Correcting Creases Where Cheek and Under Eye Meet/eye Hollow in the Outer Region Formed from Smiling? (photo)

Question

I have a crease where my cheek & under eye meet, from a distance the shadow is very pronounced at the outer corner & makes an orbital like hollow appearance. I believe this is forming here on my left side (I'm left handed) because of smiling. Is there anything to do to erase this crease or fill the gap between the two areas? I am interested in hearing all ideas, surgical and non surgical, I just want the easiest, best, most cost effective way to rejuvenate this area and correct this problem. Thx

Kenneth Hughes, MD · Answer

Due to the muscle function in that area, Botox placed in precisely the right place can reduce that chasm that is developing.  Restylane can chase the ridge that has already developed.

	 

	 

	Kenneth Hughes, MD Los Angeles, CA

Robert F. Centeno, MD, FACS · Answer

Thank you for your question and photos. The eyelid crease is caused by several problems.  A thin face causes premature descent of the lid cheek junction giving a hollow appearance.  Sun exposure can also cause deterioration of the skin.  Finally muscle around the eyes activity will accentuate the creases.  Nonsurgical treatment would include botox and hyaluronic acid fillers.  Fat transfer and botox would give you a bit more longevity, but technique is critically important when using fat around the eyes.  Finally, the addition of laser resurfacing would help to tighten the skin.  Traditional blepharoplasty with fat management and  botox would be a more permanent solution.  All the best.

Frank P. Fechner, MD · Answer

It is virtually impossible to give you meaningful answers to your question via the internet. You should consult with an experienced facial surgeon to learn about options and their pros and cons. I predict that there is no simple solution but an improvement should be possible.

Stuart H. Bentkover, MD (retired) · Answer

These creases often form as the muscle of the lower eyelid thickens and skin thins with age.  You will not likely get rid of it completely, but we have found a combination of Pelleve radiofrequency treatments and botulinum toxin can help by building volume in the young lower eyelid.  It becomes a maintenance.  Take a look at the link below and other images on the page too.

Correcting Creases Where Cheek and Under Eye Meet/eye Hollow in the Outer Region Formed from Smiling? (photo)

Answers (4)

Answer: Creases in the eyelid

Answer: Creases in the eyelid

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Everything you need to know about Eyelid Surgery

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

Correcting Creases Where Cheek and Under Eye Meet/eye Hollow in the Outer Region Formed from Smiling? (photo)

Answers (4)

Answer: Creases in the eyelid

Answer: Creases in the eyelid

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.