Middle-age surgery guide

Under-eye wrinkles and loose skin

Why fine lines and loose skin develop under the eyes and how they are addressed — which treatments or surgery are considered for each cause.

Written by
Cejong Plastic Surgery content team
Updated
2026-10-25

Under-eye wrinkles and loose skin are ageing changes that appear early in the thin skin around the eyes. Similar-looking wrinkles may need different approaches depending on the cause.

Causes

  • Loss of elasticity — as collagen decreases, the thin under-eye skin stretches and fine lines form
  • Expression lines — crow's feet from smiling deepen with repetition
  • Fat bulging and hollowing — bags and hollows together make wrinkles and shadows look deeper
  • UV, dryness, smoking — speed up skin ageing

Approaches by cause

  • Fine lines and dryness — moisturising, sun protection, skin treatments
  • Expression lines — treatments that relax muscle movement
  • Mainly hollowing — treatments that restore volume
  • Loose skin plus bulging fat — lower blepharoplasty

At Cejong, Botox, fillers, skin boosters, lasers and other treatments are offered depending on your condition.

Frequently asked questions

Will lower blepharoplasty remove all the wrinkles? Removing loose skin can improve wrinkles, but very fine lines and expression lines may remain. Treatments can be considered alongside if needed.