Is there a way to thicken the pretarsal orbicularis oculi muscle under the eye? (Photos)

Fillers like Belotero, Volbella, and Restylane Silk are good for improving under the eyes, but keep in mind that a combination approach will give the most improvement. My patients try to get non-surgical treatments to avoid surgery, so we use fillers, lasers, microneedling/PRP and stem cells. I suggest consulting with an expert to develop a treatment plan best suited for you. Best, Dr. Emer

A dermis fat graft (your own tissue) can be used to help volumize your lower eyelid. In addition a resurfacing procedure can help thicken the skin by increasing the dermal collagen. An in person consultation is best to determine what is best for you, however. 

Alloderm dermal grafts can be placed between the muscle and the skin to thicken the soft tissue in this lower eyelid area. Interestingly this is actually a well known procedure in Asian patients known as 'Love Band' surgery. It is slightly different but the concept is the same.