After receiving Botox treatments for crow's feet and frown lines, I started noticing more wrinkles under my eyes. It has been six weeks since the treatment, and the situation has not improved. I have attached before and after photos for comparison. What could have gone wrong in this case?
Based on the visible wrinkles, it seems that Botox may have been injected in the periorbital muscle under the eye as well as in the crow's feet area. This can be particularly noticeable in individuals who have undergone lower lid blepharoplasty or experience swelling around the eyes with water retention. The weakened contractions of the periorbital muscle may hinder proper drainage of the accumulated water, resulting in the type of wrinkles you are experiencing. If you prefer not to wait for this to resolve naturally, a potent green tea cream (such as Replenix) combined with a few Pellevé treatments can hasten improvement. It is worth mentioning that this side effect can be predicted to some extent by performing a "snap test" before Botox treatment.
Botox is a muscle relaxant that targets the muscles it is injected into. Sometimes, other muscle wrinkles can become more apparent and may require additional injections. Inconsistencies in muscle injection or Botox uptake can also contribute to uneven results. Most injecting doctors will offer a small touch-up at no extra charge to address these issues. If you're not satisfied, it's advisable to consult with an injection specialist experienced in treating the eye area. They can explain additional options, such as combining filler with Botox or utilizing devices like Thermismooth, to achieve the best results. Ultimately, the treatment plan should be tailored to your specific needs and goals. Best of luck!
Botox relaxes muscles, and when muscles along the lower eyelid are affected, it may lead to more wrinkles and sagging. Effects typically last for about 3 months, and consultation with a qualified surgeon is advised for reviewing options.
Botox injections under the eyes should be avoided if there is preexisting skin laxity or water retention. Botox typically lasts for about 3 months.
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