Would lower blepharoplasty and Morpheus8 minimize the appearance of under eye wrinkles? (photos)

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!

Wrinkles under the eye that are freestanding can be treated with laser or Morpheus. However, if they only come with smiling, then Botox is really the only treatment. Even if you do laser in the future, you have to keep up with the botox so that the wrinkles don't return.

You probably don't need a lower bleph based on these photos. I would make sure to regularly do botox/neurotoxin to this area (close to the lid and superficial to avoid hitting the smile muscle) as you said that this worsens when you smile. Secondarily, any kind of skincare improving like morpheus will help.

I would recommend Botox for the under eye wrinkles. You appear very young and I do not think a lower blepharoplasty would be indicated at this time.

Best Wishes,

Gary Horndeski, M.D.

If you have never tried Botox, sometimes it's helpful for under eye wrinkles with smiling. Many times it's not. In general, lower eyelid blepharoplasty is not an operation to significantly reduce under eye wrinkles. Depending on your examination, a chemical peel or laser treatment may also be considered. Thank you for this question! Sincerely, Dr. Joseph

Unfortunately, the photos provided are not optimal for visualizing the under-eye area. However, the description that they appear only with smiling, and from what I can see, is consistent with under-eye "jelly rolls," described this way owing to their similarity in shape to jelly roll candies when the person smiles.
If this is indeed so, then the use of Microtox Botox, i.e. microdroplets of Botox spaced along the "belly" of the under-eye muscles can be quite helpful.
At your young age, to consider expensive aggressive surgery, in my opinion, would be unwarranted. Regarding device treatments, you should be aware that the hard science to support their use lags well behind the intense marketing hype and social media buzz to promote these expensive "bells and whistles" gizmo treatments. So, "buyer beware" when being hawked these types of treatments
You would be wise to consult with a board certified cosmetic dermatologist injector expert. Hope this helps and best of luck

Based on your OK posted photos, though not with good lighting the issue is some slight excess skin with some of the infraorbital sulcus. The wrinkling due to muscle action. In your case, I would recommend lower lid blepharoplasty with fat repositioning, Endo lays laser, micro doses fee $5000-$10,000. Best of virtual consult with.

It’s difficult to make an assessment from the pictures included.
Which typically only make facial assessments without facial expression.
Aesthetic issues related to dynamic facial expression are very difficult to treat and probably should be left alone. when we smile the cheek is lifted up, and this causes a redundancy of skin. With youth, there’s enough skin elasticity to tolerate this without forming wrinkles.
With age, the elasticity is lost.
Some damage makes this worse.
The best way to minimize wrinkles of the lower eyelid to avoid excessive sun, exposure and use daily sunscreen.
I would avoid eyelid surgery unless it’s indicated.
I generally do not recommend removing skin from the lower eyelid.
Best,
Mats Hagstrom MD