Can You Have Botox Directly Underneath Your Eye?

Botulinum Toxin (Dysport or Botox) may relieve some of the wrinkles in the lower lid but there are consequences to weakening the lower eyelid muscle including worsening of bags or slceral show or differences on movement of eyelid and cheek skin

I have been routinely injecting Botox for treating under eye (lower lid) fine wrinkles, crepeyness, and rolled bulges (resulting from a slight hypertrophy or thickening of the muscles in the region)  for nearly fifteen years. More recently, I have also used Dysport successfully for these same purposes.

Treatment of the lower lid region with either of these materials usually requires only one to two microdroplets placed superficially within the skin on each side. In addition to diminution of fine lines and of the crepe paper appearance, treatment in this fashion frequently gives rise to a slight widening  or opening up of the eyes, which is also quite pleasing and which tends to make the eyes look less tired.

Botox and Dysport are not intended to treat bags under the eyes due skin laxity or volume shifts leading to hollowness and darkness in that area. They should also be avoided in individuals with significant redundancy. Each of these problems conditions may appear more pronounced following treatment and may instead be managed via a variety of other nonsurgical rejuvenation approaches, such as volume restoration, superficial chemical peels and prescription home use products. 

I often inject botox under the eye as well when injecting the crow's feet since it helps with those annoying lower eyelid creases half of the time.  Don't expect it to work all the time, but when it does, it is really nice.  Cost for crow's feet area is $300.