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

Injecting Botox into the lower lids can lead to weakening of the muscle there.

That can result in the lower lid saggy and pulling down leaving you seeing the white of your eye on the lower part, which is not normal and you will look like you are staring.

The worst would be that the muscle is so weak it cannot hold against the eye and your eye will be constantly dry. I do not recommend it to be done. (Julio Garcia, MD, Las Vegas Plastic Surgeon)

Botox can be used under your eyes typically in very small increments, however the effect it will have is to open up your eyes so you see more of the whites of your eyes, it may have a minimal effect on wrinkling under the eyes.

Approach For Under-eye Wrinkling

Prior to injecting under your eyes, your board certified Dermatologist should do a “pinch test” where they pinch the skin under your eye and check for laxity, if the skin rebounds in 1 second or so you are a good candidate, if it does not you should not be injected under the eye.

Another option for under the eye wrinkles using botox is micro droplet technique using the aquagold device. (Matthew Elias, DO, FAAD, Fort Lauderdale Dermatologic Surgeon)

Botox can be placed under the eyes however it is off label.

The idea behind placing Botox for fine lines under the eyes this is it might relax the fine lines of the lower eyelid, when in fact what is happening is that the Botox is weakening the small muscle underneath the eye.

Crows Feet Eye Wrinkles

One has to be very careful in injecting into this area as you can have some limitation of motion to the lower eyelid.

Please consult with a double board-certified facial plastic surgeon. (Roberto E. Garcia, MD, FACS, Jacksonville Facial Plastic Surgeon)

Botox underneath the Eyes

Botox around the eyes for the crow’s feet works extremely well. Botox for the area under the eyes can have swelling and problems and I would avoid. (Michele S. Green, MD, New York Dermatologist)

Botox under the eyelid

Botox and the other cosmetic neurotoxins, Xeomin and Dysport, can be used along the lower lid to reduce undereye folds caused by a strong muscle there but only in the right patients. In appropriate candidates, it can soften the lines under the eyes and open the eye even during smiling.

Filler For Under Eye Bags

However, in patients with sagging lower eyelids or excessively tight post-surgery lower eyelids, it can accentuate those problems. Finally, patients with a dry eye condition should avoid lower lid neurotoxin to avoid worsening their symptoms.

If the folds are not muscular, but instead from ‘crepey’ skin texture, a resurfacing procedure like the Fraxel Dual might be helpful. (Heidi A. Waldorf, MD, New York Dermatologist)

Botox relaxes muscles and treats dynamic lines. Any treatment under the lids has to be very careful in order to avoid lid droop or ectropion. (Michael L. Schwartz, MD, West Palm Beach Facial Plastic Surgeon)

In select cases there are patients with a hyperactive lower eyelid muscle that benefits forms Botox placement. Care must be taken not to involve the surrounding muscles as incorrect placement may affect your smile. Be sure to see a board certified plastic surgeon as this is a more advanced treatment technique. (Nelson Castillo, MD, Atlanta Plastic Surgeon)

Revepeel Under Eyes

it certainly is ok to have botox injected under the eyes for lines, but be sure you see a board certified dermatologist or plastic surgeon who is very experienced in this area. (Melvin Elson, MD, Nashville Dermatologist)

Small amounts of botox can help relax lower eyelid linesThe best thing to do is seek consultation from a board certified plastic surgeon who can do a full face examination and help to determine the best treatment for you. (Jeremy B. White, MD, Miami Plastic Surgeon)

typically an injector will use 1 unit to start and have you follow up in 2 weeks for assessment for further treatment. A botox treatment to the under eye is not indicated for everyone, please speak with an experienced injector. (Martin Jugenburg, MD, Toronto Plastic Surgeon)

Treatment For Under Eye Wrinkles

Botox injections can be a great option for addressing under eye lines in patients without significant laxity of the lower lid. Small amounts of botox should be used. Too much botox or botox in patients with significant laxity can lead to more pronounced fatty pockets under the eye or dry eye from exposing the inside of the lower lid.

Make sure to see an expert injector for best results. (Kyle Coleman, MD, New Orleans Dermatologic Surgeon)

Injecting botox can be very helpful with relaxing rhytids on the forehead and around the eyes. As well, using botox to prevent the formation of these lines in further development as a preventative measure can be helpful. (Richard A. Zoumalan, MD, Beverly Hills Facial Plastic Surgeon)

You can use botox under the eyes, but it has to be a very small amount. I usually start with 1 unit per eye (as it is used off label), and reassess in 1-2 weeks. You should see a board certified dermatologist or plastic surgeon that is experience in these injections. (Anita Arora Gill, MD, The Woodlands Dermatologic Surgeon)

Under-eye Wrinkling

Botox for under eye treatment

Botox injected around the eyes can relax the muscle and reduce “crows feet”. Caution must be used when injecting under the eye to avoid drooping the lower lid. In addition, you have any fullness from fat beneath your eye, there is a possibility that you could experience visible bags from Botox.

An expert injector can perform what is called a snap test to determine eligibility for injection and may provide alternative options such as laser to give the result you are looking for. (Steven J. Pearlman, MD, New York Facial Plastic Surgeon)

Only by a true expert in BOTOX injections. I prefer 2 sessions using the microBotox techniques. Fee $800. (Darryl J. Blinski, MD, Miami Plastic Surgeon)

Botox under eye

Yes, this is possible, but whether it is a good idea for you is another story. The injector first assesses how you look at rest, then when smiling, when looking from side to side (to see whether this is a muscle or possibly a fat pad issue), and finally then checks the skin quality there.

It’s more than just observing lines. For those with little fat and excellent muscle tone, the results can be very positive, but patients are also made aware that bags can appear or look worse. Does the skin snap back into place after pulling down and releasing? If not, then Botox not a good option.

Eyelid skin that has poor elasticity, or if you have a lot of space between the lower lid and pupil, or if there isn’t strong muscle tone, are signs that Botox there may not be a good idea. (Estee Williams, MD, New York Dermatologist)

Small doses are fine

Mini doses of Botox can be applied to the fine lines of the lower eyes and help with smoothing. In small, spread out does it is very safe and effective. (Keith Denkler, MD, Marin Plastic Surgeon)

Botox can be used for lower eyelid wrinkles,in some cases, if used in a precise manner by an experienced injector. (James R. Gordon, MD, FACS, FAAO, New York Oculoplastic Surgeon)

Botox under the eye for wrinkles

Small doses of botox work great in the lower eyelid when the individual has a bulging roll of the eyelid muscle with smiling, and also extending outward into the lower wrinkles and crowfeet. Be sure to choose someone experienced in this technique as the margin for error is low in terms of dosages and more precise placement techniques.

If too much botox is placed too low in the lower crowfeet area, it can effect the muscle that helps pull the cheek and mouth when you smile and result in an uneven smile. Also one must take special care to avoid excessive bruising in the thin lower lid skin.

Finally other factors must be considered for lower lid wrinkles if the problem is more crepe skin (wrinkles at rest), in which case treatments like laser resurfacing may be helpful as well. (Jeffrey M. Hartog, DMD, MD, Orlando Plastic Surgeon)