Botox may not be the answer

Mary Lupo, 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?


Mary Lupo, MD
13 months ago
By Mary Lupo, MD - New Orleans Dermatologist

Botox is one of my favorite tools to improve aging skin without the use of risky surgery, but it is not for every patient. As the skin around and under the eyes ages, laxity can be more of an issue than crow's feet. If the doctor does not have the experience to recognize the situation, Botox can disappoint the patient. As I always say: the experience and judgment of the doctor is more a predictor of success than the product whether it be Botox, filler or a laser.  Lax skin that wrinkles more after Botox usually needs laser. The new fractional CO2 devices being the best, but Fraxel re:store has a place here too. 

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