Could getting masseter Botox or dissolving cheekbone filler cause lines, wrinkles and irritation in my under eyes? (photos)

Question

I am a 30yo female who got masseter Botox in Dec and February. I also got 0 ,75ml filler in my cheekbones but I didn’t like it, so I dissolved them ten days later in February as well. Since around that time I noticed dry skin under my eyes and I got irritation after I removed my makeup up. I got noticeable wrinkles and lines (see picture). Is it possible that the treatments caused this? Will it be better when my masseters and volume in my face get back? Or do I need to do something else?

Anna Chacon, MD, FAAD · Answer

It's understandable to be concerned about changes in your skin following aesthetic treatments. Here are a few points to consider regarding your situation:

Potential Causes:
1. **Masseter Botox:**
   - Masseter Botox is generally used to reduce the size of the masseter muscles and is not typically associated with changes in the skin quality or appearance under the eyes. However, changes in facial muscle activity can sometimes alter the dynamics of facial expressions, which might indirectly affect the appearance of the skin in different areas.

2. **Cheekbone Filler and Dissolution:**
   - The filler in your cheekbones would have provided some volume and support to the mid-face area. Removing this filler could lead to a temporary change in the overall facial structure and skin tension, potentially leading to the appearance of lines and wrinkles, especially if the skin was stretched or supported by the filler.

Dry Skin and Irritation:
- **Possible Causes:**
  - **Product Reaction:** The irritation and dryness you mentioned after removing makeup could be due to a reaction to the makeup remover or other skincare products.
  - **Environmental Factors:** Changes in weather, humidity, or exposure to harsh conditions can also lead to dry skin.
  - **Post-Treatment Skin Sensitivity:** It's possible that your skin is more sensitive following the treatments, especially if you used products like hyaluronidase to dissolve the filler.

What You Can Do:
1. **Hydration and Moisturization:**
   - Use a gentle, hydrating moisturizer suitable for sensitive skin. Look for products containing hyaluronic acid, ceramides, or glycerin.
   - Ensure you are drinking plenty of water to keep your skin hydrated from the inside out.

2. **Gentle Skincare:**
   - Avoid harsh cleansers or products with strong fragrances and alcohol.
   - Use a mild, non-irritating makeup remover.

3. **Consult with Your Aesthetic Practitioner:**
   - It's important to discuss your concerns with the medical professional who administered your treatments. They can provide insight into whether the treatments could have caused these changes and suggest appropriate remedies.

4. **Dermatological Advice:**
   - Consider seeing a dermatologist for a thorough skin assessment. They can recommend specific treatments or products to address dryness, irritation, and the appearance of lines.

Will It Get Better?
- **Masseter Botox:** The effects of Botox usually last 3-6 months. As the muscle activity returns, any changes in facial dynamics might also revert, potentially improving the appearance of lines.
- **Volume Restoration:** The skin may gradually adjust after the filler is dissolved. However, if the skin has been stretched, it might take some time to regain its original elasticity and appearance.

Additional Treatments:
- **Topical Treatments:** Products containing retinoids, peptides, or growth factors can help improve skin texture and reduce the appearance of fine lines over time.
- **Professional Treatments:** Options like microneedling, laser therapy, or chemical peels (under professional guidance) can also help rejuvenate the skin.

While it's possible that the changes you've noticed could be related to your recent treatments, other factors might also be contributing. A combination of proper skincare, professional consultation, and potentially additional treatments can help address your concerns.

Camille Cash, MD · Answer

Botox to the masseter muscles would not cause under eye wrinkles.  The effects of Botox are temporary and you should return to your pre-treatment state after a few months.  I encourage you to visit with your injector for an evaluation and to discuss your concerns.  Be sure to review before/after photos of your treatment to examine what may have occurred.

Could getting masseter Botox or dissolving cheekbone filler cause lines, wrinkles and irritation in my under eyes? (photos)

Answers (2)

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.

Could getting masseter Botox or dissolving cheekbone filler cause lines, wrinkles and irritation in my under eyes? (photos)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.