Botox Didn't Work for Eye Wrinkles - Should I Get Fillers?

I have used Botox beneath the eye with mixed results.  Some people like it, most find it to be an uncomfortable waste of time and money.  Pinch blepharoplasty, an abbreviated type of lower eyelid surgery (local only, no anesthesia recovery) is often the answer.  It's long lasting (years) and does a lot more than Botox in this area.  My website has before and after photos of Pinch Blepharoplasty.  

Gid Day Aussie,

You look like you would be an excellent candidate for a skin pinch lower eyelid procedure.  If you wish to treat non surgically and less invasively, then go with Fraxel repair treatment.  If you want to go holistic, try a little Vegemite spread on the lower lids overnight (just kiddin' about that one).  Bee's knees.  Good luck and be well.

Dr. P

Your condition may not improve and could look different and not pleasing secondary to swelling with fillers in the lower eyelids.  Botox can't immobilize the smile muscles which are generating the lower eyelid creases now that the crows feet are treated well. If the smile muscles are treated then you won't move your mouth correctly and your smile and eating and speech will not be good.  Fillers are best to correct lines at rest but if they are used to correct the lines that are visible with movement, then the skin may look lumpy at rest, or there may be too much water retention from the fillers to make the eyelid puffy. Be cautious and conservative.