Wrinkles under eyes when cheeks push up when smiling. Is there any treatment that can help this? (Photo)

Question

I'm now in my early 30s and just this year have started getting two big folds under my eyes only when I smile. I would love to find a solution for this: 1-Can off label Botox be put in the infraorbital head of lavator labii superioris? 2-can fillers make my whole lower eyelid thicker and less prone to folding when I smile? 3-do I just need to accept that I'm getting old and this is how it is? P.S.Just last year my tear troughs were filled (perhaps too much?) Can that be the cause or is it just my age?

Jason Emer, MD · Answer

These wrinkles need laser resurfacing, skin tightening as treatments and microneedling/PRP and peels as long term maintenance.  Some people even need them surgically removed to get . the improvement.  Sometimes a small amount of botox can help I suggest seeing an expert.  Best, Dr. Emer.

Nicholas Gentry, MD · Answer

It is impossible to give great advice based on your limited photo. You need an in person consultation with movement (smiling etc) to know for sure. I only rarely use botox under the eye for the roll. Also, would look at crows feet as this can sometimes improve this region. A good eye cream such as Lumiere is a good daily regimen- buy from a retailer not amazon or online as could be fake product (I see them selling on Amazon for less than I pay). I also like Eyedyllic from Skinprint

Leonard Grossman, MD · Answer

The photograph you submitted shows a limited area and no true diagnosis can be reached. I would recommend that you see a plastic surgeon like myself for an in-person consultation. Botox is definitely not an option here as it will create more problems than solutions. Injecting hyaluronic acid fillers in the lower eyelid area is also not a good idea, as fat is the only product that should be truly injected in the lower eyelid area to provide long-lasting anf natural results. CO2 laser tmight be one of the options for you but again it's only a guess. Good luck from New York City

Kristine Brecht, MD (license suspended) · Answer

As we get older the skin gets more lax.
Weight loss can also do this.
There are some nice non surgical skin firming techniques that may help improve this.
Bipolar radio frequency and microneedling.
Choose an expert. Best. Dr Brecht
Seattle, Wa

Wrinkles under eyes when cheeks push up when smiling. Is there any treatment that can help this? (Photo)

Answers (4)

Answer: Eye wrinkles

Answer: Eye wrinkles

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Wrinkles under eyes when cheeks push up when smiling. Is there any treatment that can help this? (Photo)

Answers (4)

Answer: Eye wrinkles

Answer: Eye wrinkles

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Recommended reading

Everything you need to know about Botox

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