either.The alternatives are laser resurfacing or Ultherapy as one can treat the area under the eye but not right up to the lower lid with the new 1.5 mm Ultherapy transducers. The treatment needs to be kept outside of the orbit of the eye. The full effect will take 3-6 months from the time of treatment. Read the Ultherapy book provided on the link below under the ebooks section.Consider Ultherapy and thank you for providing a picture.