Muscle atrophy from botox? (photo)

Thank you for your question and photograph.  The indent around your eye is not likely muscle atrophy but rather the effect Botox that has relaxed the muscle or a depressed area that may need further filler injection for better contour.  Best to follow up with your injector.  Good luck.

A mild atrophy can occur in the very muscles that are treated after years of Botox or other Neuromodulator.  Usually that would require 5 to 10 years of continuous, without breaks, relaxation of the treated muscles can cause atrophy. If atrophy occurs, which only occurs in a minority of patients, it is very mild.  The area where I see your " indents" is not under your orbicularis muscle, which is where Botox is injected. Rather your indent is on the lateral cheek where filler is often placed. Unfortunately Fillers may not move with contraction of muscles and so when you smile the indent occurs. I expect that letting the fillers dissipate over time will help or correct this issue. 

Thank you for sharing your question.  It would be useful to see a photograph of you smiling from before the start of your use of botox and dermal fillers.  These lateral dents can be the result of irregular filler placement or may be a normal, anatomic variation of your cheeks.  See an ASPS board certified plastic surgeon in consultation, they can offer you the best treatment advice.