New Wrinkles After Botox - Are They Permanent?

The orbicularis muscle surrounds the eye. Botrox relaxes just the outer fibers, so the other fibers are not affected.
If a patient "tests" their Botox by smiling or "squinching", they may see more activity in fibers that weren't injected.
This should be a very temporary effect.
If it isn't temporary, and that is just the way your eye reacts to the new "balancing act " the muscles are performing, you can always wait for the 3 months and the Botox should go away completely.
22 seems very young to receive Botox injections. While I have no doubt your clinical situation warranted it, I don't usually advise my patients to get Botox for "preventative" reasons; rather only when a problem is actually there.

While it's impossible to know without an evaluation if your lower eyelids actually developed new wrinkles because of the crow's feet injection, what is certain is that if this has happened it will be gone in 3-4 months.
We would suggest going back for a visit to your injector. Dr. Reichner makes a good point that a 1 - 2 week checkup with new patients is appropriate just for this reason. We should know what your results are so that we can address any concerns. If your injector has taken before pictures (he/she should) then check those for evidence that your under eye wrinkles have changed and then address the issue together with your injector.

Sporty
It does sound like your lower eyelid muscles are "over-compensating" for the paralyzed obicularis muscle in the crows feet area. As a Board Certified Surgeon, I feel it is important to see our patients back in the office one to two weeks after their Botox treatment. This allows us to evaluate the effectiveness of the Botox.
Some patients benefit from additional low dose botox injections to correct muscle hyperactivity in other areas. Since your Botox will probably last 3 to 4 months, these notes help us determine what changes need to be made for your next treatment.

Sporty3686,
The best thing about Botox is that it is always temporary. I am curious to see your before and after pictures, since I do a lot of Botox and have not see significant compensatory wrinkles like you are describing in my patients. Sometimes, when one area is smoothed out with the Botox, the other areas are more noticeable, but not "worse" than before the Botox. However, don't worry since once the Botox goes away in 3 to 6 months your face will be back to how it was before (including the crow's feet).

If other areas of are overcompensating, i.e. the orbicularis oculi, you may want to consider treating this area as well with Botox. The theory behind botox is to minimize facial expression and in effect decrease lines. If you continued to squint your eyes and create lines under your lower eyelids, you may develop more persistent lines. At age 22, your injector should think about the utility of injecting you with Botox versus using preventative measures such as daily UVA/UVB sunscreen and antioxidant skin care.

Botox can give patients a wonderful result by weakening or paralyzing muscles that create furrows or wrinkles.  On occasion, patients may notice something that they do not like following Botox treatments.  The effects of Botox generally last 3-4 months and then wear off.

It is most likely that these lower eyelid wrinkles will resolve once the Botox has ceased to work. This is is relatively short amount of time.
However, if you continue to recieve the Botox, it is possible that you will develop fixed wrinkles.

Although it is difficult to say what is going on without seeing you, the muscles can certainly be overcompensating. This does not always happen but it could. I would definitely go back and have you Doctor re-evaluate you. Fortunately, it will only last a few months. Dr. Behnam.

Too much Botox or the wrong placement around the eyes can definitely cause some lower eyelid sagging and new wrinkles below the eye. It can also, believe it or not, change the shape of your eye from almond shaped to more rounded.

Luckily, if you have these results and are unhappy, they are not permanent, and the new wrinkles will not stay once the Botox wears off.

See a board-certified dermatologist or plastic surgeon who is conservative and will take into account age-appropriate doses.

Hello,
I agree with the other physicians that the best thing about Botox is that the results are very temporary. Your research may be correct--that your muscles are overcompensating for the paralyzed ones. I always like to see my patients back for a status post visit about a week after their procedure. I'd suggest making an appointment with your treating physician to speak with him about your concerns. Communication is always the most important thing when choosing a physician!