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!

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.

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.

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