How Effective is Botox for Under Eye Wrinkles?

Dear Leanne
Botox can be used to weaken the lower eyelid orbiclularis that is responsible for making the lower eyelid wrinkles. The problem is that this same bit of muscle also helps hold the lower eyelid up against the eye. Weakening this muscle may smooth the eyelid but the price is usually mild slumping of the lower eyelid margin. This is not a good trade off. Filling the lower eyelid is a good alternative. The product to use is Restylane. An additional option is an appropriate chemical peel to firm the lower eyelid skin.

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Hi there!
Many thanks for your query. Botox injections can be carefully placed in the under-eye area to soften wrinkles caused by constriction of the obicularis oculi - the muscle that surrounds the eye however this must be carried out with caution / small quantities and in some cases is not overly effective. 
The lateral canthal lines / crows feet / smile lines are a common and safe area for injection. Sometimes hyaluronic acid based dermal filler such as juvederm volbella can be more effective at softening these lines along side the tear trough area. 
Please do ensure an expert practitioner if looking into any aesthetic procedures. 
Hope this helps!
Best wishes,
Dr Rupert 

Botox can be used to improve wrinkles of the lower eyelid area, but must be done cautiously and by a skilled injector. This is an advanced technique that has the potential to create problems (such as bruising, worsening of puffiness, and others) if not performed properly.
In the right patient, this can make a very nice improvement. 
Alternatives might include lower eyelid surgery or laser/chemical peel to the lower eyelid area, depending on the particular patient.
All the best,

Botox can help relax these lines, but must be done conservatively to prevent sagging of the lower eyelid rim. Coupling this with light skin resurfacing (chemical peel or laser) will help soften these lines. Another adjunct that will help is daily Retin A use under the guidance of a dermatologist.

So it depends which lines you are talking about. Those dynamic lines when you smile are from the orbicularis muscle contracting which is a round sphincter type muscle. The wrinkles are then perpendicular to that contraction. This can be improved with botox. I use only a few units under the lid in patients.The really fine lines that people get under the eyes of the lower lid are really best treated with resurfacing techniques such as chemical peels or lasers. In my hands I get better results with the laser. If you add volume with either fat or fillers this puts the cherry on top to treat this issue. The reason is this is caused by skin aging (loss of elasticity) and volume loss (bone absorption and fat loss). So to best treat we need the combination.Hope this helps.Best of luck.DrC

For crepiness under the eye, start with a good eye cream and sun protection (sunglasses).  Botox, which only acts on underlying muscles, will not help the loose skin.  I would recommend a chemical peel or CO2 laser for skin tightening.  In more severe cases, blepharoplasty may be a better option.

Thank you for your question and for sharing your photo. Botox may help to soften the wrinkles under the eyes. It does require a very small amount and it will help to soften the lines. It will not necessarily reduce all the wrinkles like you might see in the forehead or crows feet region. You will notice a soft relaxation of the dynamic lines under the eyes, and you may notice a slight opening of the eyes. I would start with 1-2 units under the eyes on each side. If you like the effects, then it is very easy to incorporate this into your future treatments. I would recommend visiting with a board certified plastic surgeon or dermatologist in your area to address your concern as it is an advanced area to treat.

Thank you for submitting your question.  Botox can be used conservatively by an experienced injector to relax and smooth some of the lower eyelid creases. Too much may cause laxity of the lower eyelid support.  Consult with a board certified experienced injector. Best Wishes. 

Botox may not be right for you. You may want to consider laser treatments instead or fillers. Either way, you should seek an in person evaluation with a board certified plastic surgeon or dermatologist to determine what the best course of treatment is

Changes in the
lower eyelids can make patients look much older than they really are. In most
cases this involves the development of loose lower eyelid skin and prominent
fat pads. It's unusual for this to happen in someone who's only 27 years old
and when it does happen, it's usually related to other issues.

In this
situation, hyperactivity of the orbucularis occuli muscle may be a contributing
factor. When this situation arises the use of botox may be appropriate. Under
these circumstances botox can relax the orbucularis occuli muscle and improve
fine lower eyelid wrinkles which ultimately gives the patient a more rested
appearance.

It's important
to realize that this procedure requires a high level of technical expertise.
When not done correctly the lower eyelids can lose muscular support and develop
sag. For this reason, patients require careful evaluation before proceeding
with lower eyelid botox treatments. In some cases dermal fillers and
blepharoplasty may prove to be better options.

It's important
to consult a physician with experience treating the lower eyelid. This physician should be able to formulate an appropriate
treatment plan.