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.

Botox is one of the options used to treat under eye wrinkles but there are many other excellent other options depending on the exactly what is the cause of the wrinkles. These options include skin care, chemical peels, lasers, PRP and even fillers.Please make sure that you see an experienced doctor for a thorough consultation and assessment prior to undergoing any treatments.Best regards and I hope this helps, Dr. Sapijaszko.

Close-up photos would have been very helpful. Generally speaking, however, experienced injectors have been successfully using microdroplets of Botox (or the other neuromodulators, Dysport or Xeomin) for many years with varying success to treat motion related crinking, wrinkling, and hypertrophic (jelly roll) bulges under the eyes. (Crow's feet lines on the sides of the eyes typically respond very well and consistently to such treatment.) In the event that the crinkling and wrinkling of the under eyes is unresponsive or only partically responsive to neuromodulators, a filler may be used in certain circumstances. Belotero Balance, which possesses little to no tendency to give rise to the unwanted, bluish Tyndall Effect when injected superficially into the delicate infraorbitial tissue, would be my first choice in my NY office. ( Teosyal Redensity II would be my go-to in my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available). Various  chemical peels, such as Jessner's solution, low strength TCA and glycolic acid in high concentrations may help to supplement the neuromodulator treatment. You would be wise to consult with a board certified physician. Best of luck to you.

Thank you for your question sophddd. Botox is a purified protein used to address wrinkles associated with
facial expression. It is difficult to make an assessment without photographs. Botox can be used to address crow's feet around the eyes. Depending on the individual Botox may help with wrinkles under the eyes. This depends on the depth and severity of the wrinkles and the looseness or elasticity of the skin in the area. Other treatment options may include fillers such as Volbella or Restylane or fractional CO2 laser resurfacing. A good Botox result will achieve a natural look, not a frozen appearance. Droopy eyelids is a risk with Botox treatments. It is temporary, treatable, and very rare. This side effect is uncommon when Botox is placed around and under the eyes. It is more common when Botox is placed between the brows and above the eyes. Please consult with a doctor for specific recommendations. Good luck!

It is possible that the under eye wrinkles will improve somewhat with Botox placed in the crows feet and a small dose under the eye. However, you also might need to have filler placed under the eye for maximal results. There is no possibility of brow or lid ptosis with Botox placed in the crows feet. That can only occur with Botox placed in the forehead area. A frozen look can be avoided by proper placement and dosage of the Botox.

Thank you for your question.  It's difficult to make exact recommendations without assessing you in-person, or at least reviewing your photos.  That said, Botox is an excellent option for treating expression lines in the crow's feet.  It also can be used to reduce wrinkling in the lower eyelids when smiling in VERY select patients.  This is a fairly advanced technique, and if performed incorrectly or on improperly selected patients, it can actually worsen the appearance of lower eyelid laxity and create bags under the eyes.  Most patients can benefit from a combination of treatments in this area, including dermal fillers to replenish volume, and chemical peels or laser skin resurfacing to stimulate collagen and improve skin texture overall.  I would recommend scheduling a consultation with an experienced cosmetic dermatologist or plastic surgeon to discuss your concerns.  Best of luck!  

Botox certainly can be injected under the eyes, but it is very difficult and requires a great deal of skill.  Find a dermatologist who is very experienced with Botox injections and get references

Botox should almost never be injected into the lower eyelid. The reason you have wrinkles in that area is because you're probably lacking volume secondary to either genetics or loss of fat in the face. Botox however should help your crows feet with a proficiently treating physician. Try to submit photographs of yourself for better evaluation and good advice. Good luck from New York City