What treatment is best for the smile lines around my eyes? (Photos)

Question

When I smile, I get all this skin bunching up under my eyes. Like to minimize this yet not sure what to do. What would you recommend? Age: 57

Nelson Lee Novick, MD · Answer

Botox has been a gold standard for treating smile related crow's feet  for about thirty-five years. I have personally been using it for nearly that long myself for that purpose with very gratifying results That would be a start. 
If you are still bothered by the undereye area, the use of a robust HA voluminzing filler properly injected can be used to further improve this area. 
You would be wise to consult with a board certified cosmetic dermatologist injection expert and best of luck.

Gary M. Horndeski, MD · Answer

You would benefit from Botox to decrease the wrinkles around the eyes.  Another alternative for you to consider would be an extended brow lift.  Your forehead is quite high.  The incision is placed in front of the hairline to lower the hairline, pull up the eyebrows and extend the incision down in front of the ears to pull the upper and mid face more lateral and up to decrease the wrinkling.

Best Wishes,

Gary Horndeski, M.D.

S. Daniel Huang, MD · Answer

These laugh wrinkles seem like dynamic lines. You may try Botox or other neurotoxins for the areas of interest. You might want to start out with a low dose and increase every 3-4 months to get the desire effect. Overdosing will give an unnatural result, because a full smile requires some laugh lines. Best wishes.

What treatment is best for the smile lines around my eyes? (Photos)

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What treatment is best for the smile lines around my eyes? (Photos)

Answers (3)

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