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New Wrinkles After Botox - Are They Permanent?

I'm only 22 and I had Botox a little over a week ago to treat/prevent crow's feet. They are pretty much gone now but my lower eyelid and under my eye area has gotten more wrinkled! I read it may be that these muscles are over compensating for the paralyzed ones. If that's the case, will they smoothen out after the Botox has worn off, or will the muscle actually grow and remain this way? Please help!

Asked 37 months ago by sporty3686 in new york

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Wrinkles after Botox

While it's impossible to know without an evaluation if your lower eyelids actually developed new wrinkles because of the crow's feet injection, what is certain is that if this has happened it will be gone in 3-4 months. We would suggest going back for a visit to your injector. Dr. Reichner makes a good point that a 1 - 2 week checkup with new patients is appropriate just for this reason. We should know what your results are so that we can address any concerns. If your injector has taken... more

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Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

Temporary wrinkles

The orbicularis muscle surrounds the eye. Botrox relaxes just the outer fibers, so the other fibers are not affected. If a patient "tests" their Botox by smiling or "squinching", they may see more activity in fibers that weren't injected. This should be a very temporary effect. If it isn't temporary, and that is just the way your eye reacts to the new "balancing act " the muscles are performing, you can always wait for the 3 months and the Botox should go away... more

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Botox wrinkles are not permanent

Hello, I agree with the other physicians that the best thing about Botox is that the results are very temporary. Your research may be correct--that your muscles are overcompensating for the paralyzed ones. I always like to see my patients back for a status post visit about a week after their procedure. I'd suggest making an appointment with your treating physician to speak with him about your concerns. Communication is always the most important thing when choosing a physician!... more

Stephen A. Goldstein, MD

Denver Plastic Surgeon

ASAPS ASPS

Overactive muscle function should stop when Botox wears off

Sporty, Why on earth would you do Botox at age 22? Cosmetic medicine has its consequences, as you now know. Sometimes, there is compensatory recruitment of untreated muscles to protect your eyes from too much light. Fortunately, the effects of Botox last only about 3 months. Your overactive muscle function should stop at that time. Please, do other things to prevent your wrinkles, such as moisturizing, sunblocking, wearing sunglasses and or a hat to shade your skin and eyes. You are far too... more

Kenneth R. Francis, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Compensatory wrinkles should resolve

It is most likely that these lower eyelid wrinkles will resolve once the Botox has ceased to work. This is is relatively short amount of time. However, if you continue to recieve the Botox, it is possible that you will develop fixed wrinkles.

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

BOTOX around the eyes

Sporty It does sound like your lower eyelid muscles are "over-compensating" for the paralyzed obicularis muscle in the crows feet area. As a Board Certified Surgeon, I feel it is important to see our patients back in the office one to two weeks after their Botox treatment. This allows us to evaluate the effectiveness of the Botox. Some patients benefit from additional low dose botox injections to correct muscle hyperactivity in other areas. Since your Botox will probably... more

Daniel Reichner, MD

Newport Beach Plastic Surgeon

ASPS

These wrinkles will not be permanent in your case

Thank you for your question. Botox is temporary, lasting only 3-4 months for almost everyone, with some exceptions. In your case, you've noticed extra wrinkles because of some overcompensating as the muscles causing your crow's feet are relaxed. As those same muscles regain their usage, your temporary "new" wrinkles should diminish. Without knowing the details of your injection, and as you are young and you have begun to use Botox preventively, it may be wise to use low doses in a... more

Don Mehrabi, MD

Beverly Hills Dermatologist

Lower eyelid wrinkles should return to normal

I don't think you need to worry about the creation of permanent wrinkles of the lower eyelids as a result of your botox injections to the crows feet. This should resolve with time as the Botox wears off. You might consider having just a couple of units injected to the lower eyelid region to soften those wrinkles. Good luck.

Bryan K. Chen, MD

San Diego Dermatologist

Botox wrinkles should get better

It is difficult to know whether you actually have more wrinkles under your eyes from muscle compensation or whether you think it looks like more wrinkle now that the sides of your eyes are smooth. Either way as the Botox wears off in the next 3 months, this should get better. Don't worry.

Kari L. Colen, MD

New York Plastic Surgeon

The nice thing about Botox is that it is not permanent.

Botox can give patients a wonderful result by weakening or paralyzing muscles that create furrows or wrinkles. On occasion, patients may notice something that they do not like following Botox treatments. The effects of Botox generally last 3-4 months and then wear off.

Sanjay Grover MD

Orange County Plastic Surgeon

ASAPS ASPS

Botox is not permanent

No, these wrinkles that started to show after your Botox injection to the Crow's Feet are most likely due to compensation of the orbicularis muscle of the lower eyelid. The Botox can't create permanent change after a single injection, nor can it create new wrinkles even though it does look that way at times.

Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

Wrinkles under eye after Botox

Although it is difficult to say what is going on without seeing you, the muscles can certainly be overcompensating. This does not always happen but it could. I would definitely go back and have you Doctor re-evaluate you. Fortunately, it will only last a few months. Dr. Behnam.

Ben Behnam, MD

Santa Monica Dermatologic Surgeon

New wrinkles after Botox will likely reverse when it wears off.

Too much Botox or the wrong placement around the eyes can definitely cause some lower eyelid sagging and new wrinkles below the eye. It can also, believe it or not, change the shape of your eye from almond shaped to more rounded. Luckily, if you have these results and are unhappy, they are not permanent, and the new wrinkles will not stay once the Botox wears off. See a board-certified dermatologist or plastic surgeon who is conservative and will take into account age-appropriate... more

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Jessica J. Krant, MD, MPH

Manhattan Dermatologic Surgeon

This can happen, next time get injections higher

Sometimes you need the support of the lower muscles around the eye to prevent these wrinkles. I see this in about 2-3% of patients. If this happens, the doctor needs to avoid injecting the lower crow's feet. Rest assured, this will all resolve when the BOTOX wears off.

Steven F. Weiner, MD

Pensacola Facial Plastic Surgeon

There will be no permanent change

Sporty3686, The best thing about Botox is that it is always temporary. I am curious to see your before and after pictures, since I do a lot of Botox and have not see significant compensatory wrinkles like you are describing in my patients. Sometimes, when one area is smoothed out with the Botox, the other areas are more noticeable, but not "worse" than before the Botox. However, don't worry since once the Botox goes away in 3 to 6 months your face will be back to how it was... more

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David Shafer, MD

New York Plastic Surgeon

ASPS

Wrinkles and Botox

Yes, it sounds like your muscles are indeed overcompensating adjacent to where the Botox was injected. This will go away as the Botox wears off.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Wrinkles from Botox are temporary

Hello, The good and the bad thing about that is that it will fade, but it may take 4-6 weeks to start to do so. Maybe next time pass on the Crow's feet. The most reliable injection spot is still the Glabella (at the "root" of the nose) assuming you have a "frown" line there. Then again you may be too young.

John P. Di Saia, MD

Orange Plastic Surgeon

Balanced approach to Botox

If other areas of are overcompensating, i.e. the orbicularis oculi, you may want to consider treating this area as well with Botox. The theory behind botox is to minimize facial expression and in effect decrease lines. If you continued to squint your eyes and create lines under your lower eyelids, you may develop more persistent lines. At age 22, your injector should think about the utility of injecting you with Botox versus using preventative measures such as daily UVA/UVB sunscreen and... more

Anil R. Shah, MD

Chicago Facial Plastic Surgeon

Temporary effect

Botox relaxes the muscles around the eye (orbicularis muscle). This muscle is composed concentric short muscle fibrils. The Botox injected relaxes the outer fibers of the muscle leaving the remaining part of the muscle functional. There could be a relative increase in the perception of new wrinkles as the main stronger wrinkles are relaxed. Things will go back to normal once Botox function is gone.