Botox or filler for eye bags when I smile? (Photo)

Dear sam07,Thank you for your question. Lower eyebags correction usually require a multi-modality approach. It is important to be cost effective with any treatment plan, but usually a combination of Botox and filler injected with a microcannula will address your concerns.Hope this helps,Nirmal R. Nathan, M.D.Certified, American Board of Plastic SurgeryMember, American Society of Plastic Surgeons

There are a number of ways to treat under eye wrinkles and fullness.  First, you can use Botox to help the appearance of the crows feet wrinkles along the sides of your eyes.  Then to fix the wrinkle closest to your nose, known as the tear trough, I would recommend a filler like Retylane.  However, for the best result, I would recommend a lower lid blepharoplasty to remove the fat under your eyes which is causing that fullness.  The surgery can be done in combination with the injection of a filler or even your own fat to help fully smooth out that area under your eyes.  Good luck!

Good question. It is a little bit difficult to tell from your photographs. Yes, you can use fillers for this type of thing. Botox would likely help the lines lateral to your eyes but not be of any benefit for the “eye bags,” but certain fillers can smooth this area out. It appears from your picture that you have some hollowness in your tear troughs. Typically, hyaluronic acid fillers work best in this area. There are several different products, but in our practice we gravitate toward using Restylane in this part of the face. Proper photographs and a proper consultation with a facial plastics surgeon is necessary. Good luck.