Hi there, After everybody was so wonderfully helpful, I thought I would upload some pictures.. I feel like my botox treatments just aren't working around my eyes! It works wonders on my forehead and frown lines, but although the lines beside my eyes go (for a mere 4 weeks) they never ever go from under my eyes. The lady I use is a nurse. Could this be an issue? Lack of experience? Bad placement? My results on my forehead and frown lines last 3-4 mths, but I'm so down about my eyes!! Please help X
February 2, 2015
Answer: Botox for under eyes/crows feet Great question.What you describe is quite appropriate for botox treatments in the periorbital region.The muscle around the eye is called the orbicularis muscle and is circular. When it contracts it acts like any other circular muscle, like the orbicularis oris muscle around your mouth. When you contract that muscle you squeeze your lips like your going to whistle. Around the eye, the muscle "squeezes" the eyelids and keeps the eyelids tight up against the eyeball, a necessity for normal eye function. The crows feet portion of the muscle can be paralyzed with botox successfully with resolution of the wrinkles. However, if botox is used to paralyze the muscle on the lower eyelid, you will experience drooping of the lower eyelid, much like you might see in people who have had a stroke. The point is, the wrinkles on the lower lid are not really safely treatable with botox, in my opinion. If the wrinkles only occur with animation (smiling) then you might have to accept that as your normal. Other options include a good skin care program, laser resurfacing and lastly blepharoplasty, although I don't see from you photos as the best option for you. I truly hope this helps
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February 2, 2015
Answer: Botox for under eyes/crows feet Great question.What you describe is quite appropriate for botox treatments in the periorbital region.The muscle around the eye is called the orbicularis muscle and is circular. When it contracts it acts like any other circular muscle, like the orbicularis oris muscle around your mouth. When you contract that muscle you squeeze your lips like your going to whistle. Around the eye, the muscle "squeezes" the eyelids and keeps the eyelids tight up against the eyeball, a necessity for normal eye function. The crows feet portion of the muscle can be paralyzed with botox successfully with resolution of the wrinkles. However, if botox is used to paralyze the muscle on the lower eyelid, you will experience drooping of the lower eyelid, much like you might see in people who have had a stroke. The point is, the wrinkles on the lower lid are not really safely treatable with botox, in my opinion. If the wrinkles only occur with animation (smiling) then you might have to accept that as your normal. Other options include a good skin care program, laser resurfacing and lastly blepharoplasty, although I don't see from you photos as the best option for you. I truly hope this helps
Helpful
February 6, 2016
Answer: Options Dolly,First let's address the issue of what causes crows feet and under eye laxity. The last few years since dermal-fillers have come on the scene in plastic surgery, we as cosmetic surgeons have come to realize the importance of facial volume loss and the significance this plays in aging. In the past we usually would address the issues with which you are concerned with Botox, chemical and laser peels, and lower lid trans-cutaneous belpharoplasty. All of these options most often were able to meet the patients' needs. Now with dermal-fillers at hand they have played a large part in revolutionizing facial aesthetics in obtaining a more youthful appearance. Injecting filler into these areas can provide a more youthful appearance when used in conjunction with the above named techniques. So to answer your questions, if Botox is the only thing to use, the answer is no. But every patient must be assessed as to their needs, financial capacity to pursue the recommended course, the downtime and the objective of the overall final result. It is always advisable to seek out a board certified plastic surgeon with experience, one that will address your needs and concerns and that is willing to work with you to accomplish your goals.
Helpful
February 6, 2016
Answer: Options Dolly,First let's address the issue of what causes crows feet and under eye laxity. The last few years since dermal-fillers have come on the scene in plastic surgery, we as cosmetic surgeons have come to realize the importance of facial volume loss and the significance this plays in aging. In the past we usually would address the issues with which you are concerned with Botox, chemical and laser peels, and lower lid trans-cutaneous belpharoplasty. All of these options most often were able to meet the patients' needs. Now with dermal-fillers at hand they have played a large part in revolutionizing facial aesthetics in obtaining a more youthful appearance. Injecting filler into these areas can provide a more youthful appearance when used in conjunction with the above named techniques. So to answer your questions, if Botox is the only thing to use, the answer is no. But every patient must be assessed as to their needs, financial capacity to pursue the recommended course, the downtime and the objective of the overall final result. It is always advisable to seek out a board certified plastic surgeon with experience, one that will address your needs and concerns and that is willing to work with you to accomplish your goals.
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