There are many options

Jeffrey Ellis, MD answers: Surgery instead of Botox bleph?

Is there a more-permanent solution to the "botoxing" of the under-eye's "orbicularis muscle"? My PS has said that I am not in need of a lower blepharoplasty at all; but rather that it is this muscle, as enlarged as it is in me (and it is, apparently, very thick in me), that is what creates the hollow look I carry under my eyes.

Is there a surgical solution to weakening this muscle? Botox only lasts me three months!


Jeffrey Ellis, MD
9 months ago

Many options exist for enhancing a hollow look in the eye area.  These include blepharoplasty, botox, fillers, and even some topical products.  Some fillers, like Sculptra, can last several years.  However, a treatment that lasts a long time is great if you like the results.... but if you are unhappy with the results you may be stuck.

If your PS thinks botox can help, it is cheap, temporary, and worth a try.

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