Is Botox used for laugh lines and small wrinkles in cheek area?

Because Botox works by relaxing hyperactive muscles, it only works where the wrinkle is caused by that. Examples are crow's feet and the "eleven" between the eyebrows. There are a few other areas but the bags under the eyes are a different problem.

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Thank you for your question. Botox can help with the smile lines, but I is important to define where the lines are. Some patients refer to the crows feet (outer eye skin) as smile lines and Botox is very effective here. Some refer to the nasolabial folds as the smile lines. Fillers are much more effective here and Botox is not.  In addition, fillers may be better to fill in the shadows under the eyes.  This is a very advanced area and the most common reason why I see new patients with filler complaints is because of complications that arise in this area.

Botox is commonly used to treat horizontal forehead lines, crows feet around the eyes, and glabella frown lines between the brows. It is not ideal for use on laugh lines around the mouth, wrinkles in the cheek area and under the eyes.

The mouth is used for functions like speaking and chewing. So using Botox on muscles associated with these functions can entail risks.

Eye bags are caused by drooping muscles and fat tissue, as opposed to overactive muscles. Dark circles are the result of the skin under the eyes being thin. They can be caused by allergies, eczema, heredity, pigmentation irregularities, and sun exposure. Because these issues are not related to intense muscle contraction, Botox would not be useful in treating these issues.

Fillers like Radiesse can add volume to creases and hollows under the eyes. Additionally, Radiesse promotes the development of new collagen fibers which enhances the firmness of the skin.

Radiesse, along with Juvederm and Restylane are options for treating laugh lines, wrinkles in the cheeks and hollows under the eyes.

Because bags under the eyes are a structural issue, they can either be addressed with Radiesse or surgical blepharoplasty

Hi RML,
In our practice, Botox is commonly used for the "11" lines between the eyes, the crow's feet lines at the outer eye that show when smiling, the forehead and the upper lip. There are a couple more specialized procedures but these areas represent the vast majority of the procedures.
For under eye dark circles and bags, we use Restylane and this is called the "tear trough" procedure. You can see pictures of all our Botox procedures and the tear trough procedures if you visit our website link below. Good luck.