More Wrinkles After Filler
Hi Cheryl. It's hard to tell from the photos what the result looks like because the lighting is very different in both.
One possibility if your skin looks looser under the eyes is that the Botox migrated from the crow's feet area down below the eye and caused some muscle weakness. If this is the case, the issue should resolve within a month or so.
Finally, 1 CC of Belotero is a fairly small amount and usually does not have a large impact on the type of wrinkles you have. You may need more product.
For examples of before and after pictures for under eye wrinkles for other Cypress, CA patients, click the link below.
Dr. What can I do about wrinkles that are now more prominent under my eyes since having an under eye filler 2 weeks ago?
Over the internet very hard to advise. Best to seek IN PERSON opinions. But you might needs an under eye medium peel or even a operative lower lid bleharoplasty...
Botox and Filler treatment
Dear Cheryl K,
The Botox treatment for crow feet lines and fillers in tear trough areas may some time cause appearance of 'Eyebags' in lower eyelids. In your case, Botox treatment seems to be less effective in lower one third. If wrinkles are bothering you, you can have more botox in lower one third of Crow feet lines ( although total 25-30 units for both sides are generally adequate in cases like yours). If you have swelling in lower eyelids area, avoid more botox and let filler settle down in nest 10-15 days.
Dr K M Kapoor
Wrinkles worse under eye after Botox and filler will improve
40 units of Botox is too much for around the eyes. I use 1/2 that. Losing that much tone can actually lead to more wrinkles. Under eye laxity can be treated with laser, surgery, or RF. I like the Infini for the RF treatment. You should go back to where you were in about 3 months. At that time address the skin laxity.
Wrinkles Under Your Eyes
Appears to me that you have two issues but both are likely related to loss of elasticity in the skin under your eyes. I would likely offer you two options . An under eye phenol chemical peel would help improve elasticity and you would perhaps notice a difference when smiling. A lower eyelid blepharoplasty with tightening of excess skin is another alternative and we often combine it with the peel albeit at least a month or two apart.
Under Eye Wrinkles and Fillers
The photos are difficult to assess the problem. If the Botox can fillers created a worse problem I suggest you return to your treating physician and have them dissolved. The Botox injections may have been placed too low to your under eye area. Those effects can last two more months. Please consult a board certified dermatologist with a great deal of experience with Belotero and other facial fillers.
When Botox and Filler Aren't Enough
Many patients are interested in non-surgical eyelid rejuvenation. Botox or Dysport around the eyes and Restylane or Belotero under the eyes can give a dramatic improvement. For patients who also have loose eyelid skin, resurfacing with a TCA peel or fractional laser further enhances the outcome. The only way to know for sure what you would benefit from is to have a formal consultation in the office.
You likely need laser resurfacing and chemical peeling. Laser genesis is helpful as well for these lines. If they are more prominent from smiling alone, a few units of Botox right under the eyes is also helpful. I'd love to see before photos as well. Overall, you need a cosmetic dermatologist who specializes in lasers, fillers, and surgery to help. I would gladly see you anytime. Best, Dr. Emer.
Under eye wrinkles
I see that in your after photo you are smiling and the camera is above you, whereas in the before your face is at rest and the camera is more centered. When you smile and hold the camera above the wrinkles will look worse or be accentuated. It would be best to see a before/after photo where you have the same expression and the camera is in the same position.
If you are bothered by under eye wrinkles which were not improved by Botox and Fillers, I recommend either laser tightening or radiofrequency tightening. Chemical peels are riskier in darker skin types for giving discoloration, whereas a fractionated laser 1550nm or radiofrequency heating will improve the wrinkles with very little risk.
Under Eye Wrinkles
It appears in your after photo that you are smiling a bit, which will always cause wrinkles under the eyes whether botox has been placed or not. Chemical or laser peeling would improve the fine under eyelid wrinkles at rest but when you smile they would still show to a degree. A conservative "skin pinch" blepharoplasty can also smooth the lower eyelids at rest as well. You are probably a very expressionistic person that smiles a lot and thus your lower eyelid wrinkles. I would talk to the person that treated you and see what ideas they have or who they would refer you to. Sorry if this is discouraging, but it is very hard not to have lower eyelid wrinkles when we smile. Best wishes.