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

Question

I have had these for a few years now and they have not gone away, sometimes (like today) I feel like they are very noticeable. They get on my nerves when ever i see them, no one my age has these. What are they and can they be treated? Is this from too much late night games?

Jason Emer, MD · Answer

It looks as if you have a few things.  One is a tear trough, which is loss of volume under the lower eye and this can be fixed with some fillers.  The creases your seeing under your eyes are a combination of genetics, allergy (dennie morgan folds/lines) and due to aging/elasticity of the skin.  Botox, peels, laser, and/or microneedling all help with this.  As well as topical vitamin A and C products.  You should see a cosmetic dermatologist or plastic surgeon with experience in treating this.  I wish you the best, Dr. Emer.

Billy Ledbetter, MD · Answer

You have several options that range anywhere from simple rest and nutrition to surgical blepharoplasty.  I would not consider surgery as a first option, as there are a lot of non-surgical options.  The fine lines and wrinkles can possibly be taken care of with a good medical grade skin care program with under eye repair serums, as well as good nutrition, staying well hydrated, and getting plenty of rest.  They could also be addressed using microneedling with radio frequency, PRP, stem cells, and/or hyaluronic acid, as well as other techniques. The light hollows in the tear trough can be softened with hyaluronic acid fillers which would help with the shadowing effect and smooth out the appearance of your under eye skin.  Laser treatments under the eye are an option as well, but would be further down my list of recommended interventions.
You said you are 19 and, assuming you have no other health concerns (allergies, collagen issues, etc), your skin is still "young" and "resilient."  I have seen good rest and good nutrition, coupled with a good medical grade skin care program and staying very well hydrated, do wonders for young, otherwise healthy skin, including under eye issues.  It takes a little longer to see results, but is certainly the safest and most conservative approach.  I would recommend finding an experienced and trusted physician to get a thorough skin evaluation so you can make the best decision.  Best of luck. -  Doc L

Ramon Navarro, MD · Answer

yes it must be corrrected in this  way because  some  not actualized dermatological or aesthetic people  utilize  frecquently  hialuronic. acid, or  collagen etc, the work quite welll and  are safe and practical  but  what they dont  telll you and hide than only lasts inside  less than 8 months, by oppoiste  plastma  and fat lasts  more than 5 years

Edwin Ishoo, MD · Answer

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 .

R. Stephen Mulholland, MD (retired) · Answer

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

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

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