Botox Cosmetic Helps To Decrease Wrinkles and Lines

Mark Berkowitz, MD answers: Should there be wrinkles after Botox?

I had Botox injected into my crow's feet 5 days ago. It's certainly done the job on the deep lines I had around the corners of my eyes. However, I'm sure my eyes now look extra wrinkly underneath, which isn't what I intended.

Does this happen a lot and is there a remedy for it?


Mark Berkowitz, MD
13 months ago

I understand your concern after having Botox injected around your crow's feet.  Sit tight -- 5 days is too early to tell the exact effect that has taken. 

Some of this crepiness of the lower eyelid skin can be related to swelling from the injection itself.  This will impove over the next few days. I have found that Botox works its best 21- 30 days after injection, and this is the best time to have your doctor re-evaluate your concerns (Of course you can always call your cosmetic surgeon sooner.) 

Unfortunately due to budget concerns by patients, or due to a lack of understanding of how Botox works, patients occasionally choose to have a smaller dosage than is neccessary to treat their cosmetic concerns. 

Yes, you may occasionally notice other lines from nearby muscles fibers after Botox is injected. You may end up needing a touch up of Botox to treat your lower lid area. As an Ocular Plastic Surgeon, I know that treating this area can be difficult, so choose a Cosmetic Surgeon with a lot of experience.

To Michigan RealSelf readers, I offer Botox Cosmetic for only $10 /unit (minimum 30 units) through December 31, 2008.

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