What can I do about the strong inner corner pull underneath my eyes? (Photo)

Question

I’m 35, and have quite a strong inner corner pull underneath my eyes. To me, it seems like it’s a muscle problem as you can quite literally see the muscle contracting and releasing in different lighting conditions. I compare my eyes to everyone else my age and no one has lines this bad like I do. What can I do about it?

Eric M. Joseph, MD · Answer

If this appearance of muscular pulling under the medial portion of your eyes is bothering you, I don't see any harm in trying a few units of Botox. Please consider meeting with a reputable facial plastic surgeon or cosmetic dermatologist. Thank you for your question. Sincerely, Dr Joseph

Anna Chacon, MD, FAAD · Answer

Thank you for sharing these details and the photo—it really helps to understand what you’re seeing. From your description, it sounds like you’re noticing dynamic lines caused by muscle movement at the inner corner of your eyes, which can sometimes make the area appear pulled or creased, especially when you blink or make facial expressions.

This is often due to muscle activity in the orbicularis oculi (the muscle around your eyes). While some movement is normal, in certain individuals it can be more pronounced, creating lines that are visible even at rest over time.

Options to address this include:

Botox or neuromodulators: Carefully placed small injections can relax the specific muscle causing the pull, softening the lines without affecting normal eye function.

Skin treatments: If the skin has thinned or shows early laxity, gentle resurfacing (like microneedling, laser, or radiofrequency) can improve skin quality and reduce the appearance of creases.

Lifestyle/supportive measures: Adequate hydration, sun protection, and avoiding excessive rubbing or tugging on the area can help maintain results.

It’s important that treatment is precisely targeted in this delicate area to avoid affecting the natural movement of your eyes. With careful planning, most patients notice a softening of the pull and smoother appearance while maintaining natural expression.

Falguni Patel, MD, FACOG · Answer

Hi! Micro injection of Botox into this area can improve the appearance of wrinkling under the eye, also known as a "jelly roll" treatment. Keeping this area moisturized will also help improve the appearance.

Kenneth D. Steinsapir, MD · Answer

Botox will complete eliminate the contraction of this muscle. However, that may or may not be cosmetically desirable. Concern about this service goes double for any other possible service to address this. Any potential service is likely to cause harm rather than being helpful.

Camille Cash, MD · Answer

From the photo you may want to address the skin versus using Botox in this area as it may result in an undesirable look.  Consider treatments such as Morpheus8 which addresses overall skin tone and texture.  We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

What can I do about the strong inner corner pull underneath my eyes? (Photo)

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