I regularly perform Botox in these areas. Most patients get some degree of improvement, but degrees of success may be somewhat unpredictable. Botox should only be administered in these areas by a board certified dermatologist or plastic surgeon as excessive amounts injected or improper placement may lead to functional impairments. I usually use only a few units under each eye to relax the fine lines and, in some patients, open the eyes up a little more. The upper lip lines can also be injected to soften "smoker's lines". These injections should always be started on the conservative side so as to avoid excessive denervation of the muscles of the lips and mouth. Patient satisfaction with these treatments tends to be high. Good luck!

