Skin Care: Q&A

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Botox or Filler for Wrinkles Caused by Eczema?

Hi my name is Kirsten, I am 38 years old. I have suffered from eczema around the eyes most of my life and with constant use of steroid creams have been left with deep wrinkles and loss of elasticity around the eye area.

Would Botox or fillers help my skin around the eyes to soften the appearance of the wrinkles?

4 Doctor Answers | Asked by kirstenj in edinburgh
+3

See a Dermatologist first

My recommendation would be to seek a consultation with a dermatologist first. Do you have eczema on other areas of the body. If not, you might carry a different diagnosis. It is possible that you have a chronic allergic contact dermatitis. Realize, that even if you do not wear eye makeup you might be allergic to something else such as nail polish, a moisturizer etc. The skin in the eye area is thin and delicate (the thinnest skin on the female is the eyelids; scrotum for a male) and can... more
+2

Injectables, Retin A may help

Dear Kirsten, Very difficult question to answer without a personal consultation. The steroids are known to cause thinning of skin and this can definitely contribute to fine lines. BOTOX is helpful for crows feet lines. It is generally less good on the eyelids themselves. In the upper eyelid, the BOTOX could drift and result in unwanted ptosis or drooping of the upper eyelids. In the lower eyelid, BOTOX can soften lower eyelid wrinkles but can also weaken the orbicularis oculi muscle... more
+1

Botox or filler for eczema-associated wrinkles

If your eyelid eczema is still active, I would encourage you to seek help from a dermatologist to manage that problem first, as eyelid eczema itself can create the appearance of skin wrinkling. Botox and filler would not help with eyelid eczema. Botox is appropriate if you have wrinkles caused by muscle contraction around the eye area. Filler is appropriate if loss of fat tissue has occurred, leaving a "hollowing" under the eyelids.
+1

If your wrinkling is due to LSC, then Botox will not help. If not, then yes, it may.

Thank you for your question. So the answer to your question depends on the cause of the wrinkling. If the wrinkling is due to LSC (Lichen Simplex Chronicus), a condition secondary to chronic rubbing and scratching that leaves the skin thickened and wrinkled, then Botox will have a very minimal effect. However, people with eczema don't always have LSC, and they do age, so if there is a component of your lines that is due to aging and muscle use, then yes, Botox will lessen those effects. It... more
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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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