Will a face lift correct wrinkles near eyes? (photos)

The wrinkling you are describing are secondary to repetitive muscle movement and changes of the skin during the aging process. These lines are not secondary to sagging tissue or loss of volume in the face. Due to these reasons, lifting the skin during the facelift will not improve these lines.The only way to improve these areas are to limit movement in this area with treatment of Botox or improve the quality of skin. The skin can be improved by variety of skin treatments including lasers, chemical peels, or micro-needling treatments.I hope this helps

The wrinkles around your eyes when
you smile are due activity of the underlying muscle that surrounds your eyes,
as well as the loss of elasticity of your skin that occurs with age, so that
when the skin is lifted with a smile the skin wrinkles rather than tightens. BOTOX
reduces the activity of the muscle around your eyes, and is effective for crow's
feet, but with a very wide smile, the muscles that pull your cheek up can still
result in wrinkles. Pulling your skin back with your fingers will give the
appearance of improvement, but there will be enough skin relaxation and
stretching after a facelift that the improvement in those wrinkles would be
very temporary. Separating the skin from the underlying muscle around the eye
can help crow's feet, but I would not recommend surgery to achieve that one
goal: it is too much for that isolated goal. I hope this information helps.

The answer is NO.  You are the type that needs to look at the individual anatomical features of your face and then determine which procedure is ideal for each.  It is highly unlikely that surgical intervention of any sort will work around your eyes and satisfy your goals.  Look at Botox, laser and fillers.

Thanks for your question, DZB. It's a fairly common
misconception that facelift surgery treats the entire face. In reality, a
traditional facelift lifts and tightens only the lower two-thirds of the face,
which is where most people show their earliest and most significant facial
aging. Your crow's feet can definitely be effectively treated by BOTOX — in
fact, the treatment of crow's feet is one of its main cosmetic indications.
Occasionally, it takes some trial-and-error to hit the right dose. Laser and
energy treatments can also help with fine wrinkles. If you are in search of a
surgical solution, you would achieve better results with eyelid surgery.

It appears as though Botox will give you nice results.  A facelift is nice, but I would have to see you in person in order to make this recommendation for you.

The wrinkling you notice when smiling is caused by contraction of the underlying muscle, as most of the experts have commented here. However, this is exacerbated by any laxity in the overlying skin. I agree, tightening the skin does help alleviate the wrinkles caused by the muscle. You have demonstrated this clearly with a slight pull with your fingers. The question is, is it worth the scars and rather invasive intervention of a temporal lift. And, if a temporal lift does effect some modest alleviation of those wrinkles, we will they simply recur as the skin settles and stretches several months after the procedure. I think a more judicious approach to your case, given that you do not like the effect of Botox, is to try some form of laser skin tightening. There are several machines and lasers out there which can achieve this. This may give you some of that alleviation with out the invasiveness of a surgical procedure.Talk to a board certified plastic surgeon.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

A facelift will not interfere with a function of muscles that generate facial expression. The wrinkles around the eyes are created by muscular function and would eventually return after a facelift. You certainly do not need a facelift based on the pictures. Botox is a fine solution to your modest aesthetic problem.

Hi.  There are several factors at play with wrinkles around the eyes, including crow's feet.  There is a static portion of the wrinkle that is apparent at rest.  There is also a dynamic portion of the wrinkle that is more apparent when you smile or do similar facial expressions.  Botox can help with the dynamic wrinkles.  A facelift can help with the static wrinkles.  If you would like to consult in person, I could give you more specific advice based on your exam and aesthetic goals.Good luck and take care,Dr. Howell

Thank you for your question and for sharing your concerns and photos.  You would see some wrinkle reduction with skin tightening procedures such as laser resurfacing, Ulthera, Profound or even removing some skin right around where you are pulling with your fingers in the photos.  However, it may not be sufficient to override the dynamic effects of the obicularis muscle contraction over time.  Botox is one of the most effective manners of softening these lines.  I would recommend visiting with a board certified plastic surgeon with a high volume injection practice to help discuss your options in more detail.

Typically no.Wrinkles around the eyes are typically treated with Botox, laser resurfacing and/or in some select cases fillers.  Additionally, tretinoin (Retin-A) used consistently over the course of years may improve the appearance of finer lines and wrinkles around the eyes.In some cases, a portion of the muscle (orbicularis oculi) can be treated during a facelift to decrease the muscle activity that leads to "crow's feet" wrinkles. I hope this helps.

Your information is correct - Botox is the best option for treating these lines that happen when you smile.In the pre-botox days, surgeons used to excise a portion of the orbicularis muscle, during a facelift.  While it fixed the wrinkle, it created weird looking effects when people moved their face - not a good trade-off.Similarly, a temporal brow lift doesn't prevent these wrinkles from forming when you smile.  Think of the skin and the underlying muscle like a sandwich - and when the muscle contracts, the attached skin accordions up into folds.All the best,