Thank you for your question. You've pointed out one of the uncommon, but, nevertheless, real effects of Botox treatment. The injection into the area of the crow's feet paralyzed the segment of the muscle that was pulling the eyelid skin upwards. The lower part of the muscle is still active, so as a result, the skin started "bunching up" under the eyelid and the crease begun to appear. There are two ways you can proceed from here. One option is to wait it out. As the Botox begins to wear off the eyelid muscle will regain it's tone and the crease will disappear. The second option is to add more Botox to the lower part of the muscle in order to prevent the skin from forming a crease.
I would recommend discussion pros and cons of each option with your doctor.
Lasering of the skin is a good procedure to help treat under-eye folds and creases. Talk to you plastic surgeon about the different options available. If you are looking for something more dramatic removing some of the skin through a lower lid procedure might be the answer.
Hi Glynn. You may eventually have to go down the surgical pathway, but initially some heavy fractionated CO2 laser treatment may make a significant improvement and postpone the scalpel. I often combine Botox and CO2 laser around the eye area with excellent results. Regards, Shobhan.
Loose skin under the eyse can be treated with a lower lid procedure to remove some of the excess skin. Fine lines and wrinkles can be improved with laser.
The best treatment for wrinkles here are lasers, specifically fractional co2 resurfacing but fraxel nonablative can help or deep peels as well. I have been doing superficial filler with cannula injections to this area with excellent results as well. Botox often makes them worse unless you have very little lid laxity. I suggest seeking a cosmetic dermatologist with experience in periocular rejuvenation. Best, Dr. Emer.
Thank you for your question.
An option would be to wait 3 months until the Botox wears off and seek a consultation with a board certified plastic surgeon. Discuss treatments for the eyes, possibly an under eye filler and laser treatment to smooth out the area. An in person evaluation would be beneficial to provide an accurate assessment.