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Botox or Filler for Wrinkles Caused by Eczema?

asked 3 years ago by kirstenj in edinburgh
Latest answer by Arnold R. Oppenheim, MD
Question viewed 2,314 times
Tags: age 35-44, female, 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 answers to Botox or Filler for Wrinkles Caused by Eczema?

+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
Arnold R. Oppenheim, MD

Virginia Beach Dermatologist
+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
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+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.
Bryan K. Chen, MD

San Diego Dermatologist
+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
Don Mehrabi, MD

Beverly Hills Dermatologist

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