What to do with these wrinkles? F 24 (Photo)

I have terrible wrinkles when I smile and I am developing fine lines under my eyes. This is a great concern of mine and I would like to know what approach will be the best to remove/reduce these wrinkles? I am only 24 so I feel it's too early for me to develop so many wrinkles around eyes. I think botox is scary because a lot of people I see with botox looks fake and stuffed. What are my best options?

Doctor Answers 4

Combined Approach for Eye wrinkles

Dear sunshineGirl9:

Looking at your photo, my recommendation is adopting a combined approach.  Botox in the hands of an expert injector can give your natural results that you are looking for.  Along with Botox, use of fillers, lasers and/or chemical peels along with maintenance topical retinol will help soften these lines.  All the best.

Kelowna Physician
5.0 out of 5 stars 6 reviews

Wrinkles around eyes 24 years old

I think that Botox when done properly looks natural. I would try that first. Often times, filler is needed too. Good skin care is always a plus, particularly starting young. I would get started on Retinol or Retin A and sunscreen.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 40 reviews

Botox first

I would search and look for a skilled dermatologist to start with botox and this should definitely help. Lasers and fillers later perhaps but you will need a full assessment. 

Firas Al-Niaimi, MSc
London Dermatologist
5.0 out of 5 stars 4 reviews

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Smile Wrinkles

Thank you for your inquiry. You definitely would benefit from some botox injections. There is nothing to be afraid of. Best would be to consult with a board certified plastic surgeon near you and discuss your options. Let him know you would like to start conservatively. Botox will gradually diminish your smile lines. Results last 3 - 4 months. Feel free to click on the link below for more information. Regards,

Omar Fouda Neel, MD, FRCSC, FACS
Montreal Plastic Surgeon
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