I have a deep horizontal line under both my eyes. They are there when I smile. And because they are getting deeper, they stay when I don't smile too. Is it my cheeks that are causing this problem? What are my options?
Answer: Management of Lower Eyelid Wrinkles This area can be managed either with Botox or, if the wrinkles are deep, you can do laser skin resurfacing.
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Answer: Management of Lower Eyelid Wrinkles This area can be managed either with Botox or, if the wrinkles are deep, you can do laser skin resurfacing.
Helpful
July 29, 2009
Answer: Deep line under the eyes It seems that you are noticing either 'tear trough' line or festoons of the lower eyelids. Either case you have the option of either getting a filler to fill up the groove or injecting a small amount of Botox to relax the hyperactive lower eyelid muscle causing the line. Surgical options will work well by removing any excess fat from the lower eyelid. Regards
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July 29, 2009
Answer: Deep line under the eyes It seems that you are noticing either 'tear trough' line or festoons of the lower eyelids. Either case you have the option of either getting a filler to fill up the groove or injecting a small amount of Botox to relax the hyperactive lower eyelid muscle causing the line. Surgical options will work well by removing any excess fat from the lower eyelid. Regards
Helpful
August 24, 2009
Answer: Lower blepharoplasty with pinch for horizontal lines under eyes The horizontal wrinkles underneath the eyelids can be addressed through a pinch technique on the lower blepharoplasty. This is usually done in conjunction at the same time as the fat removal from the lower lids. The incision for the lower lids is made after a lash line and is nearly invisible within a month after the procedure. This usually gets rid of lines close to the lash line, but if the wrinkle is more than a quarter of an inch below the lash line it may not be able to be removed.
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August 24, 2009
Answer: Lower blepharoplasty with pinch for horizontal lines under eyes The horizontal wrinkles underneath the eyelids can be addressed through a pinch technique on the lower blepharoplasty. This is usually done in conjunction at the same time as the fat removal from the lower lids. The incision for the lower lids is made after a lash line and is nearly invisible within a month after the procedure. This usually gets rid of lines close to the lash line, but if the wrinkle is more than a quarter of an inch below the lash line it may not be able to be removed.
Helpful
August 3, 2009
Answer: Treatment for Deep Horizontal Lines Under the Eyes The deep line that you're describing sounds to me like your lid/cheek junction. This occurs at the lower orbital rim. It is accentuated by pseudoherniation of fat in the lower lids (bags) and descent of the cheek fat. Smiling will make it worse. Fixes can be temporary such as with fillers-Radiesse is good for this. Fat can be useful as well. But likely you are headed toward lower lid surgery and/or surgery for cheek elevation.
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August 3, 2009
Answer: Treatment for Deep Horizontal Lines Under the Eyes The deep line that you're describing sounds to me like your lid/cheek junction. This occurs at the lower orbital rim. It is accentuated by pseudoherniation of fat in the lower lids (bags) and descent of the cheek fat. Smiling will make it worse. Fixes can be temporary such as with fillers-Radiesse is good for this. Fat can be useful as well. But likely you are headed toward lower lid surgery and/or surgery for cheek elevation.
Helpful
July 17, 2017
Answer: Muscle contraction or arcus deformity can cause horizontal line under eyes Many people with active orbicularis oculi muscles have an exagerated line beneath the eyelid when smiling--Botox can help but not eliminate this line. If you simply have a skin crease accentuated by aging, fractional laser resurfacing may help. Many people have a deep depression beneath the lower eyelid which they refer to as dark circles under the eyes. This is caused by protrusion of the eyelid above the line caused by aging, the dropping of the cheek fat pad beneath the eyelid (tear trough deformity) and by the attachment of the arcus marginalis beneath the lower eyelid skin. I call this the arcus deformity and correct it by releasing the arcus margunalis through a laser incision on the inside of the eyelid and grafting fat beneath the line to plump the line. See before and after photos of arcus release and fat grafting.
Helpful
July 17, 2017
Answer: Muscle contraction or arcus deformity can cause horizontal line under eyes Many people with active orbicularis oculi muscles have an exagerated line beneath the eyelid when smiling--Botox can help but not eliminate this line. If you simply have a skin crease accentuated by aging, fractional laser resurfacing may help. Many people have a deep depression beneath the lower eyelid which they refer to as dark circles under the eyes. This is caused by protrusion of the eyelid above the line caused by aging, the dropping of the cheek fat pad beneath the eyelid (tear trough deformity) and by the attachment of the arcus marginalis beneath the lower eyelid skin. I call this the arcus deformity and correct it by releasing the arcus margunalis through a laser incision on the inside of the eyelid and grafting fat beneath the line to plump the line. See before and after photos of arcus release and fat grafting.
Helpful