I have an under eye Jelly Roll and Wrinkles. What is the best treatment is to target this problem? (Photo)

Your eyes are still amazing even if there are little lines.  Sometimes surgery is not kind to what is wonderful and natural about the eyes.  I think you should spend money on a good eye cream (do not spend more than $60 because the most expensive products are not better than the less expensive product even if the jars are nicer).  The eye cream hydrates the skin under the eyes and softens these lines.  So that is a front line product.  I think you would do very well with under eye filler in the form of Restylane.  I do not like the so-called "smooth" fillers for this-they tend to be runny.  Less is more.  Ideally, find the most experienced injector you can for this treatment.  Save the harsh treatments for 10 years from now.

The problem appears to be excess skin on your lower eyelids. This can be improved by removing it through an incision just below the lash line (transcutaneous blepharoplasty) or tightening the loose skin with laser resurfacing (laser blepharoplasty). Obtain a consultation with a board certified plastic surgeon for an evaluation and to discuss options in further detail.

A pinch blepharoplasty will remove some skin along your eyelash border without risking lid lag.  This will safely correct the light excess of skin.  

Hi.  You have a nice, youthful eyelid shape.  What you are noticing is related to the activity of the orbicularis muscle.  When it contracts, in addition to laugh lines, some younger people will get a little roll effect in the lower lid.  Botox is an excellent treatment for both areas - and only a tiny dose is needed.For the very mild textural changes you show in the lower lid, either a chemical peel or light laser resurfacing can be performed.

It seems like from your description you may be describing some excess muscular tissue under your eyelid. It often can be easily treated with small amounts of botox in that area.

There are many causes of "bags" under the eyes, but the easiest to improve is the "jelly roll" or "sausage" that appears when you squint. The squinting motion contracts the muscle around the eye called the orbicularis muscle, which in some people can be quite large. A small amount (like 1 unit) of Botox will relax the muscle and improve the roll. If you are older with lower lid laxity, this procedure may not be the right treatment for you. Make sure you see a physician who has experience with these types of injections.

you have beautiful eyes and to make sure to keep them the same at this point you only need some minor non-invasive treatment. You should start doing some neuromodulator treatment of your crows feet and weaken the orbicularis muscle of your lower eyelids. then start using very low percentage of Retinoic acid cream every night over the lower eyelids, to help with resurfacing of the skin or you can have a chemical peel of your lower eyelids. All of these will help you to improve the lower eyelids.

You have some wrinkling under the eyes which is worse when you smile - as it is for everyone.  There may be enough skin to benefit from having some excised.  You also have some hollowing which creates more wrinkling.  Some filler into the tear trough would help add volume and decrease the wrinkles.  Some laser resurfacing will also help with the skin texture.    

If you're referring to the fine, crepey wrinkling under the eyelid, you have some options:A small dose of Botox can help relax the muscle that worsens these when you smile.If the fine wrinkling is present even when you are not smiling, you can consider microneedling, chemical peels or laser treatments. Injectable dermal fillers are expensive and temporary but safe. In the lower lid the procedure is technician-dependent so find someone reputable. You can try this approach to see how you like the result, but repeated injections would have to be performed every 9-24 months thereafter so you may wish to consider a technique that lasts longer.I feel that surgery is a bit too aggressive given your presentation at this time, but can be an option for you in the future. 

As always, obtain a consultation with a Board-certified Facial Plastic Surgeon or General Plastic surgeon to get a fully-informed recommendation from a surgeon who is able to examine you. Best wishes!  Harry V. Wright MD, Sarasota, Florida

 Crows feet are best treated with Botox. When evaluating the lower lids for a lower blepharoplasty,  it is important to evaluate the excess skin at rest, not smiling. A small pinch technique of excess skin can be removed  to improve  the amount of wrinkles