Can having Botox around and under the eye be harmful to your eyesight?

Doctor Answers 15

Botox and eyes

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Botox will not cause harm to your eyesight or visual axis.  However, potential complications with injection can happen from diffusion of the injectate into muscles that are not targeted for paralysis.  Examples include changes in shape of your smile or eyelid position.  The best way to avoid these issues is to have your injections performed by an experienced board certified plastic surgeon rather than a relatively inexperienced practitioner.  

Botox does not affect eyesight.

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Botox can be injected to elevate the eyebrows, to decrease the frowning, to improve the smile lines (crows feet) and less commonly to decrease wrinkles under the eyes. All these injections are done around the eyes and do not interfere with eyesight.

Normand Miller, MD
New Hampshire Vascular Surgeon

Can having Botox around and under the eye be harmful to your eyesight?

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Thank you for your question. Botox around and under the eyes can be a quick, easy and safe procedure. Having said that, there are always risks with needle insertion. Speak with your injector regarding associated risks. 

All the best, 


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Hi Vane.  Botox is a very popular cosmetic intervention. Botox works to prevent facial lines and wrinkles by relaxing the underlying facial muscles. Technique is critical, and must be tailored to the individual patient. Botox is effective in the upper ⅓ of the face: the “crow’s feet” around the eyes, forehead lines, and the vertical furrows between the eyebrows.

As such, because the Botox is not directly placed in the globe (eye) there should be no vision issues.  The only theoretical issue is if the Botox causes a droopy eyelid (this is rare).  The droopy lid may temporarily impair vision.  This should resolve, though, as the Botox wears off.

Hope this makes sense.  Best wishes.  Dr. Shah

Anand G. Shah, MD
San Antonio Facial Plastic Surgeon

Botox and Eyesight

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Botox doest affect the eyesight directly, however if the eyelids droop or the under eye doorps it can affect the vision indirectly and the "dryness" of the eye.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 203 reviews

Botox around the eye

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Botox is safe for injection around the eye.  There is no potential for damage to the eyesight.  In fact, Botox is used in the small muscles in the eye for spasm and other conditions.   Potential complications in the area around the eye center around diffusion to unwanted muscles such as those involved in smiling or creating recruitment of other muscles.  When considering treatment, make sure to consult with a physician who is an expert in injectables.

Kyle Coleman, MD
New Orleans Dermatologic Surgeon
5.0 out of 5 stars 11 reviews

Botox and eyesight

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Botox is an extremely safe medicine.  I have never seen a problem with eyesight after injecting Botox in thousands of patients.  There are rare problems that can be seen such as eyelid drooping but in skilled hands these types of problems are extremely rare. 

Can having Botox around and under the eye be harmful to your eyesight?

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Hi Vane,

Botox recently received approval from the FDA for injection around the eyes into the crows feet in the last few years. It is completely safe to use around the eye, and as an oculoplastic surgeon I use this product routinely for a variety of different needs from cosmetic to medical involving areas around the eyes. Hope this was helpful, best of luck to you. 

Botox and Eyes

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Botox is a fabulous product for the area around the eyes - the crow's feet - for eliminating these wrinkles. However, I don't like Botox under the eye as it often causes swelling and other side effects.  I have not heard about any vision problems associated with Botox as long as it is done correctly by an expert.  Best, Dr. Green

Can Botox around/under the eye be harmful to eyesight?

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Thank you for your question. Provided the injections were performed properly, there shouldn't be a risk for harming vision. Always do your homework and select a well trained and experienced physician injector so you can reduce the risk of adverse effects that result from injector error. Best of luck to you.

Alix J. Charles, MD
Hinsdale Dermatologic Surgeon

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.