Botox did not help. What will help the under eye wrinkles? (Photos)

It’s quite common to still notice fine lines and bunching under the eyes even after Botox — this area can be particularly challenging because the skin there is delicate, thin, and tends to show movement easily. Botox helps mainly with muscle-related wrinkles, like crow’s feet, but it doesn’t address skin laxity or crepiness under the eyes.

For dynamic under-eye wrinkles (those that appear when you smile), treatments that improve skin texture and firmness often work best alongside Botox. Options that can help include:

Skin boosters or microneedling with PRP to improve collagen and elasticity.

Laser resurfacing or radiofrequency treatments (like Fraxel, CO₂, or RF microneedling) to tighten and smooth the skin.

Under-eye filler in select cases — if there’s volume loss contributing to the bunching effect.

Topical retinol or peptide-based eye creams to strengthen and thicken the skin over time.

Your photos show that the movement is quite natural when smiling — the goal isn’t to eliminate expression but to soften how the skin responds to it. Combining gentle skin-tightening and collagen-boosting treatments with well-placed Botox usually offers the most natural improvement.

Hello, you have excess skin under your eyes that can be corrected with lower blepharoplasty and, if necessary, lower eyelid lipofilling.