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How Effective is Botox for Under Eye Wrinkles?

Hi, there. I'm a 27 year old woman who has unsightly under eye wrinkles. I take pretty good care if my skin.

However, there seems to be nothing I can do to get rid of the creases under my eyes. My makeup settles in them, they are really aging me.

Will Botox help with this and if not what will? Really appreciate any help with this. Thanks

Asked 27 months ago by leannesinc82 in united states

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Botox works only 50% of the time for under eye creases

Botox or Dysport only works 50% of the time for under eye creases but when it does it is so nice. Expect it to last 3-4 months at a cost of $300 roughly.

Doctor's Website

David Hansen, MD

Beverly Hills Dermatologic Surgeon

Botox and Eyes

The simple answer is: Yes! The key is to distinguish between wrinkles as a result of movement (smiling for instance) vs at rest. Botox and Dysport help with wrinkles as a result of movement; when used correctly they can widen the eye, relax the wrinkles and give a well-rested look. Fillers can be added to correct any hollowing of the area for a better result. The key is to be examined by an expert and have the right doses of the right material chosen and injected correctly....

Tanya Kormeili, MD

Los Angeles Dermatologist

Don't let anyone talk you into eyelid surgery

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... more

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Botox for the lower lid

There is a reason why Botox has not been approved by the FDA for the lower eyelid wrinkles. It cab be a very difficult area to get a good result and the potential negative effects can be visually bad and take a long time to subside. Remember Botox works by weakening muscle and if you weaken the muscles of the lower lid, you might lessen the wrinkles, but you also might get so much weakening that the lower lid lags down, showing the white of your eye and allowing your cornea to get too dry.... more

Julio Garcia, MD

Las Vegas Plastic Surgeon

ASAPS ASPS

Botox for under eye wrinkles

Well, certainly these wrinkles are not nearly as unsightly as your question implies. But yes, I think Botox would be helpful here but may not get rid of all of the wrinkles which are concerning you.

Lawrence Kass, MD

Saint Petersburg Oculoplastic Surgeon

Botox and undereye wrinkles

Botox works for undereye wrinkles. If there is a hollow as well it can be filled with a hyaluronic acid like Juvederm

Robert Kasten, MD

Mainz Dermatologic Surgeon

Botox for under eye wrinkles

Your photograph shows a close-up view of the lower eyelid without showing the lower cheek so I can not see if you are partially smiling. It appears that you might be wearing a demi-smile in this pose. If that is correct, then the levator muscle which is involved during smiling, will create a "bunching up" of skin near the eye. This muscle should not be treated as it will provide an unequal smile and can cause drooping of the corner of the mouth on that side looking like you had a... more

Ronald Shelton, MD

Manhattan Dermatologist

Yes, Botox is effective for under eye wrinkles

Botox used in small amounts by someone experienced in the administration of Botox should work very well in that area. I have used Botox in this area in many patients with nice results and no problems. Good luck. Dr. Miller

Doctor's Website

Andrew Miller, MD

Edison Facial Plastic Surgeon

I recommend low dose Botox and peel for under eye wrinkles

All the doctors responder are correct. I would recommend low dose Botox by an experienced injector + a peel of some kind. Both done at the same office visit. Peels like TCA, VI Peel, Obagi Blue Peel, Exoderm can be used.

Darryl J. Blinski, MD

Miami Plastic Surgeon

ASPS

Botox for under the eye wrinkles

I would avoid injecting Botox into this area due to potential ectropion (turning out of the lower eyelid). Botox is much more effective for the crows feet around the eye. I would recommend consulting with a cosmetic dermatologist about the use of a filler in this area along with a mild chemical peel to soften the wrinkles. I hope that helps.

Nissan Pilest, MD

Irvine Dermatologic Surgeon

Botox and the Lower Eyelid Wrinkle

Hi Leanne, A small dose of Botox immediately under your lower eye lash line will help smooth some of the hypertrophic (large) muscle that is accentuating your lower lid "lines". Restylane may be used to add some volume in the lower lid hollow. Lastly, if all else is not working for you, a conservative skin pinch of excess lower eye lid skin can reduce the skin laxity and "lines". The area that you are concerned with is a very delicate and unforgiving area so make sure to... more

Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

Combination treatment is key

The lower eyelid wrinkles are due to a number of reasons and since they are a few of those, Botox alone will not work. Treatments should include: 1. Botox: Crow's feet and "microdroplet" (0.5-1unit) technique in the wrinkles closer to lower orbital rim. 2. Filler: Restylane or Juvederm Ultra. An HA filler with lower viscosity will provide a fill effect to the area of the tear tough and orbital rim. The filler should be injected deep so that it does not give the skin a bluish a hue... more

Hassan Galadari, MD

Dubai Dermatologist

Lower lid wrinkles of the eye

The lower eye lid can be treated with botox and also with filler. The filler may help soften the wrinkling. The botox can improve lateral crow's feet. I would avoid injecting botox in the lower eyelid, because it may lead to ectropion. If all else fails, a small skin pinch excision can help.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

A few units of Botox will help under eye wrinkles.

Hi! This is a tricky area because if too much Botox is used, or if it is not injected in just the right place, your lower lid can temporarily sag. But if done just right, you should get improvement for about 4 months. So you need a very experienced injector, either plastic surgeon or dermatologist.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Undereye wrinkles

Botox in very small amounts may help if the wrinkles under the eye are predominantly present while smiling. You would probably benefit from filler (Restylane) and/or chemical/laser resurfacing of the lower eyelids to tighten/contract the skin in that area. Good luck.

Bryan K. Chen, MD

San Diego Dermatologist

Management of fine lines of the lower eyelid

It's difficult to tell from the picture because it appears that you are smiling. IF the lines get worse with smiling, then yes, Botox may provide you with some benifits. IT also appears that you have slight darkening of the skin, and in these instances, I have occasionally found a mild TCA peel to be of benefit in providing improvment in the skin texture and discoloration.

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Botox under the lower lid

You can safely use Botox along the lateral orbital rim for crow's fet. Under the lower lid though you need to be extremely sparing so as not to drop the lid down. You will always have lines there but maybe they can be slightly softened by Botox. It's worth a try but make sure the injector has lots of experience and knows to be conservative.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

How effective is Botox for under eye wrinkles?

Botox weakens / paralyzes the area of the muscle into which it is placed. It is phenomenally effective and safe when used in the Crows' feet area (erasing active wrinkles here), under the lateral brow (lifting it), in the nose bridge between the brows (glabella - erasing snarl lines, 11's, Bunny lines etc) and in many OTHER areas. Placing Botox in the lower lid muscle below the pupil and even more centrally MAY flatten these lines somewhat but it will ALSO greatly increase the bagginess of... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

BOTOX works better for crow's feet than under-eye wrinkles.

I have not had good success eliminating creases like you have in your lower eyelids. In my experience, BOTOX does not work well. These can be softened, but not eliminated, with a careful, delicate, Injectable Filler treatment. I hope this is helpful for you.

Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

Botox can help under eye wrinkles

You should have an evaluation by a doctor who has extensive experience with Botox. It can be effective for under eye wrinkles if they are due to over-active muscles. Very low doses are used. One of the more common side effects is that once the muscle is relaxed, patients may seem to have slightly larger bags. This is because the fat that eventually will cause bags is no longer being held back by the muscle called the orbicularis muscle. I find that about 1 out of 4 who have under eye... more