One week after Botox, when I smile the skin under my eye is bunching up, giving me a hollow and very wrinkled look. (Photo)

Thank you for your question. This does happen to a small percentage of patients. Botox under the eye is not dangerous, it is off label and requires a expert injector to assess the area. That being said, it will not correct the entire concern. A small amount of filler under the eye may help, an in person assessment is always best. Best, 

this is very common and can be improved with lasers and microneedling. I suggest you see a cosmetic dermatologist with experience.  Best, Dr. Emer.

 Thank you for your question and for sharing your photos and experience with us.  It is likely that by softening the crows feet muscles, when you try to smile, the unaffected muscles of the inoculates muscles underneath the eyes is more active than usual. Placing one or two units of Botox under this area can help soften this region. I would make sure that your injector it is well-versed in the anatomy of this region.

Botox is a great solution for crows feet an lines around the eyes.   In patients who have a prominent bulging of the lower lid when smiling, Botox can help to soften and flatten this area if used in small amounts.  When treating the crows feet, it is important to consider the effect on the surrounding tissue.  If too much is used, a complete paralysis may cause recruitment of other muscles when smiling creating new lines.  This will wear off slowly, but consider a small amount of botox directly below the eye.   Fillers can hep mask the volume loss and hollowness below the eye.  Make sure to seek out an expert injector for these treatments.

Thank you for your question and for posting pictures.The bottom line is to have less Botox injected to reduce the likelihood of this happening in the future.BestDr Karamanoukian