Hi, I'm 33 and have fine lines from underneath my eye down my cheek bone when I smile. I got botox injections done May 1, 2014. It's been 3 weeks and when I smile the lines are there. Unfortunately I didn't take the before photo, attached is the picture I took today. I am not sure if botox helped me or didn't do anything. I was hopeful that when I smile that part of my face will not wrinkle anymore. I would really appreciate your expertise. (The doctor that did it moved away, I can't go back)
May 22, 2014
Answer: Improving under-eye wrinkles I see that you are just beginning to develop some under-eye wrinkles. I find that Botox does not work so well for those wrinkles without carrying the risk of sinking down to the cheek muscles and interfering with cheek expression. In other words, to avoid that risk, we put less in the under-eye which tends to not work so well in many people as far as smoothing the wrinkles. I find filler to also be problematic in that area because of the Tyndall (blue discoloration) effect, and even with Belotero which is less likely to give Tyndall, it is so thin the results are short-lived. Instead, my preferred approach to treat mild to moderate under-eye wrinkles is radiofrequency tightening with either Invasix or Endymed. Another option is EMatrix fractionated RF. These treatments require multiple treatments, 3-6, but offer good, lasting results with very little to no downtime.
Helpful
May 22, 2014
Answer: Improving under-eye wrinkles I see that you are just beginning to develop some under-eye wrinkles. I find that Botox does not work so well for those wrinkles without carrying the risk of sinking down to the cheek muscles and interfering with cheek expression. In other words, to avoid that risk, we put less in the under-eye which tends to not work so well in many people as far as smoothing the wrinkles. I find filler to also be problematic in that area because of the Tyndall (blue discoloration) effect, and even with Belotero which is less likely to give Tyndall, it is so thin the results are short-lived. Instead, my preferred approach to treat mild to moderate under-eye wrinkles is radiofrequency tightening with either Invasix or Endymed. Another option is EMatrix fractionated RF. These treatments require multiple treatments, 3-6, but offer good, lasting results with very little to no downtime.
Helpful
May 22, 2014
Answer: Fine lines under eyes It is difficult to assess your situation well from the photo. From your description, these lines are not "crow's feet," which are treated well with Botox, but lower. If this is true, the anatomy is not a great target for Botox. You would do better with a treatment approach addressing skin texture and tone such as chemical peels, photofacials, or radio frequency skin tightening. A good regimen of skin care products for daily use would also be helpful.
Helpful
May 22, 2014
Answer: Fine lines under eyes It is difficult to assess your situation well from the photo. From your description, these lines are not "crow's feet," which are treated well with Botox, but lower. If this is true, the anatomy is not a great target for Botox. You would do better with a treatment approach addressing skin texture and tone such as chemical peels, photofacials, or radio frequency skin tightening. A good regimen of skin care products for daily use would also be helpful.
Helpful
