I am 29 years old and am very embarrassed by my under eye wrinkles that are very noticeable when I smile. (Photo)

Question

This is what my under eyes look like when smiling. What options would be a possibility for me? This is the outer under corner of my eye.

Kenneth D. Steinsapir, MD · Answer

If it does not work, consider BOTOX treatment.  Eventually you will be a good candidate for a lower eyelid chemical peel.  For quite sometime, I do not think you will need much more than a little BOTOX and possibility a bit of filler.

Robert F. Centeno, MD, FACS · Answer

Thank you for your question and photos.  At your age the smile lines are a bit premature.  You should begin a medical grade skin care regimen to protect and rejuvenate your skin which is showing early signs of aging.  Botox would be the next best step to relax the muscles around the eyes that cause wrinkles.  The next step would be either a radiofrequency treatment like ThermiRF or laser resurfacing to improve skin texture and wrinkles.  Best wishes.

Marcelo Hochman, MD · Answer

The answer is several fold:1. botulinum toxin (Botox, Xeomin) is the best way to treat the lines associated with movement (squinting, smiling, etc).  Temporary but works great.2. Proper hydration and skin care - the eyelid skin is quite thin and responds well to medical grade skin care regimens.  There are many but don't have to be expensive or complicated - good cleanser, good moisturizer.  long term retinoid.3. Laser resurfacing can achieve a quick change in texture which is long term as long as you do 1 and 2 above.Lots of options!DrH

Steven L. Robinson, MD · Answer

Because you are only 29, it is unlikely that surgery is needed. If your wrinkles around the eyes are there when you smile but not when your face is relaxed, then Botox would be the solution. It is important to find a board certified and experienced Plastic Surgeon when doing Botox around the eyes.  Best of luck.

Jeffrey M. Joseph, MD · Answer

As an eyelid or oculoplastic specialist, this is a very common issue in my practice. There are 2 parts to these lines. 1. The quality, resiliency, and elasticity of the skin2. The action of the muscles that brings out the wrinklesI recommend treatment that addresses both issues. As kin care regimen specifically designed for the delicate skin around the eyes is vital. Next, a subtle botox injection treatment to soften the contraction of the muscles that bring out the lines without taking away your normal function or expression.

I am 29 years old and am very embarrassed by my under eye wrinkles that are very noticeable when I smile. (Photo)

Answers (5)

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