Is surgery needed to treat under-eye wrinkles? (Photos)

Those muscles are caused by a tiny muscle under your eyelid called orbicularis. When you smile you actually contract those little muscles. Therefore, if you don’t want to see those wrinkles when you smile then Botox or other neurotoxin is the answer. I would try to find someone who has experience with this it is a very tiny amount and it can leave you with a little bit of droopy lower eyelid for a month or so if you are not evaluated properly. Other than that a few wrinkles under your eyelids when you smile is normal. Best of luck! Dr. Boschert Renaissance Plastic Surgery

There are two groups of muscles that can cause wrinkles around the eyes especially in the lower eyelid and crows feet area.
One is a set of muscles involved with smiling which is primarily the zygomaticus muscles. There really isn’t much you can do to stop the motion of that muscle and not lose the ability to smile.
The second muscle the contributes to wrinkles in this area is The orbicularis oculi muscles. This is a flat wide muscle that contributes closing the eyelids. when that muscle contracts it often causes crow’s feet a type wrinkles and wrinkles in the lower eyelid. Weakening that part of the muscle with Botox works well.
Wrinkles begin to form with age because of sun damage and loss of skin elasticity.
Adding volume is not going to help with wrinkles particularly well unless you need volume enhancement otherwise.
Botox is the way to go and it will soften wrinkles associated with the orbicularis oculi muscle but not those associated with the zygomaticus muscle.
Best,
Mats Hagstrom MD