Fixing Eyes and Nose When Smiling - can this be improved? (Photos)

Question

When I smile, the area under my eyes appears puffier, and the corners of my eyes tilt upward in an unnatural way. Is there a way to relax the muscles so that my eyes maintain a consistent appearance whether I’m smiling or not? Additionally, my nose widens when I smile, and I’m curious about how rhinoplasty could address this. Since there are several other aspects of my nose and eyes I’d like to improve, would it be challenging for a surgeon to make all these adjustments in one procedure?

Nelson Lee Novick, MD · Answer

This kind of situation in which the under eye area puffs out when smiling for a long time has been called "jelly rolls" owing to the resemblance to the round circular outpouching that occurs when smiling. It is actually due to an exaggerated response of the muscle located immediately below the lower lash line. 
If this is indeed so, then the use of a couple of microdroplets of Botox placed strategically along the muscle will diminish the exaggerated muscle response responsible for this. I have personally been treating this problem in this way for many years now with gratifying responses. It is by no means a new or novel issue.
You would be wise to consult with a board certified cosmetic dermatologist injection expert and best of luck and Happy New Year.

Fixing Eyes and Nose When Smiling - can this be improved? (Photos)

Answers (1)

More Eyelid Surgery Questions

Fixing Eyes and Nose When Smiling - can this be improved? (Photos)

Answers (1)

More Eyelid Surgery Questions

Are there any non-surgical procedures that can help my under eyes? (Photos)

Early 20's - options to Improve dark under eye circles? (Photos)

What type of eyelid surgery do I need to make my eyes larger? (Photo)