Is Botox an Effective Treatment for Under-Eye Wrinkles

Is Botox an Effective Treatment for Under Eye Wrinkles?

Botulinum toxin injections are used to treat some types of muscle spasms. These injections are usually given at regular intervals throughout the day or week. They have been approved by the FDA (Food and Drug Administration) to treat certain kinds of muscle spasm, including myasthenia gravis, dystonic movement disorders such as Duchenne muscular dystrophy, and Tourette’s syndrome.

The procedure involves injecting a small amount of a chemical called botulinum toxin into muscles. The toxin causes them to contract, which then reduces pain and other symptoms associated with these conditions. Botulinum toxin injections are generally given once every few months to prevent muscle spasms from getting worse.

They may be used in adults or children between the ages of 4 and 18 years old.

Other forms of Botox are injected into muscles to reduce swelling caused by injuries or infections. Some of these treatments include:

Botulinum toxin injections are not recommended for patients with severe facial nerve damage, because they could cause paralysis. Patients with facial nerve damage should only receive Botox if there is no other treatment option available. A doctor will determine whether Botox is appropriate for your condition based on your medical history and any tests that are done to assess the severity of your condition.

The procedure can take between 5 and 10 minutes, and the results are instantaneous. Most patients do not feel any pain or discomfort during the procedure. There are some side effects that may occur immediately after the injections, such as:

When receiving a treatment for a muscle spasm, Botox injections will be given in a series of injections, which are scheduled according to your body’s need. When treating clenching, the injections will be given in four sessions every 12 weeks. When treating excessive sweating, the injections are given in three sessions every 10 weeks.

When treating facial lines, the injections are given in five sessions every 12 weeks.

The amount of Botox you receive depends on what is being treated. The number of injections you need will also vary depending on your condition and the area of your face that needs to be treated. Your doctor will determine how many injections you need after assessing how severe your symptoms are.

How is Botox Administered?

In most cases, you will seek out a certified dermatologist or cosmetic surgeon for your treatment. These are medical professionals that have undergone training and can perform the injections safely and effectively. You should be able to find one in your area by asking your friends or visiting the website of the American Society for Aesthetic Plastic Surgery (ASAPS).

Make sure you are comfortable with your doctor and tell them anything that might affect how the treatment is provided. For example, if you are pregnant or have a known allergy, let your doctor know beforehand.

How do you Prepare for Botox Injections?

There is no preparation required before your treatment, except that you will not be able to receive the injections if you are pregnant. If you normally take any medication for other conditions, let your doctor know as these may interfere with the injection.

What can you expect during and after the treatment?

The injections are very quick and generally free from complications. Botox injections can take between 5 and 10 minutes to complete, but this will vary depending on the number of areas being treated and the amount of Botox that is being injected.

Are there any potential Side Effects?

Although side effects are rare, there are some associated with Botox injections. These can include:

Bruising at the point of injection.

Asymmetrical drooping of the brow.

Double vision.

Drooping of the upper eyelid.

General weakness.


Muscle aches.

Red and itchy eyes.

Temporary blurring of vision.

Your doctor should monitor you before you leave to ensure the injections were successful. If side effects occur, these may resolve themselves after a few days or with the help of medication. In rare cases, some side effects may be permanent.

If you feel unwell after the injections, it is important to seek medical help as soon as possible.

What are the next steps?

After your injections you should have no more problems with your symptoms. The effects of the Botox will last for around three to four months, although you may begin to experience symptoms again after a few weeks. Your doctor will advise you about how to proceed and may be able to give you an estimate for how long the effects are likely to last in your case.

Are there any risks?

As with all medical procedures, there are some risks involved. However, these are quite low and should not be a major cause for concern. The most common risk is an allergic reaction to the Botox that requires immediate medical attention. As the injection is being given deep into the muscles, short-term paralysis of these may also occur. This will be temporary and should resolve itself within a few days. Bruising and bleeding at the site of injection are also possibilities.

What if it doesn’t work?

If you do not notice an improvement in your symptoms, then speak to your doctor about other treatment options. You may also wish to seek a second opinion from a different specialist, as this is not uncommon and can give you peace of mind.

Is there anything else I need to know about Botox?

The safety of Botox in children and adolescents under 18 has not been determined, so it should not be used in these age groups. All women who are or could potentially be pregnant should avoid using this treatment. This is because it may cause problems during pregnancy or affect the unborn child. You should also inform your doctor if you have a neuromuscular disease or an infection at the site of injection, as this may increase the risk of side effects.

Other Treatments:

Aside from surgery and Botox injections, there are some other treatments that may be suggested by your doctor. These treatments can be used alone or in combination with others. Your doctor should discuss these options with you and help you decide which course of treatment is best for you.

Eyelid Lift

If you are severely bothered by wrinkles around the eyes, one surgical option is an eyelid lift. This procedure is usually performed under general anesthesia and takes about an hour to complete. A short incision is made on the outside of the upper eyelid to remove excess skin, as well as fatty deposits and muscle tissue.

Sutures are used to close the wound and promote healing.

With this procedure, you can expect some swelling and bruising around the eyes. There may also be some pain and itchiness around the stitches. Most of these side effects will disappear in 2 to 4 weeks.

Some numbness around the eyes may last for months or years after surgery.

An eyelid lift can effectively remove wrinkles around the eyes and rejuvenate the area. However, it does not address the signs of aging in the lower face and is unsuitable for patients who have lost a lot of volume in this region. It is also not suitable for people with drooping eyelids or a absence of upper eyelid skin.

If you have been diagnosed with one of these conditions, then this procedure may not be for you.

Chemical Peel

For light wrinkles that are affecting your upper face, a chemical peel may be suggested by your doctor. This procedure involves the application of a chemical solution to the upper layers of the skin. The solution causes the top layers of skin to gradually peel off over the next 1 to 5 days.

Newer skin is then revealed, resulting in fewer wrinkles and a more radiant complexion.

Chemical peels come in a variety of types, including alpha-hydroxy acids, trichloroacetic acid (TCA), and phenol. Each chemical peel is suitable for different skin types and affects the skin in a different way. Your doctor will help you decide which type of peel is best for your needs.

A chemical peel is an excellent way to rejuvenate the skin and reduce the appearance of fine lines and wrinkles. It is also suitable for most types of skin and only causes mild discomfort and some burning sensations. In most cases, only one or two chemical peels are necessary for the best results.

In some cases, a series of 3 to 6 peels may be recommended to achieve the desired outcome.

As with any medical procedure, there are some risks involved. These may include bleeding, infection, uneven skin tone, and skin that is too light or dark in color. Your doctor will go over the risks in detail before your treatment begins.

You can expect mild swelling and peeling of the skin immediately after the peel. This usually lasts 1 or 2 days. The newly revealed skin will be softer and more vibrant looking.

It typically takes 1 to 3 weeks for the skin to return to its normal color and feel like normal skin.

You may experience some burning and stinging sensations during the peeling process. Your doctor may prescribe pain medication to help alleviate these symptoms. You should be able to return to work or your normal activities after the procedure, but you should avoid strenuous exercise and exposure to the sun for at least a few days.

You may notice some light bruising after the procedure. This should disappear within a few days.

Darkening of the skin may occur after the peel, but this is usually temporary and will resolve over the next few weeks. Your doctor may prescribe an ointment to help lighten the skin in the meantime.

Your new and improved complexion should last from 6 months to 1 year, provided that you protect your skin from the sun with sunscreen and do not pick or scratch at the skin.

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Sources & references used in this article:

Treatment of the upper facial musculature with botulinum toxin injections by H Collier – Journal of Aesthetic Nursing, 2014 –

Wrinkle reduction: what are the main treatment options available to patients? by K Hubbard – Journal of Aesthetic Nursing, 2017 –

Overview of skin aging and photoaging by YR Helfrich, DL Sachs… – Dermatology nursing, 2008 –

Cosmetic microdroplet botulinum toxin A forehead lift: a new treatment paradigm by KD Steinsapir, D Rootman, A Wulc… – Ophthalmic Plastic & …, 2015 –

Combination Approach to Tear Trough Deformities and Under Eye Appearance Using Microfocused Ultrasound With Visualization and Hyaluronic Acid Filler by SC Barbarino – The American Journal of Cosmetic Surgery, 2020 –

Hills and valleys: Understanding the under-eye by MN Naik – Journal of cutaneous and aesthetic surgery, 2016 –


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Microbotox of the lower face and neck: evolution of a personal technique and its clinical effects by WTL Wu – Plastic and reconstructive surgery, 2015 –