How do I get rid of lines under my eyes when I'm smiling? (Photo)

Ever since I was little I've had these lines underneath my eyes when I'm smile. It's really embarrassing because I'm only 22 and they make me look a lot older than I am. I drink lots of water and get a lot of sleep. How can I fix this? Is there a permanent solution? I don't like the idea of having to constantly hide them with fillers.. If that's even an option? It keeps me from taking pictures, because in most of them they can look even more dramatic? Please help!!

Doctor Answers 7

Undereye wrinkles that only appear with smiling

You have what we call an #infraorbital roll from a hyperdynamic periorbital muscle. In your case, the inner fibers of the sling of periorbital muscle that surrounds the eye is very strong,  and can easily be relaxed with just a few units of #Botox.

New York Dermatologist
5.0 out of 5 stars 8 reviews

Smile Lines Under the Eyes

Your photos show a wrinkle under your eyelids that could easily be softened with a small amount of Botox.  There are other measures available as well like filler but this appears to be a muscle only problem which is best addressed with a treatment like Botox.  It would have to be repeated every 3 to 4 months but I believe you would get a very pleasing result.

I hope that helps.

Best regards.

Brian Windle, MD
Kirkland Plastic Surgeon
4.9 out of 5 stars 62 reviews

Under eye wrinkles

Based on your age, skin texture, and very few wrinkles I feel just a small amount of Botox to the muscle around your eye will make a very nice difference. This line is due to the contraction of this muscle and it will soften nicely with a bit of Botox. Yes, Botox will have to be repeated every 3-4 months but it will give you the most natural, effective result. Please consult a board certified cosmetic dermatologist or plastic surgeon for evaluation. Best wishes.

Kristin Baird, MD
Longmont Dermatologic Surgeon
5.0 out of 5 stars 10 reviews

Under eye creases

Those little creases are from the obicularis oculi muscle contracting when you smile. A small amount of Botulium toxin (Botox Cosmetic or Dysport) would work nicely.

James Shoukas, MD
Lake Mary Plastic Surgeon
4.3 out of 5 stars 7 reviews

Crease under eye

I see you have a single crease under your eye when you smile.  A small amount of Botox just above the crease into the orbicularic oculi muscle usually diminishes that crease nicely.

Karen Stolman, MD
Sandy Dermatologic Surgeon
5.0 out of 5 stars 7 reviews

How to Get Rid of Lines Under Eyes When Smiling. Present Since Childhood.

I would accept this as a natural smile line. It is caused by the activity of the orbicularis muscle that closes your eyes.  Although it could be surgically thinned it is more natural and functional to leave it alone.  If superficial wrinkles appear over time, these can be treated with any number of laser devices that soften wrinkles, such as microablative carbon dioxide or erbium lasers.

Robert M. Lowen, MD
Mountain View Plastic Surgeon
5.0 out of 5 stars 48 reviews

A little Botox will help those under eye creases.

The bulging and crease when you smile is caused by a muscle that activates when you smile.  As Dr. Stolman mentions in her post, it's called the obicularis oculi.  A little Botox into this area will help relax the muscle and thus help the bulge and crease.  Botox needs to be repeated every 3 - 4 months but the amount needed will be quite small so it would not be terribly expensive.  IMO, Botox is the way to go for this problem.  Any surgery to reduce or weaken the muscle would not be worth the risk when Botox is available. 

Lisa Lynn Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 72 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.