Should There Be Wrinkles After Botox?

Hi. In Manhattan, we have seen the picture you describe a number of times.  If Botox is injected too close to the eyelis or in too high dose, the untreated muscles in your lower lids become extra active as a reaction, and form new or deeper wrinkles.  Will go away in 3 or 4 months.

When Botox is injected into the crow's feet, it is injected into the squinting muscles. However, Crow's feet can sometimes be caused by smiling muscles. It sounds as if this is your problem. The issue is we can't weaken your smiling muscles because if we do, you may look like you've had a stroke.

I think using Botox for crows feet area wrinkles is one of the most tricky applications. Occasionally, as you noticed, the area on the sides gets relaxed, and the wrinkles go away, but the area underneath can actually get worse, or seem worse. Sometimes it needs additional Botox or Microbotox injection underneath the eyes, which can make it a lot better. Sometimes, when the patients smile, we notice the cheek really rising up and making this area appear more wrinkled. In these cases, less... more

Botox is one of my favorite tools to improve aging skin without the use of risky surgery, but it is not for every patient. As the skin around and under the eyes ages, laxity can be more of an issue than crow's feet. If the doctor does not have the experience to recognize the situation, Botox can disappoint the patient. As I always say: the experience and judgment of the doctor is more a predictor of success than the product whether it be Botox, filler or a laser. Lax skin that wrinkles... more

Yes this can happen if not properly injected. Make sure when choosing someone to inject botox or fillers that they have advanced training and have been working with Botox and fillers for a long time.

Botox Cosmetic is very effective in reducing wrinkles of the lateral canthus. These so-called, crow's feet, can be eradicated with Botox injection. To reduce the remnant lower eyelid wrinkles, a combination of topical creams and Botox injection under the eyelid can improve these dynamic wrinkles.

You may be noticing previous lower lid wrinkles now that your Crow's feet are improved.  Botox should not create new wrinkles under the eyes following treatment of the Crow's feet.  You may benefit from a blepharoplasty procedure or laser resurfacing.  

Botox will take 7 to 21 days to reach maximum results. After that time period if you still see minimal change the "static" lines will likely be better served by fractionated or full ablative laser resurfacing. The best option is to treat with Botox wait 2 weeks then use a laser to brush over the remianing lines.

You may be noticing your lower eyelids are more wrinkled now that your crow's feet are corrected. It's highly unlikely that they were made worse by the botox. LIke some of the other's have commented, you would probably benefit from laser resurfacing of your lower eyelid area.

I understand your concern after having Botox injected around your crow's feet. Sit tight -- 5 days is too early to tell the exact effect that has taken. Some of this crepiness of the lower eyelid skin can be related to swelling from the injection itself. This will impove over the next few days. I have found that Botox works its best 21- 30 days after injection, and this is the best time to have your doctor re-evaluate your concerns (Of course you can always call your cosmetic surgeon... more