Is it possible/safe to get Botox injections for my under eye wrinkles?

Doctor Answers 11

Sure...anything's possible...

but you need to be evaluated by a competent dermatologist or plastic surgeon to determine if that's the best option...probably is...but just a little dab will do...

Las Vegas Dermatologist
4.6 out of 5 stars 9 reviews


Botox is the perfect substance for undereye wrinkles. 


You absolutely must receive the injections from a board-certified, well-trained, extensively knowledgeable dermatologist or plastic surgeon. Though many practitioners can inject in the forehead and glabella, it takes precise skill and technique to inject into the minute and fickle areas under the eye. In the wrong hands, periorbital Botox can cause drooping eyes, inability to fully blink, etc. 

Best of luck!

Dr. Cameron Rokhsar & Molly Murray, PA-C

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon
4.5 out of 5 stars 35 reviews

Botox for lines around and under the Eyes

Botox is fabulous for the lines around the eyes, better know as "crow's feet".  However, when injecting under the eye you can have swelling and side effects that could make you look worse.
Be sure to consult a board certified dermatologist for the best results who has experience in Botox.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 76 reviews

Botox around the eyes

Thank you for the question. The answer is not straightforward, however. Botox is a great treatment option around the sides of the eyes ("crow's feet").  When the injections are placed UNDER the eye, some unintended problems can occur -- including puffiness, changes in the smile, and even a droopy eyelid.  VERY small doses should be attempted at the first treatment in this area.

Evan Ransom, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 110 reviews

Botox for Under Eye Wrinkles

While Botox is a very effective treatment to reduce the appearance of crow’s feet around the eye, it is typically not injected into the under eye area. For under eye wrinkles, a dermal filler such as Juvederm , Restylane or Belotero will be a better option to fill the hollow. Non-ablative or ablative fractionated lasers are better for the fine lines. Sometimes a combined approach is necessary.

Mitchel P. Goldman, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 25 reviews

Is it possible/safe to get Botox injections for my under eye wrinkles?

Its best you seek a board certified physician for an in-person evaluation, if the wrinkles are deep you may wants to consider a filler such as Belotero 

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Botox for under eye wrinkles

A small amount of Botox in the lower lid can help open the eye and soften fine lines in the lower lid. This is safe; however, if the patient has problems with puffy eyes in the morning or severe allergies, I avoid this injection because it can make these symptoms worse. Procedures, such as Fraxel or Thermage, can be used in those cases (and anyone with under eye wrinkles, for that matter).

Ramona Behshad, MD
Saint Louis Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

Botox for Undereye Wrinkles

Yes it is possible to use neuromodulation to treat under eye wrinkles, but I find that most people benefit more greatly from peels (TCA) or lasers (such as Fraxel or co2 resurfacing) and filler in those areas.  I wish you the best of luck, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 190 reviews

Is it possible/safe to get Botox injections for my under eye wrinkles?

Yes, it is common to use Botox for eyelid wrinkles, but usually for the lower outside (lateral) aspect or Crow's Feet areas. If you have wrinkles in the central or inside (medial) lid skin, other modalities such as skin care with growth factors, retinols or procedures like chemical peels, laser resurfacing or microneedling may help thicken the collagen and resurface the skin and reduce the wrinkles.

Brian J. Lee, MD
Fort Wayne Plastic Surgeon
5.0 out of 5 stars 12 reviews

Under eye wrinkles

definitively, small amounts (1 unit) of Botulism toxin under the eye at the level of mid pupillary line will and including the crows feet benefit the wrinkles under and around the eyes.

Maritza Perez, MD
New Canaan 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.