What may have caused these under eye wrinkles and what can I do about it? (photos)
Doctor Answers 5
Under eye wrinkles
Dark Circles, Eyelid Wrinkles/Bags Treatment -- Restylane or Belotero with Cannulas, Clear+Brilliant, Eclipse Micropen, Viva
Lines under eyes
Hello, and thank you for your question! Under eye wrinkles are a very common concern. They are also one of the more difficult areas of the face to treat. The reason for this is simple: Generally speaking, there are 3 things which cause aging around the eye.
(1) Muscle contraction can cause expression lines to be come etched into the skin.
(2) Volume loss along the cheek bones can lead to hollowing under the eyes.
(3) The skin itself becomes weak and stretchy with time due to loss of collagen.
Underneath the eye all 3 of these things come together to create the perfect storm. Therefore, non invasive treatment for under eye wrinkles can be complicated. You are young and healthy. I do not see volume loss under your eyes yet - so I would not do fillers. Botox can be used directly under the eye. It will help some, approximately 25%, but do not expect a miraculous change from it as the muscular contribution to these lines is a relatively small. The best answer for you is to do a series of treatments to stimulate the skin to grow more collagen, so that has the ability to stand up to gravity better, which will reduce those lines. For under eye line such as yours, I generally recommend a series of collagen building treatments such as microneedling, which can go all the way to the lash line, accompanied by a Retinoid. If you do not get your desired results after about 6 months, I would add on Botox at that time. You are young and I predict that you will have a wonderful results!
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Wrinkles under eyes
If it really bothers you, then have it filled with restylane. Seems to me the trough is getting a little deeper and that is what's giving you the impression that your eyes don't look as refreshed. Keep up with your hydration and sleep. These lifestyle behaviors may make enough difference. Hope that helps,Yazdani, MD