Best treatment for under eye crinkles and fine lines 29 years old. (photos)

What is the best treatment for under eye crinkles (when smiling) and fine lines that extend down onto my upper cheek area when I'm not smiling. Skin care products do not help. I have an appt for Botox around my crows feet and fillers under the eye. I know the fillers will help with the hollowness under my eyes. I am just wondering what effects I will see as far as improvement with the crinkles and fine lines?

Doctor Answers 5

May want to consider other options as well

Thanks for submitting your question.  I would agree that Botox in your crow's feet and fillers under your eyes are good options.  That said, another very safe, painless alternative may be Pelleve (radiofrequency) around these areas.  This helps build collagen and after 3-4 monthly treatments, you will have a long-lasting benefit.  Hope this helps!

Dark Circles, Eyelid Wrinkles/Bags Treatment -- Restylane or Belotero with Cannulas, Clear+Brilliant, Eclipse Micropen, Viva

Eyelid wrinkles start in the mid
20s-30s and can be treated with botox, lasers, fillers, microneedling/PRP. I
suggest seeing an expert. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 159 reviews

Best treatment for under eye crinkles and fine lines, 29 years old.

Thank you for sharing your question and photographs.  I agree with your current plan of having Botox placed into your crow's feet and lower eyelid while augmenting the soft tissue volume with dermal fillers placed into your upper cheek and lateral/lower eyelid region.  Do keep up with your skin care regimen as it does help delay further onset of signs of aging.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 38 reviews

Treating under eye wrinkles

I agree with starting with Botox/Dysport and filler. Often placing filler on the cheeks and lateral orbit will help as well. If still concerned, laser resurfacing or Infini can be performed in this area as well. Make sure you are on a great growth factor eye cream such as Lifeline.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 26 reviews

Injectables +/- Resurfacing the Skin

Good morning and thank for your question.  I think small amounts of Botox injected into the right place will help with those lines that you're seeing.  Filler will also help, but for longer lasting results, you may also consider skin resurfacing.  This can be done with peels (TCA), lasers (I would recommend a non-ablative type), microneedling, or a combination of all three.  These modalities will help smooth out the skin, and when used with a small amount of precisely placed Botox or filler, the results can be fantastic.  Good luck!

Ryan Marshall, DO
Missoula Plastic Surgeon
5.0 out of 5 stars 6 reviews

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