Under eyes wrinkles didn't go away with Botox ( 3 times) , what are other alternatives? (photo)

I agree with the other physicians that Botox is not effective for wrinkles under the eyes. In fact, in some cases the Botox under the eyes can worsen the wrinkles. I recommend laser treatment for the wrinkles/crepey skin under the eyes. Fraxel laser is an excellent option as well as some radiofrequency devices such as Sublative. Best wishes.

Botox
is an excellent tool to help minimize eye wrinkles but it may not be the only
thing needed. I would recommend some
additional treatments such as lasers, possible filler to fill in any hollowness
under the eyes and a great eye cream with retinols and peptides.

Many
times it takes a combination of different treatments and techniques to achieve
the desired results. You may have to
look at some surgical options as well.

I normally find that wrinkles on the sides of the eyes are improved with Botox better than lines under the eyes.  Other treatments that could improve under eye wrinkles would be surgery or certain types of laser treatments.  You would need to be examined to determine if you might be a good candidate for these procedures.  

Thank you for your question. It is difficult to give you advice without examining you in person. However, from you photo it appears that Botox has worked well on your forehead and between our brows. Most likely the reason Botox is not working on your crow’s feet is that you were not treated with enough units in this area. I recommend having a follow up with your injector to discuss your concerns, and to have a small touch up of Botox. Best of Luck!

Botox works very well for the wrinkles around the eyes (crow's feet) but not very well for the wrinkles under the eyes.  I would suggest you look into other treatments such as eMatrix for the under eye area or Fraxel laser for these lines.  Please consult a board certified dermatologist with a lot of experience in facial injections for the best results.

Botox really isn't great for lines under the eyes. For that, I recommend a fractional laser treatment like Invasix Fractora. I've been doing this treatment specifically for this area and have great results. Botox just doesn't work well here because the lines are usually static and dynamic, meaning they are there when you move your muscles or when you don't. Consult a board-certified physician for options other than Botox. "This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."