Filler or Botox for undereyes - can I expect good results? (Photo)

Question

I'm scheduled to get under eye filler in a couple of weeks with a plastic surgeon he told me he could give me "mild" improvement. That discouraged me, I don't know if I should live with the under eye folds, do Botox, or just use gua sha and over the counter treatments. Help.

Homeira Izadi, MD · Answer

Hi dear,For rejuvenation and minimizing the wrinkles and dark circles under the eyes, unfortunately none of those two options work! Neither filler or botox. I actually advise against both.The best options are either EZ PRF /EZ gel or Fotona laser treatment.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photo and your concerns. I want to answer you honestly and supportively, because under-eye changes can be frustrating and also emotionally discouraging when expectations and reality don’t line up.

From what I can see, your under-eye area shows folding and volume change rather than mainly muscle wrinkling. That distinction matters a lot when deciding between filler, Botox, or non-procedural options.

Let me break this down clearly:

Camille Cash, MD · Answer

I encourage you to begin by visiting with an experienced injector for an evaluation.  It's best to determine the recommended treatment plan by evaluating you when not making any expression.  Botox under the eye is typically reserved for those with a "jelly roll' where the muscle is hypertrophied.  Fillers can help improve contours by adding volume to hollows.  Other options include treatments such as Morpheus8 which can improve overall skin tone and texture.

Filler or Botox for undereyes - can I expect good results? (Photo)

Answers (3)

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