Which procedures will help with under eye skin bunching up when I smile? (Photo)

Question

I am 27 years old and had persistent under eye irritation due to allergies in my work place. Because of the irritation and my rosacea, I was unable to moisturizer under my eyes for an entire year. This caused under eye skin thinning. Now, any time I smile, the skin bunches up like in the photo and I have developed severe fine lines which seem to get worse by the week. What procedures would help to thicken the skin under my eyes, reduce the skin bunching, and lessen the fine lines?

Ellen A. Mahony, MD · Answer

Platelet Rich Plasma and a small amount of Botox are great ways to shape the fragile under eye skin, reduce muscle animation, thicken the skin, add moisture to the skin and fill in some of hollowing that you display in your pictures.  The PRP can be directly injected into the area and be very effective!Good luck!In good health,Ellen Mahony, MD

Jeffrey R. Raval, MD, FACS, MBA · Answer

There are several treatments available to restore the youthful look under your eyes including dermal fillers, Botox, microneedling with PRFM, or laser treatments. A consultation will help identify the best option to restore volume to the eye area and promote collagen growth, reducing fine lines, wrinkles and dark circles. Along with your treatment, discuss with your provider a good skin care regime for the future.

Mehryar (Ray) Taban, MD, FACS · Answer

Usually, 27 year old is too young to have skin removed from under eyes (but fat bags okay). Not sure if you would benefit from skin removal. You may benefit nonsurgical options such as laser and filler. Personal consultation is needed. Skype consultation available.

Samuel Hetz, MSc, MD · Answer

Thank you for your question. I find that the under eye area responds very well to a multifaceted approach. PRP may be beneficial to increase collagen and elastin in more crepey skin, while Botox can help relax the more dynamic lines and wrinkles. Seeing a qualified physician in your area is always a good start.

Harriet Comite, MD, FAAD · Answer

An excellent treatment is Botox placed gently under the eye to help soften the "skin-bunching" muscles.
Patients need to be checked and have an good SNAP TEST under the eyes prior to treatment with Botox.

Which procedures will help with under eye skin bunching up when I smile? (Photo)

Answers (9)

Answer: Under Eye 'Bunching'

Answer: Under Eye 'Bunching'

Answer: An Excellent Treatment Is ...

Answer: An Excellent Treatment Is ...

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Which procedures will help with under eye skin bunching up when I smile? (Photo)

Answers (9)

Answer: Under Eye 'Bunching'

Answer: Under Eye 'Bunching'

Answer: An Excellent Treatment Is ...

Answer: An Excellent Treatment Is ...

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.