What is the solution for wrinkles in the eyelid after Botox? (photos)

Thank you for your question. PDO threadlifts may be a solution for the lines under your brows. PDO thread lifts can be used around the eyebrows to lift the skin for smooth and youthful results. The absorbable stitches are strategically placed to lift the skin. Dermal fillers may also help as they can target brow atrophy and wrinkles. An in-person consultation with a board-certified facial plastic surgeon can help create a personalized plan that targets your concerns and leaves natural results.

The wrinkling that concerns you may be related to skin laxity. You may consider AccuTite to help tighten the skin around the eyes and forehead. Visit with a board certified plastic surgeon near you to learn more.

Botox works by relaxing muscles and smoothening the overlying skin. However, when there is significant skin laxity, you might get the wrinkles that you are talking about. A good alternative is to get an endoscopic brow lift (to lift the brow to where it is supposed to be) and upper blepharoplasty ( to remove the excess skin in your upper eyelids). Hope that was helpful

For puffiness and sagging under the eyes, we often use Renuvion helium plasma radiofrequency energy to achieve incredible results and take years off of your appearance. Combining RF energy and cool helium plasma, the signs of aging (wrinkles, pigmentation, skin laxity) are improved in a ‘Nonsurgical Eyelid Lift.' The focused heating tightens and peels the upper layers of skin with extreme precision, leaving the surrounding area undamaged, smoothing and tightening the periorbital skin, and improving the overall skin quality around the eyes. It's an aggressive treatment, and the recovery time is longer than with other nonsurgical procedures, but the results can be life-changing.​ See an expert to determine if this is the best solution for you. Best, Dr. Emer

The remaining wrinkles are from the muscle (orbicularis oculi) that is still working around the eyes. It is a circular contracting muscle. Some additional botox can help reduce the lines but has to be done in a thoughtful way to avoid problems with brow ptosis.