Under eye wrinkles versus malar bags ? What procedure could I have to reduce these wrinkles? (Photo)

Hello, here are some potential solutions to assist you.
Botox: Because it relaxes the muscles behind the eyes, Botox can sometimes make malar bags look worse, even if it can be useful for avoiding wrinkles, as you have experienced.
Fillers (Juvederm Ultra, Restylane Silk, and Restylane): These help smooth out creases around the eyes and add volume. If not positioned appropriately, they can also draw attention to malar bags because increasing volume can make that area appear more full.
PRP microneedling: This may help with under-eye wrinkles by improving skin texture and stimulating collagen formation, which may lessen the appearance of fine lines and wrinkles without adding volume.

Morpheus8 may be a good option to treat the areas that are concerning to you. The combination of microneedling and radiofrequency will reduce the appearance of the fine lines around the eye by helping build collagen and external resurfacing. I have also seen improvement with reduction of under eye bags/dark circles in many of our Morpheus patients.

Hello,
It may have been that the injector placed the Botox too low on your crows feet which made a shelve?
You could consider injecting medial C/F / jelly roll to aid in side side effect.
The Botox will stop the muscle from creasing and prevent the C/F getting deeper, to improve the skin quality I’d suggest Jett Plasma. For the Malar fat pad separation I’d suggest some cheek filler, this will also help to support the under eye.

Thank you for sharing your questions. The festoons you have can be improved with erbium laser treatment and precise placement of fillers. See an oculoplastic surgeon for evaluation and treatment guidance. Good luck.

Plasticjesus,
Your wrinkles are likely due to the muscle underlying the region pulling on the skin. Weakening this muscle with botox would likely make a big difference for you. Once that has been performed, if there are any residual wrinkles that still bother you, the individual wrinkles could be filled in with filler.
Hope this helps!
-Joshua Halka MD