How to stop Horizontal under eye wrinkles? (photos)

Question

Why do I have horizontal wrinkles under my eyes after Radiesse cheek filler? I don't have tear troughs filled my cheeks have Radiesse & i think That may be the reason my under eyes are so wrinkled when I smile, are my cheeks causing the wrinkles? The Before and after are only ONE YEAR APART!! So it's confusing not sure it's it's aging or my cheek filler being the cause of bad under eye wrinkles. I had almost 3 cc of Radiesse filler back in 2019. What should I do to fix this and can I go back?

Jeffrey Joseph, MD, FACS · Answer

Thanks for the question.  You have a both static and dynamic changes, as well as slight volume loss that I see from your photos.  I would start with a very small amount of Botox laterally to decrease the lines when smiling and resurface the lowers with either micro needling with RF or ablative fractionated laser therapy.  If that doesn’t improve it sufficiently, a filler would “top it off”.  Good luck!

Jason Emer, MD · Answer

plasma pen, lasers and at home dermarolling and peels help these wrinkles.

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now.

There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term.  There are many things you can do to treat under eye hollows and dark circles without surgery.  Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture.  I suggest you get a formal consultation to see what is best for you and your goals.  Best, Dr. Emer.

Camille Cash, MD · Answer

There are many ways to address under eye concerns.  You can consider chemical peels, FaceTite, and Morpheus8.  These treatments work differently but will help improve overall skin tone and texture.  The placement of your fillers may be an influence on your overall look as well, but an examination would be needed to determine that.

Onir Spiegel, DDS, PhD · Answer

Under eye wrinklles is often the first signs of aging with volume loss and reduction in collagen and elastin production. Two ways to help are with energy devices like IPL and Morpheus 8 and with hyaluronic acid injections for this tear trough area. All the best from Boston, Dr. Onir

How to stop Horizontal under eye wrinkles? (photos)

Answers (4)

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