What Can Be Done For My Lower Eyelid Wrinkles?

Q: Dr. Eppley, I am sending you some pictures of my lower eyes so please let me know what you think. I have bags and many wrinkles under my eyes even though I am only 29 years old! It’s so much worse when I smile because the wrinkles show much more!! I’m really excited to do something about it but scared of surgery!!

A: Thank you for sending your pictures. What I see is not really much infraorbital fat herniation. Rather I see some infraorbital rim hollowing and a lot of skin wrinkles when you smile. The infraorbital hollowing could be treated by fat injections and perhaps a little lower eyelid skin removal. But many of those lower eyelid wrinkles are impossible to treat surgically because they mainly appear when you smile, thus they are dynamic wrinkles. Much of your lower eyelid wrinkling needs to be treated by Botox injections to stop the muscle action.

Dr. Barry Eppley