What can be done to reduce bunching of lower lid skin? (Photo)

Question

I am 24 years old and have excessive bunching of the skin underneath my eyes when smiling. I don't think it's wrinkles. It just looks like rolls kind of. When my face is at rest it is completely smooth. I tried dysport but I think my doctor thought I was unhappy with the corners of my eyes (crows feet) and so it did nothing. This really really bothers me. What is my best option?

Boris M. Ackerman, MD · Answer

Only an in person evaluation by an expert eyelids surgeon can determine the best treamtne method for your condition.  From the photos, it appears that you could benefit from a very specific and judicious Botox treatment to orbicularix muscle

Nelson Lee Novick, MD · Answer

Bunching of the skin under the eye, sometimes called the "jelly roll" effect often relates to hypertrophy of the orbicularis oculi muscle of the lower lid. A tiny droplet of Botox (or Dysport or Xeomin) placed into the center of the belly of this muscle frequently softens the hypertrophy and diminishes the bunching effect. As this delicate region is not for inexperienced injectors, you would be wise to seek consultation and treatment by a board certified aesthetic physician with experience and expertise in the more advanced uses of Botox.

Samir Undavia, MD · Answer

I think it was reasonable to try the crows feet first. But since this didn't work, a small amount of Botox or comparable agent in the or ovulated muscle just underneath the lid might help. A more permanent solution is a modified bleph where only a thin rim of muscle is removed, and only minimal skin. Good luck!

David J. Goodkind, MD · Answer

you have what I consider dynamic wrinkles.   Dynamic wrinkles are caused by underlying muscle contraction  and subsequently the skin has no place to go but to wrinkle.  When you are not animating her eyelids are perfect you are not a good candidate for surgery  you should try ever-increasing's small increments of Botox to tone down the muscle activity knowing full well that it'll be improved but never eliminated

Sean Freeman, MD · Answer

Cecilia1109, See another MD and get "Botox" or one of the other agents. Make sure they know what you want treated. this is not an operative problem.

What can be done to reduce bunching of lower lid skin? (Photo)

Answers (6)

Answer: Wrinkling lower lids

Answer: Wrinkling lower lids

Answer: Eye wrinkes

Answer: Eye wrinkes

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Everything you need to know about Eyelid Surgery

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What can be done to reduce bunching of lower lid skin? (Photo)

Answers (6)

Answer: Wrinkling lower lids

Answer: Wrinkling lower lids

Answer: Eye wrinkes

Answer: Eye wrinkes

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Recommended reading

Everything you need to know about Eyelid Surgery

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