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Restylane a Good Option to Smooth out Under Eye Wrinkles Caused by Botox?

asked 1 year ago by beautyblooms in Los Angeles, CA
Latest answer by Eugene Mandrea, MD
Question viewed 1,088 times
Tags: crows feet, under eyes, wrinkles, female, safety

I had 14 units of Botox for Crows feet done 5 weeks ago & SO regret it. It knocked out my crows feet completely yet now when I smile I have large new wrinkles under my eyes. The doctor attempted a few more units after 7 days to treat the wrinkles yet it didn't help at all.

I'm so disappointed and looking for a way to smooth out the wrinkles until the botox wears off. Is Restylane a safe & advisable option? First pic after botox, 2nd pic before...my natural face.

12 answers to Restylane a Good Option to Smooth out Under Eye Wrinkles Caused by Botox?

Restylane a Good Option to Smooth out Under Eye Wrinkles Caused by Botox?

You're best bet is to wait until the Botox wears off. Typically,Botox lasts 3-5 months. At that point, get re-evaluated to see what your best options for improvement are. At this point, it wouldn't make sense to do anything else since your condition is temporary.

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon

www.neweyelids.com

Adding Restylane will not undo unwanted effects of Botox

One of very common side effect for 1st time Botox users is that they discover while Botox smooths out the lines they wanted to go away, it might create a new line or fold - just due to the fact that the muscle under the skin is responding differently following Botox treatments. I would strongly advise against doing any further treatments with the goal of undoing what you do not like about your Botox treatment. The effects of Botox are very temporary, and even though it takes... more

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Restylane for wrinkles caused by Botox

This is anundesirable effect of Botox , and the best approach would be :"Do Nothing" and wait for the Botox effect to disappear and I assume, by now, this has already taken place. I would be very careful in the future with Botox injections in that area. This doesn't mean that you should avoid Botox in other areas such as your forehead and the glabella if that becomes desirable. But due to your unpleasant experience, I would inject smaller amounts of Botox in those... more

Eugene Mandrea, MD
Chicago Dermatologist

www.lakeviewderm.com

Do not have Restylane injected to smooth out Botox lower eyelid lines

Absolutely do NOT have Restylane injected into the lower eyelid skin to compensate for your lower eyelid lines. The Restylane may leave you looking puffy or lumpy for many months (although it could be dissolved with an injection of hyaluronidase) but the Botox will wear off considerably in a few months. Also don't have a physician try to chase these new lines as they're coming from an accordion effect from the smile muscles working harder and if the smile muscle is... more

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Wait for Botox to wear off rather than add Restylane

Greetings~ I would certainly agree that you're best off just letting the Botox wear off and not chasing it with Restylane and potentially creating another problem. I know it's not the result or improvement you were looking for but the good news is that it will resolve on its own and you will once again have the lovely smile you are used to seeing. Be patient. Though Restylane is an excellent product, its only as good as the indication...and this is not a good... more

Grant Stevens, MD
Los Angeles Plastic Surgeon

Do Not Try to Undo Botox Effects with Filler

More than likely, you will not be happy with the result if you try to "undo" or compensate for the new lines caused by your Botox injection with Restylane or Juvederm. The skin under the eye is thin and unless the injection were placed deep to the muscle, uneveness or lumpiness is a risk. I think you may get improvement by having 1-2 units injected superficially just below the lower lid in line with the pupil. Or you can just wait for the... more

James Bartels, MD
Manchester Facial Plastic Surgeon

I DO NOT recommend Restylane (lasts long) to fix Botox regret (will wear off).

Beautyblooms, I am so sorry you have experienced this result with your Botox. Don't give up on Botox (in the right hands) for the future, but for now, please try to just hang in there and wait it out. If you try to put Restylane or Juvederm into the area, it will in all likelihood make it MORE lumpy, risk damage in the area, and look wrong once the Botox does wear off in 2.5 to 4 months. And it can last up to 2 years there. Sometimes, Botox is most active in the first month or so... more

Jessica J. Krant, MD, MPH
Manhattan Dermatologic Surgeon

www.ArtofDermatology.com

Use of Restylane and Botox in the lower eyelid

The new large wrinkles you are experiencing following Botox injection in the crows feet area is due to hyperactivity of the lower eyelid muscle - orbicularis occuli muscle. This muscle surrounds the eye and is active when you tightly close your eyes. The lateral part of this muscle is responsible for crows feet wrinkle formation and is the part of the muscle that is usually injected with Botox. Occasionally, when Botox is injected into one muscle, the adjacent... more

Vincent D. Lepore, MD
San Jose Plastic Surgeon

Lines on lower eyelids after Botox injections in crow's feet

Restylane in tear troughs will not solve the problem. You can discuss placing a small amount (one to two units) of Botox 1-2 mm under the lower eyelid margin each. It may relax the muscle, whose contraction is producing the lines you see.

Emily Altman, MD
Short Hills Dermatologic Surgeon

www.advancedskinwisdom.com

Restylane and Botox under eyes

Typically not. Placing a filler in these tisuue folds will crerate a general fuller appearance to the tissues because of the number and depth of the folds. If this was a single superficial fold, perhaps but placing enough Restylane or Juvederm to flaten this number of folds would add to much volume to the thin lower eyelid tissues. Although not typically done, I'd be more inclined to place small amounts of Botox, spaced throughout the area of these folds, that would relax... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Please stop now and let your lower eyelids recover.

Who ever you are going to does not know what they are doing. Please let the treatment just plain wear off and then find an injector who actually knows what they are doing. Chasing this with Restylane makes no sense. Generally, lower eyelid filler is a much better option than BOTOX.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Lines Under Eyes After Botox

Restylane will not help the lines you are noticing; in fact it would make things worse. If your doctor did not inject BOTOX into your lower lid (directly under the pupil) this may weaken the orbicularis fibers that are causing the lines you see.