Under eye wrinkles while smiling after Botox. How do I deal with these lines?

Thanks for your question. I recommend seeing your injecting physician so that they can best address your concerns in person. It's possible that using Botox in your crows feet may have created a more wrinkled appearance under your eyes. There are a variety of options to address this that you might be a candidate for including more Botox, fillers, laser, and even a skincare regimen to compliment your new results. Since there are so many different possibilities, it will be best for you to see a physician in person who can assess your concerns and make the best recommendation possible.

Many clients experience the same thing you are referring to.  Some times it is that they are more likely to notice subtle flaws when other issues are no longer present, like crows feet.  Other times the orbicularis muscle that was injected to get rid of the crows feet becomes hyperactive just below the lower eyelid margin.  In these situations 2-4 more units of Botox injected directly into the lower eyelid orbicularis muscle will take care of a lot of the wrinkling you see.  Always best to be very conservative in this area.  

It depends on exactly what lines you mean.  If you mean lines that radiate out at the corner of the eye, then Botox can help with these.  Namely, lines that go from about horizontal upward from the corner.  Lines below this are made by smile muscles deep in the face and would not be injected with Botox.  5 units to the crows feet is a very small amount.  I usually put between 9 and 12 units per side for crows feet.  It's possible that you just didn't get enough. You should have your injector examine you to give you more information (or you could post photos).  

Hi,Thank you for your question.Sometimes patients may notice worsening undereye wrinkles after Botox treatment of the crow's feet. When treating the crow's feet, you are selectively paralyzing the lateral portion of the orbicularis oculi muscle, which is a circular muscle that goes around the entire eye. Subsequently, when you smile and contract this muscle, you may notice more muscle activity at the lower part of the muscle since the outer portion is paralyzed from the Botox. You can try 1-2 units at the under eye to help soften these wrinkles but it is considered an off label treatment. Make sure to see an experienced injector.Hope this helps!

The wrinkles around the eyes, so called crow’s feet, usually occur when we smile. They are not bothersome unless they leave creases around your eyes. Botox would enhance overall appearance of your face and especially the area around your eyes, but it would not alter your face expression.

Dear girlcop:

As the Anti-Aging Medical Marketplace grows, the options become more confusing. Learning the different categories will help. Please see the reference link below to make sense of it all.

Botox and Dysport are injectable medicines which paralyze muscle fibers, weakening portions of the muscle bundle but not the entire muscle group. By injecting the circular muscle along the lateral eyebrow and the triangle of muscles between the eyebrows, the frontalis muscle of the forehead is able to pull the eyebrow upward without opposition.

This change in expressive muscle balance may allow other muscles to pull with less restraint causing wrinkles and folds of the forehead,  lower eyelids and cheeks. The following is a partial list of options to discuss with your Board Certified, talented and well experienced Plastic Surgeon and Team:

·         Obagi ZO Skin Health 

·         Chemical Peels and Laser

·         Sculptra

·         Fillers including Radiesse and fat

·         Botox / Dysport for dynamic wrinkles injected in tiny amounts very superficially by very skilled injector.
I hope this has been helpful. All the best!

 

Dear girlcop:There are a variety of treatment options for treating under eye wrinkles which include Botox, fillers, lasers and radiofrequency.  Best to see your treating physician for an in office assessment whence best treatment advice can be given.  Best wishes.

There are several options to treat under eye wrinkles:1. Botox or Dysport can be used in very small doses to soften or fully correct such lines. This is considered to be an advanced technique so should be performed by a well trained and experienced injector.2. For patients whose lines are deep or who have already experienced Botox injections with minimal improvement, I often recommend fractional laser resurfacing (either non-ablative or fractional Co2). Such laser devices can produce long lasting reduction in superficial lines and build collagen thus improving the texture of your skin. 

Thank you for your question. If you are still experiencing under eye wrinkles, they can be treated with more units of Dysport/Botox. You can also try fillers such as Restylane and/or laser resurfacing. It’s difficult to determine without a photo. Please make sure you seek treatment from a board-certified dermatologist. 

Thank you for your question.  It would be helpful to see a picture of what is going.  However, if you are getting wrinkles whenever you smile, you most likely need more units of Botox.  The average person uses around 24 units Botox to the both sides.