2 units of Botox

Mary Lupo, MD answers: Under eye creases at 18

I'm an 18 year old girl and I have undereye creases. I wonder if theyre wrinkles, eyebags or just a natural part of my face? Please help me. I've been very very worried about them.


Mary Lupo, MD
7 months ago

Those under eye folds are a normal variant in certain ethnic populations such as Asian and African American. It is the result of a prominence of the obicularis oculi.

I have had great success using just 2 units of Botox just under the lower lashes in the mid-pupillary line. It will soften the fold. Caution: you will see a slight change in the eye shape. They will appear rounder and less almond-shape. But if you do not like it, it returns to baseline in 4 months. (Of course, if you love it, you will have to re-inject every 4 months or so)

For this, please go to a very experienced and certified dermatologist, plastic surgeon or oculoplastic surgeon.

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