Botox: Q&A

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Botox for Under Eye Wrinkles?

I have fine lines under my eyes and droopiness between my eyelid and my eyebrow. I know Botox will help with the upper eye part but will it also help with the wrinkles under my eyes? THAT'S the part that bothers me more than the upper eye.

14 Doctor Answers | Asked by Joan1958 in Philadelphia
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Caution: Botulinum Toxin (Dysport or Botox) into lower eyelid

Botulinum Toxin (Dysport or Botox) may relieve some of the wrinkles in the lower lid but there are consequences to weakening the lower eyelid muscle including worsening of bags or slceral show or differences on movement of eyelid and cheek skin.
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BOTOX can be helpful for the wrinkles caused by muscle movement

BOTOX can be helpful for the wrinkles caused by muscle movement, but not for fine lines in the skin under the eyes.
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Botox can help for undereye wrinkles

Botox and Dysport are both injectable proteins that can relax the targeted muscles. Botox into the strong muscles that pull down the brow can result in a moderate, but pleasing, non-surgical elevation of the brows. Botox or Dysport can also be used at the side of the eyes (crows feet) to relax these lines. Botox under the eyes can be somewhat more problematic and hence specialized to certain patients (and injected by experience doctors) Very fine line under the eyes from a very dynamic... more

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Botox can be safely used to improve the contour of the lower eyelids

Botox can be safely used to improve the contour of the lower eyelids. This is an advanced use of Botox and is best performed by a doctor highly trained in injecting this material. For more information see the link below.
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Botox can treat crow's feet that extend slightly below the eyes

Botox can be helpful for fine lines under the eyes to a certain extent. The lines around the eyes which sometimes extend slightly below the eye can be treated with Botox treatments to the crow's feet. For lines directly under the eyes, Botox typically can not be safely used.
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5 Ways to Enhance Botox of Eye Wrinkles

Botox, being primarily a muscle relaxant, works only for muscle hypertrophy, muscle bands, or movement related wrinkles under the eyes.  Most people have a combination of lower lid fat pads, thin skin, movement related lines, and some fat bags.  Consequently, therapy, especially using non-surgical options, requires combination approach. I have found the following options, often in combinations, works best in conjunction with botox: 1.  low dose botox:  ... more
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Botox for Wrinkles Below the Eyes

In the right patient, Botox can help with wrinkles below the eyes.  Wrinkles caused by an overactive muscle can be imrpoved with Botox.  However, if wrinkles are caused by loose skin or volume loss, Botox will not help.  In fact, in some patients, Botox under the eyes can make wrinkles and loweer eyelid puffiness look worse.  You should see your Dermatolgist for an in-person evaluation.
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Botox not the b est for lower eyelid lines

Trying to minimize lower eyelid wrinkles with botox risks affecting important function of the eyelid and even lip. Make sure you seen an experienced physician and consider laser resurfacing and fillers.
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Botox works for fine lines of the lower eyelid but with caution

I will use Botox in small units to decrease the fine lines of the lower eyelid. Care should be taken since too much Botox may result in decreasing eyelid tone producing a droopy eyelid. There are other techniques to reduce the wrinkles. In my practice, I will incorporate Thermage and Fraxel. When non-invasive procedures fail, recommend surgery to my patients. The surgery is a lower lid blepharoplasty.
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Botox and under eye lines

Botox will not help the under eye lines. In fact it may lead to weakness of the muscle there and could lead to scleral show.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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