Why Does Botox Treatment for Crows Feet Make Dents in my Cheeks, Wrinkles Worse and Bags Under my Eyes?

Question

For the last couple of botox treatments (by 2 different docs) my wrinkles are worse when treating my crow's feet. I also have flattened cheeks and bags under my eyes. I had this treatment years ago and the doctor who did it only injected near my temples and it was only one shot on each side of my eyes. It worked great! So could it be the injection placement? Should I go back to injecting the temple area? And why would that work better than the 3 injections around my eyes that the other docs did?

Paul S. Nassif, MD · Answer

It is difficult to see what you are referring to without seeing photos. A poor result could be related to amount injected, placement of the injections, and poor technique. I would recommend visiting your provider and communicating this concern to him or her. I hope this helps, and I wish you the best of luck.

Sam Naficy, MD, FACS · Answer

It is very difficult to answer your question without first knowing the details-how many units were used and actual placement? Also, you should consider posting photo's minimally for better assessment.

Richard Baxter, MD · Answer

Because Botox works by relaxing hyperactive muscles of expression, it can alter the balance of facial features. For example, brow position is affected by muscles that lift and muscles that pull down, such as the ones that cause crow's feet. Similarly, the crow's feet muscle (called the orbicularis) lifts the upper cheek area, so relaxing it can weaken support for the lower eyelid area in some cases. Based on the response, an experienced injector should be able to alter the technique the next time with different placement and dosing to minimize the problem.

Hratch Karamanoukian, MD, FACS · Answer

If you had a better post procedure cosmetic outcome with the first provider, return to that provider for repeat injections. You also seem to know that if he/she stayed on the outside of the orbit (temple), the outcome was more pleasing to you ... so, again, have them inject that area only as they can always add more Botox a week later if you don;'t get the effect you desire. It is always important to post pictures so that we better understand your concerns.

Asif Pirani, MD, FRCS(C) · Answer

A picture would help in understanding what you are trying to describe.  It would  also help to know how many units were injected.  It sounds like perhaps too much botox was used.

Why Does Botox Treatment for Crows Feet Make Dents in my Cheeks, Wrinkles Worse and Bags Under my Eyes?

Answers (7)

Answer: Botox and crow's feet

Answer: Botox and crow's feet

Answer: Botox

Answer: Botox

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Why Does Botox Treatment for Crows Feet Make Dents in my Cheeks, Wrinkles Worse and Bags Under my Eyes?

Answers (7)

Answer: Botox and crow's feet

Answer: Botox and crow's feet

Answer: Botox

Answer: Botox

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.