Dynamic eye wrinkles, sunken tear troughs s/p 1cc Juvederm below eye. 20u Botox to lateral canthals b/l, 10u lower eye (Photo)

I'm 33 y/o F, had h static lateral eye wrinkles and very overactive obicularis resulting in dynamic wrinkles around eye. Lateral canthal lines tx with 20u of botox to each side and it vastly helped, but I found that when I smiled the wrinkles below my eye were still very apparent. I also noticed some loss of volume underneath eye that I got 1cc juvederm injected. But I'm still struggling with undereye "sunken" look, dynamic wrinkles. A PA suggested Restalyne Silk via cannula. Any thoughts?

Doctor Answers 3

Filler for under eye

As you can see from below, there are a lot of filler options for under the eye. Deciding on the right one for you will require an in person exam. I would advise you to schedule a consultation with a board certified plastic surgeon or cosmetic dermatologist in your area (link below) to discuss. best, Dr. Nazarian


Beverly Hills Plastic Surgeon
4.9 out of 5 stars 52 reviews

Tear trough

Your tear trough can be filled a bit with hyaluronic acid such as restylane. I prefer to dilute it a bit so that it flows a bit smoother and can be blended more easily.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Under Eye Fillers

It appears that you still have a little volume loss under the eyes which would benefit from Belotero or Restylane to that area.  Best, Dr. Green

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.