The eyes have it series, post 45: the “jelly roll” - that little bunched tissue right under the eyelashes - the pretarsal ridge or fold. A little bit of redundant skin and a thickening of the underlying pretarsal orbicularis muscle contrast with some volume loss directly below the eyelid to give the “jelly roll” or pretarsal ridge that can be quite bothersome. Treating it can be technically difficult because it’s such an intricate area with important functional anatomy. Tightening the skin via laser, neuromodulator like Botox to relax the muscle, and volume restoration can all play important roles in correction. Here you see the simple results of filler and neuromodulator alone.
