How many units of Botox do I need? (photo)

Question

I am considering Botox for my under eyes. I am 26 years old and appear much older because of this and wanted to get an idea of how many units would be needed.

Robert Heck, MD, FACS · Answer

Dear Cami, Based on your photo I would not recommend that you do botox under the eyes. For this area it's difficult depending what exactly it is that you're seeking improvement on. Sometimes physicians put filler in the tear trough area (under the eye) but I find many clients aren't that happy with that either. Best of Luck seeking answers, but I would not do Botox for that issue.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  Instead of Botox which works best at reducing wrinkles in the forehead and around the eyes I would favor the use of dermal fillers to help  with the hollowing seen in your picture.  This may even help with some of the darker pigmentation present.  Hope this helps.

Omar Fouda Neel, MD, FRCSC, FACS · Answer

Hello and thank you for your inquiry and for providing photo reference. You appear to have hollowness under your eyes and Botox unfortunately is not your solution. I would recommend looking into fillers in order to fill out the lack of volume you seem to have . Botox is a muscle relaxent most commonly used for your glabella region, crows feet and forehead. Consult with an injector with years of experience and or a board certified plastic surgeon who can properly assess the best course of action and technique in injecting. In hopes this has helped answer your question. Best of Luck !

Camille Cash, MD · Answer

Botox is not the product that is needed to address the volume loss under the eye.  You may want to consider fillers or the ALMI procedure to help with your concerns.  Botox works very well to address lines and wrinkles between the brows, the forehead, and the "crow's feet" area.

Rekha Tailor, MBChB · Answer

Many thanks for your question and the photographs. 
From your photographs you appear to have some hollowness under the eyes. This is called a tear trough. This gives the appearance of dark circles and under eye shadows. This would need to be treated with dermal fillers. To achieve the best possible results, it is important that you are treated by a medial practitioner who has detailed knowledge of facial anatomy and experience with injecting fillers. 
Good luck with your treatment.

Melvin Elson, MD · Answer

If yhou are asking about tear trough then Botox will not work and you need a filler and the best is Belotero as it has less tendency to produce the Tyndall effect. If you have dynamic lines under the eyes then Botox can help and it takes very little but be sure you see a board certified dermatologist as this is a very difficult area to treat with Botox

Shaun Patel, MD · Answer

Fillers, not Botox, are the treatment for undereye volume loss, hollows, and dark circles. My preferred filler for this indication is Restylane and I like to inject it using a microcannula to minimize bruising and swelling. Wrinkles relaxers like Botox and Dysport are used to soften dynamic lines and wrinkles on the upper face (i.e. frown lines, forehead lines, crow's feet). I recommend you schedule a consultation with an experienced aesthetic physician to discuss your cosmetic concerns and to create an appropriate treatment plan.

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