Facial Injections: Info, Prices, Photos, Reviews, Q&A

Although Botox injections may be helpful in softening lines/wrinkles in this area, it usually should be reserved for those that are younger and without skin laxity.

Performing a “snap test” to the skin in this area is usually a good, simple way to determine whether or not injecting in this area would be an option.

The snap test involves a quick pull down on the skin under the eye with a quick release. If the skin bounces back and resumes its place, then injecting Botox in this area would be a good option.

If the skin tents or has a delayed rebound effect — then this area should be avoided. Oftentimes, the area of concern may be better served with a tear trough injection of cosmetic dermal fillers and/or laser resurfacing.

Botox Temporarily Eliminates Fine Lines And Wrinkles

In our experience, a combination of modalities with a treatment plan tailored to the patient’s condition and goals is always best. (Harold J. Kaplan, MD, Los Angeles Facial Plastic Surgeon)

Botox can be used under the eyes but I highly recommend that only a very experienced injector do this for you.

You can run the risk of making the under eye area worse if an injector is not familiar with using Botox under the eyes.

Just remember, it can do wonders when it is done correctly and only a small amount is needed. (Kristin J. Tarbet, MD, FACS, Bellevue Oculoplastic Surgeon)

Botox can be injected under the eye. It is important to inject just under the skin and very small doses ( half a unit per site) . I do not recommend injecting under the eyes closer to the nose ( blinking is affected) and deeper into the muscle.

Can Botox Be Used Under The Eyes

The muscle is responsible for elevating the cheek and if it is paralysed by botox the look can be unnatural. By weakening the eyelid muscle you can actually make the bulges look prominent. (Naveen Somia, MBBS, PhD, FRACS, Sydney Plastic Surgeon)

It is possible to use Botox in extremely small amounts directly below the eyes. This should only be done by an extremely skilled injector who knows and understands the facial anatomy perfectly. There are other treatments like the eMatrix (Bipolar RF) which works nicely around the eyes in reducing lines and wrinkles if toxins are not what is needed. (Michael Gold, MD, Nashville Dermatologic Surgeon)

While uncommon, it is possible to treat the under eye area with Botox. Seek an experienced provider to avoid undue risks of tearing, accentuated eye bags, and “hound dog” eyelid shape. (Laxmeesh Mike Nayak, MD, Saint Louis Facial Plastic Surgeon)

Can I Get Botox Under My Eyes

Botox can be injected under the eyes but a small bleb of 1-2 units should be used. It should be used in conjunction with lateral periorbital injections. Otherwise, serious sagging of the eyes can occur. (Thomas Guillot, MD, Baton Rouge Plastic Surgeon)

Certainly use of Botox in the periorbital region is effective in treating these areas. When I treat the lateral “crows’ feet” I inject a few units along the lower eyelid region, just to the midline pupil area (I do not go more medial than this — do not go closer to the nose).

I usually use 2 units injected in two sites along the lower orbital regions, and not past midline pupillary. I have never had any problems with altering lower eyelid function. This works very nicely for this area.

Dr Manjula Jegasothy, MD, Miami Dermatologist – Frown And Eye Lines Erased With Botox Cosmetic Injections

I have also had good results treating these areas with Ulthera, using the shallow transducer.

I treat the entire lower orbital and cheek area — I do go past the midline pupillary region of the orbital region using Ulthera. (Curt Samlaska, MD, Las Vegas Dermatologist)

Botox to make your eyes look bigger

A small amount of botox can be used underneath the lower eyelids. This can make the eyes look bigger. On some patients this looks really attractive revealing bigger more beautiful eyes. It should be injected delicately to avoid the chance of bruising. (Pramit Malhotra, MD, Ann Arbor Plastic Surgeon)

Botox for under eyelid rolls

Botox and other neuromodulators that relax muscles can be used to relax the under eyelid rolls caused by the orbicularis oculi muscle contracting. However, these muscle should not be treated in some patients who have excessively loose lower eyelids or prominent fat bags in their lower lids, since these conditions may worsen with treating or relaxing the orbicularis oculi muscle rolls. (Steven Yarinsky, MD, Albany Plastic Surgeon)

Non-surgical Botox Eye Rejuvenation By Doctor Mary P. Lupo, MD, New Orleans Dermatologist

Botox injections to lower eyelid smoothen crinkled skin below the eye.

Botox injections to lower eyelid smoothen crinkled skin below the eye. However, they should be performed by an experienced provider who frequently performs the injections, as they are to be made close to the rim of the eyelid, in very small dose (2.5 units average) and avoided in patients with excess or lax skin. (Leyda Elizabeth Bowes, MD, Miami Dermatologic Surgeon)

While it is possible to put Botox under the eye, it is important to choose the right candidate. Therefore, it may be appropriate that these physicians have refused to do the treatment for you. (Kris M. Reddy, MD, FACS, West Palm Beach Plastic Surgeon)

Botox should not be injected under the eye, because it will affect the muscle which has to remain functioning in order to close the eyes and make blinking possible. (Kris Conrad, MD, Toronto Facial Plastic Surgeon)

Paralyzing The Muscles You Use To Squint

Botox does not eliminate wrinkles under the eyes. Botox works well for blepharospasm, uncontrolled “tics” that can occur under the eyes, but not wrinkles. Eyelid surgery, chemical peels or laser treatments work well for the lines under the eyes. (David Finkle, MD, Omaha Plastic Surgeon)

Botox can be placed under the eye

It is only useful under the eye if there is an unwanted bulging of the lower eyelid when one squints or smiles (with the eyes). It has to be done carefully because it can subtly change the shape of the eyes as it relaxes the lower eyelid.

For crinkling and laxity of the lower eyelid skin, resurfacing laser with erbium or fractional CO2 is the best. (Felix Kuo, MD, Long Island Dermatologist)

As long as a physician examines your eyelids and deems that paralysis of some of the muscles in that area will not cause a problem . I personally inject in that area for a variety of reasons. (Sam Goldberger, MD, Beverly Hills Oculoplastic Surgeon)

Periorbital Lines Botox

Botox can be used under the eye for wrinkles

I have successfully placed small amounts of Botox under the eye to soften lines there. It also can help diminish muscle folds there and I routinely put “Baby Botox” in the lower lid at the same time I treat crows feet. (Darrick E. Antell, MD, Manhattan Plastic Surgeon)

Sometimes botox is used in the lower eyelid for “orbicularis hypertrophy”. This is when the muscles around the lower eyelid is strong and forms a ridge under the eyelid. For wrinkles that are caused when you smile, what is happening is that your cheeks are raising and “crinkling” the skin under the eyelid.

Botox would only work by paralyzing the cheeks, thus not allowing your to raise the cheeks. An option that I think is not too good. This is a more difficult problem to treat. Some people would use fillers, a lower lid blepharoplasty as some options. I don’t think botox would be too helpful for this. (Chris Thiagarajah, MD, Denver Oculoplastic Surgeon)

I have injected tiny amounts (2-3 units) of Botox into the lower eyelids with improvement. But it is easy to get a deformity here. So if your doctors are not comfortable trying this, they have good reason.

Erbium laser resurfacing of the lower lids can help. (George J. Beraka, MD (retired), Manhattan Plastic Surgeon)

Botox does great under the eye 50% of the time.

Botox can help those annoying lines under the eyes but only does so in 50% of the time. But when it works it is so nice. (David Hansen, MD, Beverly Hills Dermatologic Surgeon)