Ask a doctor

How can I cure wrinkles, creases & folds under my eyes cause by Botox to treat crows feet? (photo)

I have recently had botox for crows feet , since then I have become very aware of creases/ folds under my eyes.  I have had extra botox 5 units at the top of my cheek which I believe is in the orbis area but this has made no difference

Doctor Answers (5)

New wrinkles after Botox

Thank you for your question.  You've pointed out one of the uncommon, but, nevertheless, real effects of Botox treatment.  The injection into the area of the crow's feet paralyzed the segment of the muscle that was pulling the eyelid skin upwards.  The lower part of the muscle is still active, so as a result, the skin started "bunching up" under the eyelid and the crease begun to appear.  There are two ways you can proceed from here.  One option is to wait it out.  As the Botox begins to wear off the eyelid muscle will regain it's tone and the crease will disappear.  The second option is to add more Botox to the lower part of the muscle in order to prevent the skin from forming a crease.  
I would recommend discussion pros and cons of each option with your doctor.

Best wishes!
Dr. Konstantin

New York Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews

How can I cure wrinkles, creases & folds under my eyes cause by Botox to treat crows feet? (photo)

Lasering of the skin is a good procedure to help treat under-eye folds and creases. Talk to you plastic surgeon about the different options available. If you are looking for something more dramatic removing some of the skin through a lower lid procedure might be the answer. 

Daniel Shapiro, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 95 reviews

Wrinkles under eyes

Hi Glynn.  You may eventually have to go down the surgical pathway, but initially some heavy fractionated CO2 laser treatment may make a significant improvement and postpone the scalpel.  I often combine Botox and CO2 laser around the eye area with excellent results.  Regards, Shobhan.  

You might also like...

Loose skin under eyes

Loose skin under the eyse can be treated with a lower lid procedure to remove some of the excess skin. Fine lines and wrinkles can be improved with laser.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Wrinkles Under Eyes

The best treatment for wrinkles here are lasers, specifically fractional co2 resurfacing but fraxel nonablative can help or deep peels as well.  I have been doing superficial filler with cannula injections to this area with excellent results as well.  Botox often makes them worse unless you have very little lid laxity.  I suggest seeking a cosmetic dermatologist with experience in periocular rejuvenation.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
5.0 out of 5 stars 39 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.