What is the best option to treat my dynamic under eye wrinkles? (photos)

Question

Please see photos. I have under eye and crows feet wrinkes that worsen when I smile.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photos—they really help illustrate the pattern of your wrinkles. Dynamic wrinkles, like those under the eyes and around the crow’s feet that appear or worsen when you smile, are caused primarily by repeated muscle movement and natural skin aging.

Here are some approaches that can help:

Neuromodulators (Botox, Dysport, Xeomin):
These are the most effective for dynamic wrinkles. Small, targeted injections relax the muscles that create the lines, softening their appearance while keeping your expressions natural. Results usually appear within a few days and last several months.

Dermal Fillers:
Fillers can be used in the under-eye area to restore subtle volume loss that sometimes worsens the appearance of wrinkles. They work best in combination with neuromodulators when there is some hollowness under the eyes.

Skin Quality Treatments:
Treatments like microneedling, fractional laser, or radiofrequency can improve skin texture, firmness, and elasticity, which helps reduce the depth of fine lines over time.

Dynamic wrinkles are best addressed by relaxing the underlying muscles first (neuromodulators), and then adding volume or improving skin quality if needed. This combination often gives the smoothest, most natural-looking results without freezing your expressions.

Camille Cash, MD · Answer

Botox can be used to treat the crows feet area at the sides of the eyes.  For under the eyes you can consider fillers.  Additionally you can consider treatments such as Morpheus8 to improve overall skin tone and texture.  We always recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Darryl J. Blinski, MD · Answer

Based on your post of photos, I recommend for crows feet wrinkling Botox 10 to 15 units per side, for under eye wrinkling micro Botox dosing with HA fillers, Vella. Once syringe. Fee $1500 per session. Best virtual consult with.

What is the best option to treat my dynamic under eye wrinkles? (photos)

Answers (3)

More RHA Collection Fillers Questions

WE SEND PRETTY
EMAILS

Answers (3)

More RHA Collection Fillers Questions

What is the difference between Voluma and RHA4? (photos)

RHA for more than one area? Want to get filler in my nasolabial folds, cheek bones and possibly my lips.

Is RHA filler less likely to cause the tyndall effect?

Filler type, amount, location for sagging skin & lines around mouth? (Photos)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS