Deep crease under eyes when smiling. Would lower blepharoplasty help? (Photo)

Question

Ive had botox and filler to try and fix this but nothing is helping. They arent there when resting but I hate smiling because of it. It makes me feel old and I'm 28. Any recommendations? Would lower blephorplasty help?

Carlos Mata, MD, MBA, FACS · Answer

Hi Kaseyr,Thanks for your question and your photos. I agree with the majority that botox would help soften the lines but not make them completely go away. Surgery at your age would be too agree and could lead to an outcome that may not improve but worsen your smile. A strip of muscle would need to be cut but that could lead to ectropion which is the white of eyes showing after the operation. Be patient and continue to smile.Botox could improve your outcome. Seek someone with experience in botox for the eyes. good Luck.All the best,Carlos Mata MD, MBA, FACS

Sheila S. Nazarian, MD · Answer

No, a lower blepharoplasty is not what you need. Personally, I think your eyes look great when you are smiling. They're expressive. For now, I would advise you to leave things alone. My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

P. Daniel Ward, MD · Answer

Hi Kaseyr,Thanks for your question. I think you are much too young to consider a blepharoplasty. I would start with a little low dose Botox under the eyes. If properly performed, this is safe and can be quite effective. It is also a much cheaper option than surgery!Please let us know if you have any other questions or concerns!Good luck!

William Portuese, MD · Answer

Botox placement in the lower eyelid muscle will help with the contraction process of the muscle which should help with the  decrease when smiling.  Lower Eyelid surgery will not help this. Keep smiling.

Jeffrey M. Joseph, MD · Answer

These creases are caused by bunching of your lower eyelid muscle called the orbicular coulee muscle. Relaxing this muscle with a low dose treatment of botox can be very helpful in softening the lines. Make sure you find someone experienced in using botox this close to the eye.

Deep crease under eyes when smiling. Would lower blepharoplasty help? (Photo)

Answers (7)

Answer: Treatment for deep crease under the eyelids when smiling

Answer: Treatment for deep crease under the eyelids when smiling

Answer: Why do I have creases in my lower eyelids?

Answer: Why do I have creases in my lower eyelids?

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Deep crease under eyes when smiling. Would lower blepharoplasty help? (Photo)

Answers (7)

Answer: Treatment for deep crease under the eyelids when smiling

Answer: Treatment for deep crease under the eyelids when smiling

Answer: Why do I have creases in my lower eyelids?

Answer: Why do I have creases in my lower eyelids?

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.