Why do I get these bulges under my eyes when I smile?

Question

I'm 31, but I've had them since a child and they're only there when I smile. How can I get rid of them?

Sheila S. Nazarian, MD · Answer

It's because the muscle in the lower eye pushes forward when you smile. A bit of HA filler such as Restylane could definitely help. Schedule a consultation with a board certified plastic surgeon in your area to discuss. My best,Dr. Sheila Nazarian@drsheilanazarian on Instagram

Jason Emer, MD · Answer

This can be treated with fillers and lasers, and is a result of genetics.  please see an expert for a formal evaluation. Best, Dr. Emer.

James R. Gordon, MD, FACS, FAAO · Answer

The muscle of the lower eyelid squeezes as you smile and protrudes forward. Surgery and fillers would not benefit you. Injecting a small amount of Botox directly into the muscle often treats your issue. Make sure a very experienced eyelid surgeon familiar with this technique performs the procedure. Good luck.

Elliot Heller, MD · Answer

I WOULD TRY FILLERS BEFORE GOING IN AND DOING SURGERY , THE DIFFERENCE BETWEEN FAT TRANSFER AND FILLERS ARE FILLER ARE LESS INVASIVE AND CAN LAST 6-9 MONTHS SOMETIMES UP TO A YEAR DEPENDING ON WHICH ONES. FAT TRANSFERS ARE USUALLY SURGICALLY DONE WITH LIPO AND TRANSFERRED TO ANOTHER AREA OF THE BODY. A FAT TRANSFER CAN ALSO BE DONE THROUGH A LOCAL AFTER SURGERY FOR A REPEAT FAT INJECTION. FAT INJECTIONS OR TRANSFERS ARE USUALLY MORE PERMANENT. THIS IS SOMETHING THAT YOU MAY WANT TO SPEAK TO YOUR DOCTOR ABOUT IN A CONSULTATION AND SEE WHAT YOUR OPTIONS ARE.

Mehryar (Ray) Taban, MD, FACS · Answer

The bulge under eyes is likely combination of orbitat fat (bags) and skin, which can be improved with transconjunctival lower blepharoplasty +/- skin pinch. See link below.

Why do I get these bulges under my eyes when I smile?

Answers (5)

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