Can Botox Fix Tear Trough Wrinkles?

Hollowing in the tear tough area may be corrected with either a blepharoplasty or addition of volume with a filler. In fact the lack of volume is the reason there is a "trough." There is a related condition along the side of the nose, so called "bunny lines" that can be treated with Botox but that is a separate issue.

Thanks for your question -
Botox works by paralyzing muscles that when they contract create wrinkles. In the area you describe is part of the orbicularis muscle around your eye. In this portion of the eye the wrinkles you see are more likely to be caused by loose skin or by herniating fat than by the muscle contraction.
This means that Botox is unlikely to be a good solution.
These areas typically require surgery or ablative laser treatments to remove or tighten the underlid skin.
I hope this helps.

Hi bt,
Botox works on the "bunny" lines on the sides of the upper nose by relaxing the muscles that cause the lines. In your case, I do not believe that Botox will treat help with the "gravel, mashed excess skin from sleeping".
A filler or "skin pinch" procedure in that area would likely be better choices.
Be well.
Dr. P