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

     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

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.

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.

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.