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Botox for Crows Feet Cause Droopy Lower Eyelid?

asked 2 years ago by christie878 in CA
Latest answer by Hannah Vargas, MD
Question viewed 2,269 times
Tags: crows feet, face, lower eyelids, droopy, muscle, sensitive skin

I've been thinking of having Botox for my crow's feet, but my doctor told me not to do it. He would not give me the injections. He said it was not approved by the FDA for use on crow's feet because it's such a sensitive area of the face. What's more troubling is that it weakens the muscles over time and in the long run, it could result in a droopy lower eye lid! Any comments on this?

13 answers to Botox for Crows Feet Cause Droopy Lower Eyelid?

Botox

Yes if injected incorrectly botox can cause a "droopy" eyelid, and yes botox is not FDA approved for this area, however many qualified M.D's have been injecting the crows feet including myself with perfect results. Please make sure you are choosing a well qualified and trained physician for your botox!

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon

Botox for crows feet doesn't cause droopy eyelids

No. Droopy eyelids (upper lid ptosis) are occasionally if Botox administration to the bridge of the nose (glabella) or the crow's feet area is EITHER done poorly (inexperienced injector) or the patient does not follow doctor's instructions. I have NO idea who your doctor is but I seriously doubt he is a Plastic surgeon. Active crow's feet wrinkles can be WONDERFULLY smoothed with Botox and I have done it hundreds of times. As to the part of non-FDA approval. He is partially right. Botox was... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Botox for crow's feet

Actually, in my opinion, Botox is excellent for crow's feet. The entire lateral orbital rim can be treated and staying away from the orbicularis muscle below the lower lid I have never had any problems nor seen any long term weakness.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Botox for crow's feet should not cause lower eyelid droop

Done properly, Botox injections injected at specific points in the lateral eye area are safe and effective to treat crow's feet. As long as the area under the lower lid is not injected, lower eyelid droop will not occur. Your doctor is correct that Botox Cosmetic is not FDA approved for the treatment of crow's feet. It has however been used, off-label, in successfully treating areas such as forehead furrows, crow's feet, platysmal (neck) wrinkling and to flare or arch the brows among... more

Anifat Balogun, MD
Seattle Facial Plastic Surgeon

Botox for Crows Feet

Hi Christie, Botox works great for the lines around the eyes known as crows feet. Carefully injected you should have no problem and great results. Over time, as you age, your lower lids will become lax and may even become droopy. This has nothing to do with Botox, it has all to do with aging and the effects of gravity. If botox is injected just under the lower eyelid, occassionally it can weeken the lower lid muscle (preseptal obicularis oculi muscle) and cause temporary herniation of... more

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

BOTOX works well to soften or eliminate your crow's feet.

BOTOX injections are completely safe for reduction in the appearance of crow's feet when you smile. I have not seen change in the shape, position or tone of the lower eyelid in any of my patients. I hope this is helpful, and best regards.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Botox for crow's feet

Botox works great for crow's feet. Crow's feet develop from animation of the muscle areound the eye. Yes, if the Botox is injected very close to the inferior orbicularis muscle, it may cause an ectropion temporarily.

Steven Wallach, MD
Manhattan Plastic Surgeon

Many reasons to use Botox for crows feet

Botox is actually the best treatment option for crows feet when done properly. It also can be used in the same treatment session to elevate the lateral eyebrow as was described in my publication entitled "Temporal browlift using Botulinum toxin A" Plastic and Reconstructive Surgery, 2000. It is an off label use but is very safe with a long track record.

Min S. Ahn, MD
Westborough Facial Plastic Surgeon

Botox Works Great For Crows Feet

Botox is used in the crows feet area as an off label use and is completely legal, ethical and effective. The risk of a droopy eyelid in the long run is less than getting it in the glabella the area betweent the eyebrows. You need to find someone in your area who injects the crows feet regularly and you will be pleased with the results. Regards

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon

Nonsense

Botox is wonderful for the crow's feet and it actually helps to lift the lateral brow when done properly. We do it every day "off-label" meaning it is FDA approved for one thing (frown lines) and we use it for another problem like crows feet, downturned smile, forehead wrinkles, etc. I would suggest you heed your doctor's advice and not them HIM do it if he is uncertain about the benefits. Go to a more experienced injector in your area and keep smiling!

Mary Lupo, MD
New Orleans Dermatologist

Botox is the Treatment of Choice for Crow's Feet Wrinkles

Hi Christie, Your physician is not experienced and does not know what he is talking about regarding the effects of Botox in the lateral eye area. Botox has been used for years, and is the treatment of choice for treating crow's feet. It is used off label in this area, as it is in many other areas on the face (not FDA approved, but still proven to be very safe). When used properly, there is no risk of either short term or long term "droopy" lower lids. If you are getting Botox... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Botox is safe and effective for crows feet.

Hi! 1) Your doctor is not experienced with Botox. In Manhattan, we inject Botox into the crows feet every day, without problems. It is an "off label" use, but widely accepted as safe and effective. 2) Botox can cause dropping of the lower eyelids, but only if it is done improperly. So go to an experienced plastic surgeon or dermatologist.

George J. Beraka, MD
Manhattan Plastic Surgeon

Not true

With all due respect to your physician's advice he is only partially correct. It is true that the FDA has not cleared Botox for cosmetic use for any other place than the glabellar lines. These are the furrows that some people develop between their eyes. However, this does not mean it is not allowed in other areas of the face. In fact thousands of people a day receive such Botox injections off label. Drug companies spend millions of dollars to get FDA approval for an indication.... more