Why is Botox not injected on the top cheek muscle that creates crepey wrinkles when smiling?

Although I have been told that Botox cannot treat the wrinkles under the eyes that are caused by smiling, there seem to be actresses whose smiles do not create those wrinkles and I have to assume they have gotten some fabulous Botox injection that stops the top part of the cheek muscle from causing those wrinkles. Where do they get this "Super Botox" and how can I get it too?

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6 answers to “Why is Botox not injected on the top...”

A: What you see might not be what they got.

By Kenneth R. Francis, MD - Manhattan Plastic Surgeon

Beware of the media. Photographs of actresses and models are usually retouched with software programs to remove the wrinkles. If you are referring to live appearances of actresses that you have seen then you may be seeing the effects of filling agents that have been placed under the eyes to fill... more

A: Lower eyelid Botox: off-label but OK in skilled hands

By Edmund Fisher, MD - Bakersfield Facial Plastic Surgeon

Many patients who have been getting Botox into their crow's feet notice that the uninjected lower portion of the eyelid creases seem to get worse. I am well aware of the perils of injecting this area on the smile muscles but with careful superficial injection I achieve a desirable relaxation of this area and... more

A: It is filler

By Mary Lupo, MD - New Orleans Dermatologist

Bravo! A doctor who knows what they are doing! It is absolutely not correct to inject Botox into the lower crows feet muscle (the inferior obicularis oculi) because it can migrate into the smile muscle that lifts the mouth corner. If injected into that muscle, the zygomaticus major, it will prevent you from... more

A: Botox for the Wrinkles Under the Eyes

By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi Nina, The lower eye lid muscles and upper cheek muscles can be injected with Botox, but it is a very advanced technique that should be done by a cosmetic physician with experience in this area. Very small amounts of Botox placed correctly will give that "actress" look that you are referring... more

A: It has nothing to do with Botox unfortunately!

By Manish H. Shah, MD - Denver Plastic Surgeon

I am glad someone finally asked this question. The problem with Botox injection into the lid itself is that you may end up with a weakened lower lid causing dry eyes and corneal irritation from the lack of protection. That crinkling you see when one smiles has more to do with the lack of collagen... more

A: Be careful with under the eye Botox

By David Shafer, MD - Manhattan Plastic Surgeon

Nina, There is not a special Botox or "super Botox" for under the eye. You have to be very careful if you are going to have Botox injected in your lower lid/cheek region. A very minute amount will help with the smile wrinkles in the lower lid. However, if the Botox seeps into the cheek area, then you may... more

Comments

ninaself
16 posts
15 Dec 2008

All of you have been extremely helpful!! Thank you all for your time. Dr. Percy, I have already put in a call to Dr. Kane!! However, I do wonder what Dr. Lupo might have to say in response to your comment :) I would be very interested. Thank you again.

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