Can Botox be injected under the eye?

I have crinkles under my eye.  My dermatologist and others refuse to put Botox under the eye.  The crinkles come when I smile, so I realize that it is my cheeks that are pushing into the eye area and cause the crinkles to form. One expert recommended fraxel which did nothing for the crinkles. I have heard that some doctors will put botox under the eye, is this possible?

Sort: Date | Helpful
11 answers to “Can Botox be injected under the eye?”

A: Not everyone will benefit from Botox under the eyes

Ronald Shelton, MD

Botox works well for the thicker band of muscle that some people have, but if the lines form when you make a big smile, then I doubt you will see improvement from undereyelid placement of Botox. This is because you would have to have the Botox placed over the cheek bone, and this would possibly interfere with... more

A: Yes, Botox injections under eyes is possible

Kenneth R. Francis, MD

Sue, You can indeed put small amounts of Botox under the eyelid to smooth the lower lid.  Seek out a plastic surgeon or dermatologist who is skilled in this application. Good luck!

A: Botox can be injected under the eyes

Scott E. Kasden, MD

I do Botox injections under the eyes fairly routinely. The thing is that it must be used cautiously, and in small amounts only so that the lower eyelid function is not impaired.

A: Yes, but VERY cautiously.

George J. Beraka, MD

To Sueanddad, Hi!  I have injected tiny amounts (2-3 units) of Botox into the lower eyelids with improvement.  But it is easy to get a deformity here.  So if your doctors are not comfortable trying this, they have good reason. Erbium laser resurfacing of the lower lids can help.

A: Botox can be injected on the under eyes

Don Mehrabi, MD

Thank you for your question. It is possible to put Botox underneath the eye to help with those lines as well as the small bags that form under the eyes. A small bleb of botox (1-2 units) is placed in the area where the bags are. This should really only be done when the crow's feet are being treated wtih Botox... more

A: Botox can be injected on wrinkles under the eye

Daniel Reichner, MD

Sueanddad, I use Botox for fine wrinkles under the eyes, but you have to be careful - too much can cause problems. Too much Botox can cause the obicularis muscle to relax too much. This in turn can cause bulging and bags if you have an attenuated orbital septum (the layer that holds the fat under the eye in... more

A: Under eye-great place for very small quantities of BOTOX

Kenneth D. Steinsapir, MD

Generally, when a doctor tells you that something can't be done, it means that it has not been successful in their hands. My father liked to say: "If the butcher tells you the meat's bad, you should listen." The key with under eye Botox treatment is finding a clinician who is comfortable and... more

A: Botox in small amounts okay for undereye wrinkles

Jennifer Walden, MD

Sure, Botox can be injected in small amounts into the wrinkles under the eye that occur with animation, or when you smile. Many people have these wrinkles that occur when the muscle called the orbicularis oculi contracts with laughing or smiling, and when they become noticeable or aesthetically bothersome,... more

A: Botox under the eye beneficial for qualified individuals

Bryan K. Chen, MD

Botox can be injected under the eye, to decrease activity of the infraorbital orbicularis muscle. Such treatment can be useful in younger individuals. Botox injections in this area can cause problems for older individuals, those who have undergone surgery beneath the eye, those with a large amount of redundant... more

A: Botox under the eye for specific conditions only

Richard Baxter, MD

There are some very specific cases where botox under the eye can be beneficial, but you should trust your doctor's advice here. When the problem is hyperactivity of the muscle directly under the eyelashes, very low dose botox can be helpful. Usually it is used for the muscles lateral to the eye, the... more

More answers to Can Botox be injected under the eye?
Long Island - Botox can be injected under the eyes

Comments

Drea
2 posts
28 Feb 2009

I had botox under my eyes about 10 days ago. I also got it on my 11s, forehead, eyebrows, and crowsfeet. I was told that getting it under my eye would help my bags look less noticeable and make me less tired looking. The bags look much worse. They are more pronounced even with no facial movement but when I smile there are huge bags under my eye, closer to the inside of my nose. I cant hide them. I went back and they prescribed me a sulfa eye drop and oral prednisone. I was told by someone to try and get neosynephrine eye drops which my pharmasist isnt familiar with. I am to take those meds for a week to see if there is improvement. My other alternative was to get a medicine injected to reverse the botox and it would reverse all of it. Then id have to wait a few months to get botox again. Any suggestions or comments, known cases like mine??

Amaxy
77 posts
17 Mar 2009

Hey Drea, I'm experiencing the same problem. What are you doing about it? Any progress??? I have the new bags and wrinkles as well. Amy

Carmenm
5 posts
18 Apr 2009

I am due to have under eye botox in 10 days. Im not sure this is a good decision cuz I have excess skin under my eyes (Im only 33)that wrinkles when I smile, add to that a tear trough deformity and you have a nice little under eye bag. I dont know why my surgeon changed his initial decision for a blepharoplasty but Im having second thoughts!

aboutface
14 posts
26 Apr 2009

Botox under my eyes has also given me huge bags that added about ten years to my face. I look awful and can't wait til it wears off. I'm 40 and the wrinkles around my eyes are not that bad yet when I'm not smiling. I decided to get Botox, hoping the wrinkles I do have won't get too much worse if I minimize the squinting. NOw when I smile, my cheeks look fake because the under eye muscle is so relaxed, all you can see is the cheek muscle. In the morning when I wake up, I don't even recognize myself. I look like I'm in my fifties. Don't Botox your eyes, unless the doctor is the most seasoned expert you can find.

Post your question

Botox before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.