Would jellyroll Botox minimize the appearance of under eye rolls? 19 y/o (photo)

Hello b.land! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. Based on the image and your concerns, Botox injections in the proper anatomic location under the eyes would help to minimize the jellyroll appearance when you smile. I hope this helps and best of luck!

Botox can be used in small amounts under the eyes to soften muscle hypertrophy. However it is important that you visit with an experienced injector to determine that this is the appropriate treatment for you. There is a risk that if the muscle is weakened too much lower lid retraction can be affected.

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

The short answer to your question is that microdroplets of Botox can work well for under-eye muscle-related "jelly rolls." It usually only takes a couple of microdroplets to achieve gratifying results. Make sure to consult with an experienced, board certified cosmetic dermatologist. and best of luck.

The lower eyelid is a muscular hammock. Cosmetic botulinum toxin will weaken the hammock function of the lower eyelid orbicularis oculi muscle resulting in a weakening of this function. The effect is unwanted lower eyelid retraction. The effect of relaxing the lower eyelid muscle roll does not out weigh the negative weakening of the lower eyelid. This treatment is not recommended.