I am 19 and have these two creases/wrinkles under my eye lid. What are they and can they be treated? (Photo)

You have deep tear troughs. This is rather common and in your age it's usually genetic. The appearance can be improved with HA fillers injected by an experienced physician .

Dear Tylermg,

Thank you for posting your
photo. From the photo, although not as
useful as a live clinical examination, it appears you have a very superficial
line or wrinkle immediately under your eyelash and then a deeper groove towards
your inner aspect of your eye. The
wrinkle under the eyelashes is usually from a hereditary degree of excess skin,
especially when you smile, which tends to crease in the locations your photos
indicate. The second, and deeper, groove
towards the inside is usually hereditary at your age and is called a tear
trough or an area of the eyelid that is somewhat sunken. This generally runs in the family and can
have a hereditary component.

In general, healthy exercise,
dieting and sleep will minimize any effects of lifestyle. However, these are likely anatomical in
causality and may require either injection therapy to build up volume, which
can either be from your own fa or from off-the-shelf tissue fillers and, for
the lower lid skin excess, you could try an injectable soft tissue filler
placed in the right level, perhaps a small amount of Botox®. However, at your
young age, these two temporary treatments will seem frustrating as they will
require recurrent injections.

Sometimes, for hereditary
peri-ocular problems, small excisional-type surgery under local anaesthesia can
be restorative, as this is not aging but, rather, hereditary in nature.

Seek the advice of one or two certified
plastic surgeons with experience in this area or learn to live with some
imperfections which, of course, is the least expensive and the safest.

I hope this advice has been of some
assistance and best of luck.

Sincerely,

R. Stephen Mulholland, MD

Certified Plastic Surgeon

Yorkville, Toronto