How can I reduce under eye lines? (Photo)

Question

Hi there! Was wondering if there’s anything I do for my undereyed, I noticed I have lines and was wondering what I can do to help reduce them or prevent them from getting worse! Thank you so much!

Mark Beaty, MD · Answer

Great question! The skin under the eyes is the thinnest and most delicate on the face, which is why it’s often the first area to show fine lines and signs of aging. A strong daily SPF and a high-quality, medical-grade eye product are excellent foundational steps to help protect and support this skin.

For more noticeable improvement, treatments such as microneedling—either alone or combined with growth factors like PRP or PDGF—or an ablative fractional CO₂ laser can help improve fine lines and improve skin quality. It’s important that these treatments are performed by an experienced provider who takes proper precautions to protect the eyes. In select cases, neurotoxins can also be helpful in softening fine lines in this area.

Nelson Lee Novick, MD · Answer

For crinkly under-eye skin, you may wish to consider a consultation with a board certified cosmetic dermatologist regarding an in-office treatment series of superficial peels, such as with high concentrations of glycolic or salicylic acid, Jessner's Solution, or low concentrations of TCA to be coupled with the at-home regular use of a topical alpha hydroxyacid cream and an appropriate retinoid. Best of luck

Anna Chacon, MD, FAAD · Answer

Under‑eye lines are very common and usually come from a combination of thin skin, repetitive muscle movement, dehydration, and early volume loss. The best approach depends on what type of line you’re seeing.

If these are fine, crepey lines, start conservatively:
- Daily broad‑spectrum sunscreen and sunglasses (this is the most important prevention step)
- A retinoid formulated for the eye area at night to improve skin texture over time
- Hydrating eye creams with hyaluronic acid or ceramides to temporarily soften lines

If the lines are more noticeable when smiling, they’re often dynamic lines from the orbicularis muscle:
- Low‑dose neuromodulator (Botox/Dysport) can soften these when placed carefully, improving lines without affecting natural expression

If you’re noticing shadowing or etched lines from hollowing, skin care alone won’t correct that:
- Hyaluronic acid filler specifically designed for the under‑eye, such as Restylane Eyelight, is FDA‑approved to improve infraorbital hollowing and can last up to 12 months when placed correctly.
- For prevention, consistency matters more than aggressiveness. Early intervention with good skin care plus subtle in‑office treatments tends to age the area more gracefully than waiting until lines are deeply set.

A photo‑based evaluation is ideal, since treatment differs significantly between fine lines, muscle‑related wrinkles, and volume loss—and many patients have a combination of all three.

Payvand Kamrani, DO · Answer

Great question, this is a very common concern. Those fine under-eye lines are often caused by muscle movement beneath very thin skin, so starting with a very small amount of Botox, usually 1 to 2 units per side, can help soften the lines while still keeping the area natural. This also helps prevent them from getting deeper over time. If there are still lines at rest after that, a laser treatment to stimulate collagen can be a great next step to improve skin quality and texture. An in-person evaluation is important to make sure the treatment is tailored to your anatomy and keeps the under-eye looking refreshed, not overdone!

Yong-Heon Ha, MD · Answer

Under-eye fine lines can appear due to a variety of factors.Based on your photo, it looks like the typical type of under-eye fine lines that occur when skin elasticity decreases.
In this case, it’s best to undergo treatments that stimulate collagen regeneration to restore elasticity.
1. Using radiofrequency treatments such as Eye Thermage or Eye Density (Korean version of Thermage) to restructure the collagen framework.
2. To further enhance the newly restructured collagen, we recommend collagen boosters like Collaum or Allogeneic Dermal Collagen such as Re2O, which replenish collagen in the treated area.
Because the under-eye area is very delicate, we always recommend a personalized consultation to assess your skin and determine the most suitable treatment plan for you.

Stefan Weiss, MD · Answer

CO2 laser would be the gold standard in reducing the appearance of fine lines. It was once coined "the madonna eyelift"

Citrus Aesthetics - San Diego · Answer

Under-eye lines are very common and usually develop from a combination of factors: thin skin, repetitive movement, early volume changes, sun exposure, and gradual collagen loss. Because there isn’t a single cause, the most effective way to address them is almost always a multi-modality approach rather than relying on just one treatment.
From a prevention and treatment standpoint, I typically think in layers:
Skin quality first: Medical-grade skincare with ingredients like retinoids (used cautiously around the eyes), antioxidants, and daily SPF can help strengthen the delicate under-eye skin and slow progression over time.
Neuromodulators (Botox/Dysport): When lines are primarily from movement, very conservative dosing can soften expression without compromising natural facial dynamics.
Collagen-stimulating treatments: Options such as microneedling, RF microneedling, or laser-based therapies can improve fine lines by encouraging your skin to produce more collagen, this is especially helpful for crepey texture.
Volume support (when appropriate): In select patients, subtle support with filler or biostimulatory products may help if under-eye hollowing is contributing to the appearance of lines. This must be approached cautiously and conservatively.
Lifestyle considerations: Hydration, sleep quality, and sun protection play a bigger role here than many people realize.
The key is personalization. Under-eye anatomy is complex, and what works beautifully for one patient may not be appropriate for another. A thoughtful, ethical provider will assess skin quality, movement, volume, and your long-term goals before recommending a tailored, multi-modality approach designed to keep results natural and balanced.
Aesthetic treatments should always be discussed with and performed by a trained, licensed, and medically certified aesthetic provider. The recommendations above are for educational purposes only and do not replace an in-person consultation, examination, or personalized medical advice.

Camille Cash, MD · Answer

To treat fine lines under the eyes you should begin by following a great skin care routine.  Visit with an experienced aesthetician at a med spa near you for a skin analysis.  Together you can create a system designed with your skin and goals in mind.  We recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.  Other supplemental treatments such as Morpheus8 can keep skin tone and texture healthy.

Darryl J. Blinski, MD · Answer

Based on the one posted photo, I can see the option of micro dosing Botox with capital H A filler half syringe in one or two sessions. Expect fees to range from $500-$2000. Another option is the ender laser under a local anesthesia fee $1500. Best of virtual consult with for better explanations.

How can I reduce under eye lines? (Photo)

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