Wrinkles after botox crows feet. What went wrong? (Photo)

Hi Perryi:

Botox
relaxes muscles. When those muscles arealong
the lower eyelid:

1.1 pushing back the fat pads of the lower eyelid,
or

2.2 compressing fluid accumulation in the inferior
orbital region or

3.3 lifting the skin under the eyes,

more wrinkles and sagging will occur.

The
average duration of Botox is 3 months, so you may expect these effects to occur
for that period of time.

I
recommend you visit a Board Certified, well experienced Plastic Surgeon, Facial
ENT or Oculoplastic Surgeon to review your options once this episode wears off.

In
the meantime, consider a skin tightening program such as:

1.1 retinoids

2.2 TCA chemical peel

3.3 skin tightening laser

I hope this was helpful! All the best!

If Botox is injected in significant quantities to the muscle under the lower eyelid, you can be left with such crepiness (and even more pronounced fat pockets).  This is because the muscle is no longer able to contract or tighten as before the treatment.  My suggestion is to let it wear off, then consult with a facial plastic surgeon or plastic surgeon to weigh both surgical and non-surgical options to correct your areas of concern.  This situation stresses that only "core" injectors should perform cosmetic injectables (facial
plastic surgeons, plastic surgeons, dermatologists, or occuloplastic
surgeons). This is because we all have a keen understanding of facial
anatomy and the effects of injecting Botox and fillers in different
regions of the face. Be sure you are seeing one of us, and I wish you well!