One eye wrinkling more than the other - What is going on and how can I fix it? (Photos)

Question

I have suddenly started noticing that one of my eyes seems to be wrinkling up a lot more than the other, making it look like I’m squinting. I have had Botox within the last year so I’m not sure if it could be related but is there anything other than crossing my fingers and waiting for it the Botox to dissolve to see if that is the cause? Or is there something else I can do to correct?

Anna Chacon, MD, FAAD · Answer

From the photo and your description, it sounds like you’re noticing asymmetry in the movement around your eyes. This is actually quite common and can happen for a few reasons:

Botox effects – Since you had Botox within the last year, one side may be wearing off faster than the other, or the injection may have slightly diffused differently on each side. This can cause one eye to appear to wrinkle more, especially when you smile or squint.

Muscle differences – Our facial muscles are naturally a little asymmetric. Sometimes one side is stronger or tighter, which can make wrinkles more noticeable.

Lifestyle or habitual movements – Squinting in sunlight, leaning on one side, or even habitual expressions can make one side wrinkle more over time.

What can be done:

If Botox is the cause, the simplest approach is usually to wait for it to fully wear off (typically 3–6 months after the last treatment).

For quicker correction, a touch-up with Botox on the side that is more active can even things out.

Daily skincare with a good moisturizer, eye cream, and sun protection can help prevent deeper lines from forming.

In some cases, laser resurfacing or microneedling can improve fine lines, but this is more for established wrinkles rather than temporary asymmetry.

Since you’re noticing this suddenly, it’s reassuring that it’s most likely related to Botox or normal muscle asymmetry rather than a health problem. Monitoring it for a few weeks while protecting the skin and avoiding excessive squinting is reasonable.

If you want, I can explain how a minor Botox touch-up could balance the two sides safely without overdoing it.

One eye wrinkling more than the other - What is going on and how can I fix it? (Photos)

Answers (1)

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