David M. Mills, MD

Botox has an excellent safety record in terms of medical complications.  The effect however, is designed to work in some areas and not others.  Therefore, it's the experience and training of the injector that really leads to optimal results in terms of patient satisfaction.  The number one concern seems to be eyelid drooping.  In our practice, we boast ASOPRS-certification. This is the society of oculofacial plastic surgeons, that is surgeons who are double-trained in eye surgery and facial plastic surgery. 

Therefore, the way that we use Botox around the eyes is extremely precise. There is a less-recognized issue of dry eyes following injection around the eyes. This, too is best evaluated by someone who understand the ocular surface, and we check all patients for dry eye findings and symptoms prior to injection. Other specialties are excellent at using Botox as well, but even if you choose to have a non-eye surgeon inject you, you may wish to have the eyes evaluated prior to injection to ensure the highest level of safety.  This is the most beneficial advice I can offer in addition the excellent comments made by my colleagues.