Injections For Under Eye Wrinkles
Treatments for wrinkles under the eyes
Botox is a purified protein used to address wrinkles associated with facial expression. It is difficult to make an assessment without a formal exam. This is because it is important to examine the skin both at rest and while smiling and to feel the skin.
If the wrinkles are seen when smiling but not at rest Botox may help. A small amount of Botox (1-2 units) under the eye will relax the muscle that contracts when smiling and the wrinkle will be less evident.
If the skin is loose or if it placed too close to the eye possible complications include difficulty closing the eye which leads to dryness. For my patients with concerns around the eyes I always recommend a good eye cream and daily sunscreen.
Other treatments in this area include fillers such as Volbella and fractional CO2 laser resurfacing. Fillers such as Volbella will restore lost volume, which helps with hollowing under the eyes and some cases of dark circles.
Fractional CO2 laser resurfacing stimulates collagen in the area to tighten the skin and reduce fine lines. Please consult with a doctor for specific recommendations. (Alex Eshaghian, MD, PhD, Encino Physician)
You can try botox or any other neurotoxin under the eye however only a very small dose is necessary, otherwise you are at risk of dropping the lower lid. It works very well for some people in this area however others seem to not notice a significant difference.
Other treatment options may include peels such as TCA, filler like Restylane, or even laser treatment like profractional to increase collagen stimulation. . (Marc J. Salzman, MD, FACS, Louisville Plastic Surgeon)
Botox is an excellent treatment for Crow’s feet, however it cannot treat excess wrinkles on the lower lids. Botox is placed in the muscle to weaken it on a temporary basis. Botox is not placed in the extra skin.
If there are excess skin present at rest( not upon animation), then a pinch technique with an incision placed at the lash line can be used to remove any excess skin. This pinch technique is then closed with tissue glue.
Alternative treatments for excess skin on the lower lids include fractionated laser resurfacing and chemical peels. (William Portuese, MD, Seattle Facial Plastic Surgeon)
Botox works very well for under eye wrinkles and crows feet. From your picture it is hard to tell if you are a candidate for a lower blepharoplasty. Some fillers are also indicated in this area. (Kurtis Martin, MD, Cincinnati Plastic Surgeon)
Under Eye (Infraorbital) Wrinkles, Crinkles, and Hollows Respond Well To A Combination of Neuromodulators and Fillers
While crinkles and horizontal wrinkling under the eyes is more common with aging, there are many people who have them from youth.
Regardless of age, these problems generally respond well to a combination of simple treatment approaches.
In my experience, the most effective method for nonsurgically rejuvenating this crinkly region under the eyes in a younger person would begin with the use of neuromodulators, such as Botox, Dysport, or Xeomin in order to address any muscle bulging (hypertrophy) directly under the eyes that may be contributing to the problem.
If tear troughs are a beginning problem or dark circles, the use of the filler, Belotero Balance, combined with a very small amount of Radiesse (whitish colored injectable material) can eliminate the trough and lighten the skin.
Using longer needles or cannulas than in times past, we can now enter this region from a location further down on the cheek, a method less likely to result in the bruising that used to so often temporarily result from direct injections into the troughs and hollows.
When appropriate, to further help smooth out the wrinkling under the eyes, small amounts of Juvederm UltraPlus XC can be injected in the region of the upper inner cheek and then smoothed into place directly under the eyes along the border of the orbital rim.
It is imperative that you seek out a board certified aesthetic physician experienced in injecting the entire gamut of available materials and who is capable of tailoring a specific regimen for your particular needs. (Nelson Lee Novick, MD, New York Dermatologic Surgeon)
Botox for under eye wrinkles
Well, certainly these wrinkles are not nearly as unsightly as your question implies. But yes, I think Botox would be helpful here but may not get rid of all of the wrinkles which are concerning you. (Lawrence Kass, MD, Saint Petersburg Oculoplastic Surgeon)
Botox and undereye wrinkles
Botox works for undereye wrinkles. If there is a hollow as well it can be filled with a hyaluronic acid like Juvederm. (Robert Kasten, MD, Mainz Dermatologic Surgeon)
Yes, Botox is effective for under eye wrinkles
Botox used in small amounts by someone experienced in the administration of Botox should work very well in that area. I have used Botox in this area in many patients with nice results and no problems. (Andrew Miller, MD, Edison Facial Plastic Surgeon)
A few units of Botox will help under eye wrinkles.
This is a tricky area because if too much Botox is used, or if it is not injected in just the right place, your lower lid can temporarily sag. But if done just right, you should get improvement for about 4 months.
So you need a very experienced injector, either plastic surgeon or dermatologist. (George J. Beraka, MD (retired), Manhattan Plastic Surgeon)
How effective is Botox for under eye wrinkles?
Botox weakens / paralyzes the area of the muscle into which it is placed. It is phenomenally effective and safe when used in the Crows’ feet area (erasing active wrinkles here), under the lateral brow (lifting it), in the nose bridge between the brows (glabella – erasing snarl lines, 11’s, Bunny lines etc) and in many OTHER areas.
Placing Botox in the lower lid muscle below the pupil and even more centrally MAY flatten these lines somewhat but it will ALSO greatly increase the bagginess of your lower lids AND by making the lower lid more floppy, it will give you more White (Scleral) show with an aged look to the lower lid.
You are better off with a skin only lower lid lift or some photo light treatments such as the skinTyte by Sciton. (Peter A. Aldea, MD, Memphis Plastic Surgeon)
I recommend low dose Botox and peel for under eye wrinkles
All the doctors responder are correct. I would recommend low dose Botox by an experienced injector + a peel of some kind. Both done at the same office visit. Peels like TCA, VI Peel, Obagi Blue Peel, Exoderm can be used. (Darryl J. Blinski, MD, Miami Plastic Surgeon)
Under eye wrinkles.
It is possible to use a muscle relaxant such as Botox underneath the eye to soften fine lines and make the eye slightly wider (1-3mm) when smiling – for this reason it is a common treatment in some Asian countries.
This treatment, however, requires very careful patient selection – treating the wrong person in this area can worsen bags under the eyes and cause eye-related symptoms, and in some people widening of the eye is not desirable.
When considering this treatment be sure to consult a physician who is experienced in this area. Alternative treatments that could be considered include chemical peels and skin tightening with laser therapy. For any treatment in this area it is important to consult a reputable surgeon/physician as this delicate area requires careful physical examination, evaluation and precise treatment. (Scott Ellis, MBBS, Adelaide Physician)
Botox may not be right for you. You may want to consider laser treatments instead or fillers. Either way, you should seek an in person evaluation with a board certified plastic surgeon or dermatologist to determine what the best course of treatment is. (Jerome Edelstein, MD, Toronto Plastic Surgeon)
Botox for Under Eye Wrinkles
Botox for this area should only be performed by an experienced and expert physician injector. It will improve under eye creases about 50% of the time. Patient selection is key. . (Kris M. Reddy, MD, FACS, West Palm Beach Plastic Surgeon)
Botox can help under eye wrinkles
You should have an evaluation by a doctor who has extensive experience with Botox. It can be effective for under eye wrinkles if they are due to over-active muscles. Very low doses are used. One of the more common side effects is that once the muscle is relaxed, patients may seem to have slightly larger bags.
This is because the fat that eventually will cause bags is no longer being held back by the muscle called the orbicularis muscle. I find that about 1 out of 4 who have under eye treatment with Botox choose not to repeat it. (Steven J. Pearlman, MD, New York Facial Plastic Surgeon)