Plastic Surgery/eye wrinkles


dynamic eye wrinkles
dynamic eye wrinkles  
Hi there.  I turned 40 in August.  I am female, 5'4", 115 lbs, wear Cotz zinc oxide sunscreen every single day, eat a very healthy diet, don't drink and have never smoked.  Up until 6 months ago, I did not even have very noticeable crow's feet.  I've had somewhat deep tear troughs all my life that I've never been that bothered by.  In June I used a new facial cleansing brush that had fairly rough bristles and may have gotten too close to the eye area, because I woke up the next day with what appeared to be tiny whiteheads all around the tear troughs.  The bumps went away on their own in a few days.  (I have not used that cleansing brush since)

Immediately after that I noticed I suddenly had quite deep crow's feet at just the corners of my eyes when I smiled.  In August I had a consultation with a cosmetic dermatologist who suggested Juvaderm for the tear troughs but nothing yet for the crow's feet.  She even commented on the lack of wrinkles under the eye.  

Then in September I noticed when I smiled I had a fairly deep line under each eye as well.  This is only visible when I smile - when I'm not smiling my eyes look fine, no lines or wrinkles can be seen.  But these deep, deep dynamic wrinkles are getting worse by the day, and it seems impossible to keep them from getting worse.

I'm attaching a picture I found online that resembles sort of what I have - deep lines below and at the corners of my eyes that disappear completely when I'm not smiling.  (This is not a picture of me, it's a stock photo just to give an idea of my problem).

I know fillers are popular right now, but I also know most last less than a year, and  I can't afford constant injections, especially at several hundred dollars per syringe (because at the rate I'm going, it seems I will need to have more and more to keep up with these deep lines).  I would, however, find a way to pay for a more permanent or at least much longer term solution if it would keep these deep lines from continuing to get worse.  The entire rest of my face still looks fine, no sagging, wrinkling or any signs of aging to speak of.  But my eyes have aged at least 10 years in the last 6 months.  I'm desperate.  What are my best options?


The most common treatment for crow's feet is botulinum toxin including Botox, Dysport and Xeomin. These medications work by relaxing the muscles that lead to the wrinkles in the first place (in this case, the orbicularis oculi) and can be injected in the office. Usually this treatment does not alter your ability to smile, but rather decreases the ability of this portion of the muscle around the outside of the eye to contract when smiling or squinting. Botulinum toxin lasts approximately 3 months, which means this treatment requires repeat injections to maintain the effect. You should talk to a licensed plastic surgeon or dermatologist to find out about the risks and benefits of this treatment.

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Dr. Audrey Klenke


Board Certified Plastic Surgeon, Dr. Audrey Klenke and her team provide advanced healthcare for people seeking reconstructive or cosmetic surgery to enhance their well-being. We understand that living well includes feeling good about the way you look. As Beaufort County’s only female plastic surgeon, Dr. Audrey Klenke offers a unique perspective, driven by modern perceptions of aesthetics. She views cosmetic surgery as a natural part of a healthy lifestyle. Pinnacle Plastic Surgery also offers a state-of-the-art medical spa, where your vision is our inspiration. Our Licensed Esthetician specializes in age-defying treatments, and our Certified Permanent Makeup Artist provides medical tattoo services including eyebrows, eyeliner, lips, 3-D nipple/areola restoration and more. Whether you’re looking for fabulous quick fixes, like Botox® and Juvederm®, or time-honored surgical procedures, like facelift and tummy tuck, our goal is to help you look your best at any age.


Dr. Klenke completed her plastic surgery residency training program at the University of Cincinnati, where she served as the Chief Administrative Resident in the Division of Plastic, Reconstructive and Hand Surgery. She is a published writer in the fields of breast cancer, non-surgical options and facial contouring.

American Medical Association, Hilton Head Island-Bluffton Chamber of Commerce, Greater Bluffton Chamber of Commerce and Beaufort Regional Chamber of Commerce

Care Magazine, FIT Magazine, The Island Packet and The Bluffton Sun

*Chief Administrative Resident: University of Cincinnati Division of Plastic, Reconstructive and Hand Surgery *Doctor of Medicine: University of Cincinnati College of Medicine *BA in Biopsychology: Vassar College

Awards and Honors
*The Island News Favorites (2015) *WTOC Best of the Lowcountry (2015) *The Island Packet Readers’ Choice Awards (2014/2015) *Best of Bluffton (2014/2015) *Sun Today Select (2014/2015) *Hilton Head Monthly's Reader's Choice Awards (2014)

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