Botox and Wrinkles on the Corners of the Eye?

Is Botox a good option for eye wrinkles that are underneath and on the outside corners of the eyes? How often do patients schedule botox for this type of treatment? 

Doctor Answers 7

Botox on Crow's Feet and wrinkles

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You can thank the English from the 14th Century for coming up with the attractive term Crow's Feet to describe the fine wrinkles located on the outer half of the lower eyelid onto the cheek.

Fortunately, Botox and Dysport work well to stop the motion of the muscles that cause these wrinkles.  It is temporary and usually lasts about 3-4 months.

If wrinkles remain even after the use of Botox, fractional laser resurfacing or perhaps a chemical peel can further improve this area.

I hope this helps. Best of Luck.

Nashville Plastic Surgeon
5.0 out of 5 stars 221 reviews

Under Eye Circles

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If the wrinkles are lateral to the eye or slightly under they are amenable to BOTOX or one of the other botulinum toxins.  These have to be repeated every 3 months or so.

If your wrinkles are truly below your eye you may be referring to a malar mound or festoons and BOTOX can actually make those areas worse. Treatment for that typically consists of filler or fat deep to that area and skin resurfacing with either a laser or chemical peel treatment.

The key is for accurate diagnosis.  Find someone you trust and discuss your options in more detail.  Good luck!

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon
4.8 out of 5 stars 48 reviews

Botox and wrinkles around the eyes

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Botox works beautifully on wrinkles around the eyes or crow's feet.  The way it works is that it is taken up into the nerve that activates the muscle.  When the brain signals the muscle to contract, the message is never received and the muscle stays relaxed which leads to a softening of the overlying skin and reduction of existing wrinkles.  In select patients, a small amount of Botox may be placed under the eye to reduce fine lines and improve the crepey texture under the eyes.  Typically, a patient needs to be re-treated after about 4 months. 

For wrinkles underneath the eye, the best option will most likely be a filler such as Juvederm or Restylane to increase volume in this area.  Results typically last anywhere from 6 months to a year.  For a more gradual and longer lasting effect underneath the eye, Sculptra Aesthetic is also a good alternative.  The main difference here is that the effects take longer to see, as the product helps body grow its own collagen.  Effects are usually seen within 6-8 months and can last up to 23 months.

Lori Stetler, MD
Dallas Dermatologic Surgeon

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Options to treat wrinkles around the eyes...

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If the wrinkles around the eyes appear or worsen with animation, then Botox or Dysport will relax the muscles and soften the wrinkles. The results from a Botox or Dysport treatment can last 3-4 months.
Sunscreen and skin care can help the appearance of superficial lines. Deeper wrinkles may require chemical peels or laser resurfacing.
If  the wrinkles are due to loss of volume around the lower eyelid then an injectable filler using hyaluronic acid such as Restylane can restore volume and improve the appearance of the skin.

You may require a combination of these treatments to achieve a natural result.


Cynthia Gregg, MD
Raleigh-Durham Facial Plastic Surgeon

Botox/dysport good start

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Botox or Dysport would be a good start for wrinkles on sides of eyes and sometimes even for those that extend around below. Often laser resurfacing or a good peel , and  a retinoid are good additional treatments especially when moving under the eye. 

Jo Herzog, MD
Birmingham Dermatologist
4.8 out of 5 stars 20 reviews


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Botox is a great treatment for crows feet. If the lines are still present after Botox treatment, I would consider adding Retin A and alpha hydroxy acids to your skin care regime. Also, a TCA peel is a commonly used treatment to minimize fine lines under and around the eye.

Kirk A. Churukian, MD
Los Gatos Plastic Surgeon
5.0 out of 5 stars 6 reviews

Botox and Dysport can be used for wrinkles around the eyes.

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The wrinkles around the eyes are referred to as Crow's Feet, and can be treated with Botox or Dysport.  Results typically last 3-4 months.  The wrinkles under the eyes may require fractionated laser resurfacng, depending on the severity of the wrinkles.  Best to you,

Carolyn Jacob, MD
Chicago Dermatologic Surgeon

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.