Will Botox help reduce under eye wrinkles when smiling?

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Thank you for your question. BOTOX® is used to smooth out dynamic wrinkles, which are most commonly crow’s feet (horizontal wrinkles beside the eyes) and frown lines (vertical wrinkles between the brows). BOTOX® is less commonly used to treat undereye wrinkles, but dermal fillers and laser skin resurfacing can go a long way toward minimizing these lines. I recommend consulting with an aesthetician at a medical spa near you about the best approach. Good luck!

Botox is a very safe treatment providing it is administered correctly by a qualified practitioner. To address your concerns: 1. An in-person consultation would be required to determine whether the under eye wrinkles are crow's feet. If so, Botox can work effectively for this. Under eye wrinkles, however, are best treated with Fraxel. 2. Providing the correct amount of Botox is administered, you will not experience the 'frozen look'. This often happens when too much of the substance is injected. It's always best to start off with a smaller amount and return for more if needed. 3. Wrinkles under the eye may need to be treated with laser, whereas crow's feet can be addressed with Botox. Botox in this area will not cause a droopy eyelid - this can occasionally occur when the Botox is injected in the frontalis or levator muscle.