When I Smile or Squint the Thin Skin Under my Eyes Puffs Up into Wrinkly Bags. What Are my Options? (photo)

The wrinkles right at the corner of the eye are best treated with Botox. However, the wrinkles in the lower eyelid/ cheek area closer to the iris are best treated with surgery or laser treatments. Given that you want to avoid surgery, you are likely a very good candidate for laser eyelid resurfacing to tighten the skin in that area. I have found the fractional CO2 laser to be the safest and most effective laser for treatment of this area but there are other options available. I hope this information is helpful.Stephen Weber MD, FACS

Great question you have here! The issueyou are experiencing is actually a usual concern by a number of individuals.You are actually in the right path of looking for a non-surgical approach toresolving the issue rather than trying invasive procedures on the get go.Surgery may not really do well in your case since it may give birth to otherissues of concern. To find the right non-surgical option for you, we first needto determine the factors that contribute to the wrinkly bags that you areexperiencing. One of the factors that we will consider is the think skin thatyou have mentioned, your aging skin, as well as the muscle around your eyescalled orbicularis muscle. With these factors identified, you may benefitundergoing Botox to relax your orbicularis muscle. This should minimize thepuffiness as well as reduce your wrinkles. After Botox, you can try laserresurfacing of the skin. This will help in tightening your skin therebysmoothening out the remaining fine lines. It can also stimulate collagenproduction for a more youthful and healthier skin. Hope this clarifieseverything!