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Botox, often referred to as Botox Cosmetic, or its medical name “Botulinum toxin,” is a medication that when injected into the muscle weakens its contractions and causes wrinkles to disappear.  Botox is one of the most popular cosmetic procedures overall, and has been used for years a long time as a cosmetic skin care procedure to help reduce the facial wrinkles between the brows, forehead, neck, masseter, mouth, and the eyes.  Botox treats dynamic wrinkles, meaning wrinkles which are caused by movement, and that is why the eye area is such a perfect location to inject and treat the wrinkles.

Botox is injected in small increments around the eyes, typically using nine or more units on each side to treat these lines around the eyes.  Botox lasts three to four months in any given area injected and then needs to be repeated at these intervals to maintain its result.  Over time, the facial muscles get weaker and deeper lines and wrinkles get smoother and have a more lasting effect.  It can also reduce frown lines and hollowness around the eye area, giving that anti-aging look that many patients want.

Female with Botox & Juvederm treatment under eyes

What about Botox for under-eye bags?

Botox will not have any effect on treating these conditions around the eyes.  If your eyes have a sunken in appearance then the best method to address this are injections of hyaluronic acid fillers such as Restylane or Juvederm under your eyes.  Hyaluronic fillers address these under eye hollows which become more noticeable as we age and our collagen and elastin decreases and the area begins to sag.  By replacing this lost collagen with a dermal filler in the under eye tear trough, you can correct the volume loss and minor fat pad bulges.  If the fat herniation under the eye is more significant, Dr. Green recommends a blepharoplasty to remove the unwanted fat and return the under eye area to a smooth surface.

Does Botox work to correct dark circles?

Unfortunately Botox does not correct hyperpigmentation or dark circles under the eyes.  In these cases Dr. Green recommends a combination treatment consisting of bleaching creams combined with eye creams such as MGSKINLABS Eye Repair.  Chemical peels, lasers, hyaluronic acid fillers & injectable fillers are all utilized by Dr. Green to help lighten the dark circles under the eyes.   Dr. Green often utilizes the special radiofreqency laser called the eMatrix laser.  The eMatrix has a special eye tip to treat the fine lines under the eyes as it has minimal down time with excellent results.

35-44 year old female after chemical peel and vbeam

While the possible side effects of Botox are minimal, some people may experience light bruising or swelling post-treatment near the injection site.  In all cases, you should discuss all options with your dermatologist first. A healthy life style also will help encourage and reduce under eye wrinkles and dark circles. Getting enough sleep, which is generally estimated to be 8 hours of sleep a night, is essential in reducing under eye bags.  Restricting sodium intake in the diet to prevent water retention, will reduce the build up of fluids and puffiness under your eyes.  Avoiding sun exposure and wearing dark sun glasses will also protect your eyes and minimize both wrinkling and dark circles.

If your under eye area and appearance of wrinkles under your eyes bother you , please contact our Upper East Side NY based office today or call 212-535-3088 to learn more about whether Botox treatments, or a combination of Botox injections with Dermal Fillers such as Juvederm, Kybella, Radiesse or Restylane may be best suited for your dermatology needs.

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