Loose skin under eyes when I smile

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

I appreciate your concern. If you have a tear trough depression and loss of volume then a dermal filler injection in the eyelid region could help. I would suggest you see an expert injector for a full evaluation and then consider your options. I use a cannula technique and I believe this leads to better outcomes.Best wishes. Dr. ALDO 

The only permanent solution to eye bags is lower blepharoplasty.  The results should last about eight to ten years. You should also develop an anti-aging regimen with your facial plastic surgeon that will include skin care and laser treatments to maintain the results of your blepharoplasty and keep your skin looking healthy and young as you age. I hope this helps.

Thank you for your question. Without seeing a photo or examining you in person it is difficult to give you advice. However, fillers like Restylane or Juvederm will help the tear trough area if there is a depression or loss of volume. I recommend having a consultation with an expert to determine the best treatment plan for you. Best of Luck!

This is an interesting question in that it comes up quite often. When crows feet are relaxed the lower eyelid becomes more noticeable even though the botox/dysport has no direct effect there. When smiling you elevate the cheek and thereby compress the lower eyelid buckling the skin to some extent causing the lines. Skin peels, retinaA, light lasers and careful filler injections can all be helpful.