I have recently had 45 units of Botox in forehead and eyes. I still have deep lines under my eyes which I hate. (Photo)
Doctor Answers 23
How to improve lines under eyes even after Botox?
Lower Eyelid bags
Still have wrinkles after Botox
Thank you for your question pollycam. Botox is used to treat wrinkles around the eyes. A tiny amount of Botox injected directly under the eyes can be used to treat fine lines in that area.
Volume loss under the eyes is common. This is more apparent when the wrinkles are treated because sometime we do not notice it when we see wrinkles. Volume loss can be treated non-surgically with a filler such as Restylane. Surgical options would have longer lasting results. I recommend consulting with a doctor for specific advice. Good luck!
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Lines around the Eyes
Botox has a great result for the crow's feet but the area that you are describing would be best treated with a combination of lasers and fillers. I like the eMatrix for this delicate under eye area and Belotero or Restylane as a filler. Please consult an expert. Best, Dr. Green
Lines underneath lower eyelids
For deep lines underneath your lower eyelids, there are a combination of procedures that can be performed to help this area. Frist, the use of peels or laser therapy can diminish the lines underneath the eyes. Second, fillers in this area, when placed correctly, can soften the lines. And lastly, a lower eyelid blepharoplasty is an excellent option to remove excess protruding fat and redrape the skin of the lower eyelid-cheek junction. Hope this helps. Best of luck.
Restylane and laser resurfacing under the eyes.
FIller or Surgery
If the result falls short of the degree of improvement you would like, that is the clearest indication that a surgical blepharoplasty is right for you.
Best regards, Prashant Soni, M.D.
Fillers, such as Juvaderm may help will the hollowing.
you may get some tightening to the lower lids with either a chemical peel such
as TCA or with laser resurfacing.
david berman md
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.