What can be done about my genetic under eye creases? (Photos)

Question

I have had creases under my eyes since I was born. I am now 24 and think I am getting another small crease from aging. Is there any treatment for these deep creases creases? I have been told there isn't much you can do and I think they are too deep and close to the eye for fillers. It's ironic I look really young for my age besides theses creases. Please advise.

Harold J. Kaplan, MD · Answer

Hi Brooke.  You are correct that the horizontal creases directly under the lash lines are not easy to improve.  These are genetic and because of their location do not respond really well to fillers.  You do have some darkening in the tear trough area that would improve with filler, but these lines would probably not.  In our patients that have similar concerns we have used fractional resurfacing to improve these lines.  Although not a perfect solution, it does improve them.

Jason Emer, MD · Answer

Hi Brooke, there are certainly treatments that might work for you. For instance, we use Renuvion helium plasma radiofrequency energy to achieve incredible results around the eye. Combining RF energy and cool helium plasma, the signs of aging (wrinkles, pigmentation, skin laxity) are improved in a ‘Nonsurgical Eyelid Lift.' The focused heating tightens and peels the upper layers of skin with extreme precision, leaving the surrounding area undamaged, smoothing and tightening the periorbital skin, and improving the overall skin quality around the eyes. It's an aggressive treatment, and the recovery time is longer than with other nonsurgical procedures, but the results can be life-changing. I suggest getting a formal consultation with a cosmetic dermatologist to determine the best solution and develop a treatment plan that works for you. Best, Dr. Emer

Johnson C. Lee, MD · Answer

You should not need to jump into surgical treatments or fillers at your age to achieve a more refreshed look. The best treatment will depend on the severity and cause of the lines. In order to thicken the dermis of the skin to avoid folding or fine lines, chemical peels, microneedling, and topical retin-A cream, are all techniques that can be used to reduce the fine lines. If the wrinkling is more profound due to a very active eyelid muscle, then it can be be made less dramatic by a tiny amount of botox placed conservatively in the area. Less is more in the area around the eyes as too much botox or overly severe peels or treatments can cause damage or change the appearance of your eyes. For the best treatment options, it is important to visit an expert for an in-person examination. Hope this helps!
Johnson C. Lee, MD 
Board-Certified Plastic Surgeon

Tonya Boudreaux, MD · Answer

Hello Brookedusek,
You appear to be a great candidate for a dermal filler. An experienced injector can safely add filler to the delicate undereye area giving you the volume back, resulting in a more youthful appearance.
Best to you,

Lawrence Janowski, MD · Answer

Your under-eye area is not too deep for fillers.  They should do a good job in brightening the under eye with less shadowing.  You may need 1-2 syringes to complete the job.  I recommend not putting in more than one at a time to mitigate against swelling of the product.

What can be done about my genetic under eye creases? (Photos)

Answers (7)

Answer: Undereye filler

Answer: Undereye filler

Answer: Under-eyes

Answer: Under-eyes

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What can be done about my genetic under eye creases? (Photos)

Answers (7)

Answer: Undereye filler

Answer: Undereye filler

Answer: Under-eyes

Answer: Under-eyes

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.