Botox: Q&A
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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?
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39 Doctor Answers |
Asked by
Sueanddad
in denver, CO
+4
Botox can be injected on the under eyes
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 at the same time, otherwise the effect will be minimal.
Keep in mind, that, the cheek muscles are strong and if you have bulbous or bigger cheeks, lines will continue to form underneath...
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+3
A tiny amount of Botox under the eye COULD be helpful, but is high risk.
Your doctor may be correct in your situation, to avoid the Botox directly under the eye. It is very individual, and depends what the purpose of it is exactly. Remember that Botox does NOT smooth wrinkles. It only weakens underlying muscles. This may have the effect of smoothing a wrinkle, or it may have the effect of weakening the muscles that are important for blinking and closing your eyes safely. In addition, too much Botox around the lower lid can actually cause sagging and bagging....
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+3
Not everyone will benefit from Botox under the eyes
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 smiling, eating and speaking. You might look different from side to side, your corner of the lip lower on one side, etc.
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+2
Botox under eyes
Sometimes botox is used in the lower eyelid for "orbicularis hypertrophy". This is when the muscles around the lower eyelid is strong and forms a ridge under the eyelid. For wrinkles that are caused when you smile, what is happening is that your cheeks are raising and "crinkling" the skin under the eyelid. Botox would only work by paralyzing the cheeks, thus not allowing your to raise the cheeks. An option that I think is not too good. This is a more difficult problem...
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Yes, Botox injections under eyes is possible
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!
+2
Botox can be injected under the eyes
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.
+2
Yes, but VERY cautiously.
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.
+2
Under eye-great place for very small quantities of BOTOX
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 experienced with this type of treatment. Don't make your doctor do a treatment they have told you they don't do well.
The lower eyelid orbicularis muscle makes those crinkling lines. This...
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+2
Botox in small amounts okay for undereye wrinkles
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, tiny amounts of Botox can be injected into the parts of the muscle of the lower lid that is hyperkinetic (or moving a lot to cause the wrinkles).
I would recommend speaking to a...
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Botox into the lower eyelid - can be done, but proceed with caution
Botox can be injected into the lower eyelid. The result is that the eye aperture does not close as much when the patient smiles. Botox should not be done on any person who already has a lax muscle there. If a weak muscle is weakened further, it can result in sagging of the lower eyelid. This can result in inability to completely close the eyelid.
+1
Botox under the eyes
It is possible to use Botox in extremely small amounts directly below the eyes. This should only be done by an extremely skilled injector who knows and understands the facial anatomy perfectly. There are other treatments like the eMatrix (Bipolar RF) which works nicely around the eyes in reducing lines and wrinkles if toxins are not what is needed.
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Botox for Wrinkles Under the Eye
This is a great question, and as you can see, somewhat controversial. For crow's feet that extend underneath the eye into the midface region, a well-placed and small dose of Botox can be helpful. This is typically 2 - 3 units maximum. In my practice, I perform this for patients who need it -- but you have to make sure that what you're seeing is a dynamic line (i.e., muscle activity) rather than a hollow or devolumized area (i.e., tear trough). The latter would require fillers, generally...
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+1
Botox can be injected for Crow's feet but not under the eyes
Botox cannot be used for the wrinkles under the eyes. You can put Botox for the wrinkles on the sides of your eyes but not right underneath. If you place Botox there you will distort the natural look of your cheek and smile. This would be a very unnatural looking and unwanted side effect. Fraxel will not help what you are describing either. It sounds like there is some excess skin which may need to be surgically treated one day. It is really important to find an experienced...
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Botox under the eye
While uncommon, it is possible to treat the under eye area with Botox. Seek an experienced provider to avoid undue risks of tearing, accentuated eye bags, and "hound dog" eyelid shape.
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Can Botox Be Injected Under the Eye?
Botox can be injected under the eyes but a small bleb of 1-2 units should be used. It should be used in conjunction with lateral periorbital injections. Otherwise, serious sagging of the eyes can occur.
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Botox under the eye can help some, but not all
Botox works to relax wrinkles caused by facial muscles contracting. If your under eye wrinkles are dramatically worse when you smile, a small amount of Botox properly placed may help. However, you risk causing a droopy lower eyelid or drooping cheek. In many cases, the wrinkles under the eyes are due to loss of elasticity in the skin. Other treatments, such as laser resurfacing or chemical peels may work better for reducing these types of wrinkles.
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Can Botox Be Injected Under the Eye
Usually one half of the regular dosage (1.25 Units) is used below the eyes to help with the infraorbital wrinkles. It is injected just under the thin skin of the lower eyelid.
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Botox and more...
Certainly use of Botox in the periorbital region is effective in treating these areas. When I treat the lateral "crows' feet" I inject a few units along the lower eyelid region, just to the midline pupil area (I do not go more medial than this--do not go closer to the nose). I usually use 2 units injected in two sites along the lower orbital regions, and not past midline pupillary. I have never had any problems with altering lower eyelid function. This...
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Botox injections to lower eyelid smoothen crinkled skin below the eye.
Botox injections to lower eyelid smoothen crinkled skin below the eye. However, they should be performed by an experienced provider who frequently performs the injections, as they are to be made close to the rim of the eyelid, in very small dose (2.5 units average) and avoided in patients with excess or lax skin.
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Botox under the eye
While it is possible to put Botox under the eye, it is important to choose the right candidate. Therefore, it may be appropriate that these physicians have refused to do the treatment for you.
+1
Botox Under the Eye works well for some patients
Botox underneath the eye is an off label use of Botox, I use it often for patients who get the under eye "scrunch." Their muscle is active there and 1-2 units of Botox can help smooth it out. The low units don't last long, but they are effective. I tell my patients it might be harder to squint and to make sure to wear sunglasses. My patients are happy with this treatment.
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Can Botox Be Injected Under the Eye?
Botox should not be injected under the eye, because it will affect the muscle which has to remain functioning in order to close the eyes and make blinking possible.
+1
Botox can be injected under the eyes
Yes, Botox works great under the eyes. Delicate injection is important. There are new injection methods, called lateral injections, that enable a qualified physician to smooth out most of the lines that are noticed with smiling or squinting, including the lines near the nose.
+1
Botox around eyes
Botox can be injected and is effective for fine lines around the eyes (crows feet). The amount of botox you will need depends on the depth and length of these lines. See your dermatologist for a consultation.
New York Dermatologist
+1
Botox under the eyes
Botox does not eliminate wrinkles under the eyes. Botox works well for blepharospasm, uncontrolled "tics" that can occur under the eyes, but not wrinkles. Eyelid surgery, chemical peels or laser treatments work well for the lines under the eyes.
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Lower eye area
While it is difficult to give the right answer to your problem without seeing your pictures or examining you, it sounds like Botox is least likely to help you. resurfacing with lasers or peels could be helpful, as may be a blepharoplasty.
Sincerely,
Martin Jugenburg, MD
+1
Botox can be placed under the eye
It is only useful under the eye if there is an unwanted bulging of the lower eyelid when one squints or smiles (with the eyes). It has to be done carefully because it can subtly change the shape of the eyes as it relaxes the lower eyelid. For crinkling and laxity of the lower eyelid skin, resurfacing laser with erbium or fractional CO2 is the best.
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Can Botox Be Injected Under the Eye?
Yes, as long as a physician examines your eyelids and deems that paralysis of some of the muscles in that area will not cause a problem . I personally inject in that area for a variety of reasons. I am not sure if your problem is treatable with the Botox, that would depend on your examination.
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Botox Under the Eyes for Wrinkles
Small amounts of Botox typically 1-3 units right under the midline of the lower lid helps certain patients with the wrinkles under the eyes. If the patient has large fat pads under the eyes, they are generally not good canidates since the muscle under the eyes holds the fat pads in. If you relax that muscle, you will get rid of the wrinkles but the patients tend to look more tired since their fat pad then bulge out more. Botox injections under the eyes also last a short...
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+1
Botox under the eyes
If there is a fold of skin under the eyes when you smile, one or two units of botox injected into that fold can relax it very nicely. The needle has to be held parallel to the skin and only a small amount injected.
Emily M. Altman, MD
+1
Botox under the eyes.
I also rarely use Botox under the eyes. As you explain in your quesion, the crinkles come when your cheeks push up (when you are smiling usually). The only way to stop this movement would be to stop you from smiling (not very practical). Resurfacing the area might help the crinkles, and if Fraxel did not work, then fractional CO2 is much more effective at treating wrinkles and we get especially good results around and under the eyes.
The only time I use Botox...
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+1
Botox can be used under the eye for wrinkles
I have successfully placed small amounts of Botox under the eye to soften lines there. It also can help diminish muscle folds there and I routinely put "Baby Botox" in the lower lid at the same time I treat crows feet.
+1
Botox under the eye has some benefit in select patients
Botox is probably not appropriate under the eye for you but in patients whose eyes get smaller when they smile there is a benefit. First I check that the lower eyelid skin "snaps back" when it is pulled. One or two units of Botox in the lower lid will keep the eyes wider when the patient smiles.
+1
Botox treatment around the eyes
Botox works by weakening the facial muscles of expression. When a specific muscle causes a wrinkle than treating that muscle will make that wrinkle dissipate. Your doctor should be able to tell if the smiling creases in your lower lids are caused by orbicularis muscle or by larger muscles of the face. Depending on your anatomy treating lower lids with Botox can work quite nicely. As with any procedure, your doctor's experience, talent and judgment is quite important...
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Options for under eye wrinkles
Although Botox injections may be helpful in softening lines/wrinkles in this area, it usually should be reserved for those that are younger and without skin laxity. Performing a "snap test" to the skin in this area is usually a good, simple way to determine whether or not injecting in this area would be an option. The snap test involves a quick pull down on the skin under the eye with a quick release. If the skin bounces back and resumes its place, then injecting Botox in this area...
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Botox can be injected on wrinkles under the eye
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 place).
I'm not sure which Fraxel machine your doctor used, but many patients complained to me that the Fraxel just didn't work. I like to use erbium laser resurfacing to tighten the...
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+1
Botox under the eye beneficial for qualified individuals
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 skin beneath the eye and individuals with a history of dry eyes (can make it worse).
For individuals who are good candidates for injection under the eyes, I usually limit the dose to...
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+1
Botox under the eye for specific conditions only
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 "crow's feet". Wrinkles in the under eye area are more likely to be caused by the skin being pushed up into the area with smiling.
Since the cheek skin is thicker than the eyelid skin,...
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+1
Botox can be injected under the eyes
Using Botox under and around the eyes can be very effective in helping to smooth out the wrinkles in this area. However, you should only have this procedure done with a physician who is very comfortable and familiar with the technique.
Though it is possible that the crinkles are from your cheeks pushing up, it is likely that it also has to do with the orbicularis oculi - the muscle around your eye. It is this muscle that Botox can be injected into to help your wrinkles.
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I've had botox under the eye and has worked extremely well by one decent doctor. Several have either declined to do it or in the case of my last "botoxer" have done it poorly and caused unevenness or the "glass eye" look, where one eye looks bigger than the other. My advice try in small doses and if you're not happy, ask for it to be corrected. If that doesn't work, wait for it to wear off - 3-4 months and try someone else. I moved to another doc, as they charged by the amount used, rather than the usual expensive flat rate. I'm going to have to go back to paying more, but getting the best results!
My experience is the same as Trumalou's. I agree, its all about finding the right injector, and doing a little conservative trial and error work until you two find the combo that is right for you. It took me trying 3 injectors, and about 4 adjustment appointments with my final injector for her to finally get it - but she did, and I really like the results now. Just do keep in mind as you are trying, its possible to have a bad outcome & have to wait it out (3-4 months). For me, that was a risk I was willing to take, for others it might not be, so please keep that possibility in mind.