What’s the Best Treatment for Deep Wrinkles on the Face?
May 6, 2024
Think your wrinkles are too deep for fillers and neuromodulators? Take a look at how we…
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Mabrie Facial Institute
166 Geary Street
Floor 1300
San Francisco, CA 94108
Phone: (415) 445-9513
Text/SMS: (866) 618-9459
Monday–Friday 8 a.m.–5:30 p.m.
Are you concerned about the wrinkles under your eyes making you look older? Many of our San Francisco patients come to us worried that these wrinkles are causing them to appear aged, but even young adults can have wrinkles, especially when they smile. In most cases, the real culprit of an aged appearance is the dark circles and bags under the eyes that result from volume loss. The good news is that fillers are an excellent solution for reducing dark circles and under eye bags by restoring volume and providing structure. Additionally, under eye filler treatments may also improve wrinkles as a secondary benefit.
How To Get Rid of Under Eye Wrinkles: Your Treatment Options at MFI
Filler for Wrinkles Under the Eyes
While under eye wrinkles themselves are challenging to address directly, they typically are NOT the main cause of an aged appearance but rather just a small contributing factor. At Mabrie Facial Institute, we find that, in most cases, it’s dark circles, sunkenness, and bags under the eyes that are causing the aged appearance. Addressing those signs with under eye filler will support the skin beneath the wrinkles and give a brighter, fresher appearance. It may also improve the appearance of the wrinkles in some instances.
BOTOX® for Under Eye Wrinkles When Smiling
If your wrinkles form at the outer corners of your eyes when you smile or squint, we smooth these with BOTOX for crow’s feet. This can be done on its own, as part of our Upper Face BOTOX package, or in addition to under eye filler.
The combination of volume restoration with filler and crow’s feet treatment with BOTOX significantly improved the wrinkles under this man’s eyes, particularly when smiling.
Your Injector will best guide you on your treatment options based on your anatomy and concerns.
How Much Do Fillers for Under Eye Wrinkles Cost?
You can find pricing information for all our services on our dedicated pricing page. Keep in mind, your under eye wrinkle treatment price depends on your Injector and how much product is needed.
Qualified borrowers may be eligible for 0% financing for 6 to 12 months through CareCredit and Alphaeon medical financing.
The MFI Advantage
MFI focuses exclusively on injectables, and has set the bar in the art and science of fillers for more than 15 years. Dr. Mabrie, trained as a facial plastic surgeon, has dedicated thousands of hours to carefully selecting and training our talented Injectors in the most innovative, effective, and safe techniques for injectables. There is no other practice in the Bay Area with the level of experience, education, and passion for injectables you'll find at MFI.
Schedule Me
The MFI Advantage
MFI focuses exclusively on injectables, and has set the bar in the art and science of fillers for more than 15 years. Dr. Mabrie, trained as a facial plastic surgeon, has dedicated thousands of hours to carefully selecting and training our talented Injectors in the most innovative, effective, and safe techniques for injectables. There is no other practice in the Bay Area with the level of experience, education, and passion for injectables you'll find at MFI.
Schedule MeWhat Causes Wrinkles Under the Eyes?
Volume Loss in the Midface
As fat and bone in your midface break down over time, the lack of support causes the area beneath the eyes to sink, droop, and wrinkle. The result is hollowing of the tear trough area and sometimes bags—pockets of displaced fat. These contour irregularities and the shadows they create are usually the main reasons for an aged under eye appearance, not the fine lines and wrinkles.
Thinning Skin
With age, the skin undergoes a decrease in the production of structural proteins, including collagen and elastin. This causes skin to become thinner and less elastic, contributing to crepey skin texture. This is especially true of the extremely thin skin under the eyes.
About 90% of patients with these concerns opt for our Complete Under Eye Rejuvenation package. About 10% see satisfying results from a Partial Under Eye procedure.
Consultation and Planning for Your Under Eye Wrinkle Treatment
Your First Visit
To begin your journey to smoother under eyes, you’ll come into our beautiful, friendly San Francisco office to meet with one of our experienced Injectors. We’ll discuss your concerns and goals, then take professional-level photos from all angles. Based on our conversation, the examination, and the photos, we’ll determine the best treatment for achieving the results you want.
Please plan to spend about 1.5 to 2 hours in the office for your first visit, which includes consultation, prep, treatment, pre- and post-treatment photography, aftercare education, and scheduling your next appointment.
Your Under Eye Wrinkle Filler Procedure
Our exceptionally trained Injectors carefully introduce small, safe quantities of filler for results that never look artificial or overdone. At MFI, we use a blunt-tipped microcannula, which minimizes bruising and lowers the risk of complications. We place the microcannula just under the skin and use a fanning technique for precise filler application. We almost always stage treatment across 2 appointments.
Your Treatment for Under Eye Wrinkles Takes Two Treatments
At MFI, under eye filler requires a minimum of 2 appointments. This staged approach allows us to first establish structure and support and then make refinements for the best results. We start conservatively, then build and layer until we get it just right.
For more information about your treatment, visit Your Treatment Timeline.
Example of 2 Treatment Process
Preparing for Your Procedure
For the best filler experience, follow these tips in advance of your appointment:
- A few days before your appointment, restrict blood thinners, such as anti-inflammatories, fish oil, and alcohol. Limiting these will reduce your risk of bruising from under eye filler.
- DO NOT discontinue prescribed, medically necessary medications.
- Eat and drink a normal breakfast or lunch prior to your appointment; low blood sugar can make patients lightheaded during treatment.
Recovery & Aftercare
Immediately after filler under your eyes, you may experience swelling, bruising, tenderness, and redness. These are normal side effects and are most apparent 24 to 48 hours after treatment. They can last several weeks but typically subside within 2 to 5 days. Most patients return to their routine activities the same day.
Swelling
- Initial swelling may cause the eye area to appear full or puffy, with maximum swelling the day after treatment
- This may cause temporary asymmetry, lumps, or bumps
- Will gradually resolve to reveal your final results over 4 to 6 weeks
Bruising
- While bruising is possible, it is usually minimal
- It is less common (<5%) to have more severe under eye bruising
Redness & Discomfort
- Often minimal and lasting just a few days
Downtime
- No downtime required
- May return to work immediately after treatment
- May resume normal exercise the next day
Because we know you have questions about your recovery process, we created an entire page dedicated to BOTOX and dermal filler aftercare.
Under Eye Wrinkles FAQs
What is the best filler for treatment of under eye wrinkles?
Since the skin under the eyes is very thin with minimal fat beneath it, the best filler for the under eye or tear trough area is a soft, moldable, hyaluronic acid filler. We use Restylane-L® to add volume under the eyes.
Which is better for under eye wrinkles, BOTOX or filler?
BOTOX is the go-to treatment for crow’s feet—the branch-like wrinkles at the outer corners of the eyes. That’s because they are dynamic wrinkles, meaning they are caused by repeated facial expressions. For finely wrinkled skin directly beneath the eyes, we find that filler, especially to smooth underlying hollows or bags, is the best solution. Once the volume loss is corrected, often the appearance of the wrinkles is improved.
How long will my results last?
Our patients usually enjoy results in this area that last a year or more. We recommend maintenance treatments approximately every 9 to 12 months so that you can remain looking your best indefinitely. The amount of filler required at these appointments is usually significantly smaller than during the initial stages of treatment.
We’d Love To See You
If you are interested in learning more about treating under eye wrinkles with filler, request a consultation online, or call us at (415) 445-9513 to schedule your first two appointments with one of our highly trained specialists. If you’ll be visiting us from outside the area, our Fly in for Your Procedure page was created just for you to help make planning your trip as smooth as possible.
A Reputation Built on Results
Dr.Mabrie has really good aesthetic judgment. He gave me a holistic suggestion for the entire face....
Well, Lets start with how LONG my treatments last. I went over a year between my last treatment and...
Love my experience here! My results are so natural! I really felt like they listened to my concerns...
Look…. Let’s be honest. You’re probably already getting injections and it’s hard finding a new spot....
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