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Botox Under Eyes

The eyes are the most expressive part of the face and one of the places where signs of the natural aging process can be most apparent. Due to facial expressions such as smiling, laughing, and squinting, dynamic wrinkles can form around and under the eyes. Crow’s feet and under eye wrinkles can feel distressing for some patients who are looking for the best way to eliminate these signs of aging. Many patients are under the impression that to reduce signs of creases under the eye, you must visit a plastic surgeon for cosmetic surgery. But in fact, there are non-surgical options for reducing the appearance of wrinkles, including Botox treatment, available at Dr. Michele Green’s New York City cosmetic dermatology office.

Botox is a brand name for the botulinum toxin type A sold by the company AbbVie. Since 2002, Botox has been FDA approved to treat cosmetic concerns, such as wrinkles around the eyes, on the forehead, and between the eyebrows. Botox is a safe and effective anti-wrinkle treatment that has patient’s skin looking smooth and youthful without any need for downtime. Botox is quick and easy to perform, making it truly a lunchtime procedure.

Expert, board-certified dermatologist, Dr. Michele Green, is a highly experienced Botox injector who has been practicing dermatology for more than 25 years. Well known for her less-is-more approach to injections, Dr. Green is an expert at creating a youthful look for her patients without eliminating their ability to create dynamic facial expressions. In addition to her proficiency with Botox injections, Dr. Green performs a wide variety of other cosmetic and medical procedures at her Upper East Side NYC office, including dermal fillers, laser treatment, chemical peels, and many more. Well known for high patient satisfaction, Dr. Green has been voted one of New York City’s best health care providers by Castle Connolly, Super Doctors, and New York Magazine.

What is Botox?

Botox is an injectable treatment that is used to smooth out fine lines and wrinkles and combat the natural aging process. Botox injections are comprised of the active ingredient botulinum toxin type A, which is a neurotoxin that blocks the signals from the muscles to the brain. This process works to essentially freeze the muscle, keeping it from contracting, which, in turn, works to smooth out dynamic wrinkles.

Botox treatment has been FDA approved since 1989 to treat a variety of medical conditions, including cervical dystonia, which is characterized by muscle spasms in the neck, belpharospasm, which is characterized by uncontrollable eye twitching, and hyperhidrosis, which is excessive sweating. Botox was first approved in 2002 for cosmetic purposes and has been specifically approved to treat crow’s feet, which are the lines that appear on the sides of the eyes when you squint or smile, glabellar lines – also known as frown lines, – which are the vertical lines that appear between the eyebrows when furrowing the brow or frowning, and forehead lines, which are horizontal lines that appear on the forehead. Botox is an extremely popular cosmetic procedure that works wonders for combatting wrinkles without the need for plastic surgery or downtime.

Can you get Botox under your eyes?

While Botox has been specifically FDA approved to treat wrinkles at the corners of the eyes, it has not been approved to treat creases in the under-eye area or lower eyelid. However, for dynamic wrinkles that appear in the area, Botox can be used in small quantities under the eye as an “off-label” use of the treatment. This means that the treatment is being used to address an area of the face that has not yet been FDA approved for treatment or has not yet been extensively studied. For off-label uses of any cosmetic procedure, it is important to seek out an experienced injector, such as board-certified dermatologist, Dr. Green. Dr. Green has extensive experience treating under-eye wrinkles and can help patients to determine the treatment process that would work best to meet their aesthetic goals.

25-34 year old woman treated with Botox for Crows feet

Can you get Botox around your eyes?

Patients often wonder, does Botox work around the eyes, and the answer is: it does! The FDA has approved the use of Botox for crow’s feet, which are the wrinkles that are found at the corner of the eyes. As a highly expressive part of the face, the muscles around the eyes contract often to make a variety of facial expressions, including smiling, laughing, and squinting. As a result, the dynamic wrinkles that form when the muscles contract become etched into the skin over time. Botox can be used to smooth out the dynamic wrinkles around the eyes. Experienced injector, Dr. Michele Green is well known for her less-is-more approach when it comes to injectable treatments like Botox and dermal fillers. She is able to expertly smooth out creases without keeping you from being able to make your full range of facial expressions.

Does Botox work for crow’s feet?

The most noticeable dynamic wrinkles around the eyes are the crow’s feet, which are creases that appear at the corner of the eyes, extending outward in a fan shape, when you smile or squint. The development of crow’s feet can be one of the earliest signs of the natural aging process. Luckily, crow’s feet can be easily treated with Botox, erasing signs of fine lines and wrinkles at the corner of the eye for up to six months. When Botox is injected into the facial muscles at the corners of the eye, the active ingredient, botulinum toxin type A causes the muscles to freeze and relax, preventing muscle contractions in the area. As a result, crow’s feet disappear for a smoother, more youthful appearance.

Can you get Botox for under eye wrinkles?

Botox is best used to treat dynamic wrinkles, that appear as a result of repeated use of facial muscles over time. If fine lines and creases that appear under the eyes are caused by dynamic wrinkles, Botox is the ideal treatment. Often, however, the appearance of wrinkles or hollows under the eye can be caused by a loss of volume in the face, which occurs due to the natural aging process. If this is the case, Dr. Green has many other cosmetic treatments available in her office to address under eye wrinkles and creases. For patients experiencing volume loss under the eye, Dr. Green may recommend a hyaluronic acid filler, such as Juvederm or Restylane. Other patients may benefit from skin tightening in the form of laser treatment, or skin resurfacing with a Fraxel laser or chemical peel, in order to boost collagen production for tighter, firmer skin. When you have your initial consultation with Dr. Green, she will be able to determine the treatment or series of treatments that will best meet your needs.

33 year old, Restylane under eyes

How to use Botox

Botox is a quick and painless procedure that requires no downtime following treatment, meaning that you can resume your normal activities immediately following treatment. In the days before arriving for treatment, Dr. Green recommends refraining from taking blood thinner, as these can increase your risk of mild side effects such as bleeding or bruising at the injection site. When you arrive at Dr. Green’s Upper East Side dermatology office for treatment, she will start by applying a topical numbing cream and marking the injection sites. The procedure itself is very quick and can even be done over a lunch break. Following the treatment, you can immediately resume your regularly scheduled activities. You may experience some mild side effects such as slight swelling, bruising, or redness at the injection site, although these side effects will resolve themselves within seven days. Effects of the treatment can be seen within several days of the procedure and the results typically last for between three and six months. Patients can come back to Dr. Green’s office and receive the injections every four to six months in order to maintain results.

How many units of Botox for under eyes?

The number of units of Botox necessary changes from patient to patient and will be determined by Dr. Green following your consultation appointment. It is important to report to Dr. Green your aesthetic goals so that she can recommend the units necessary to achieve them. Typically, when treating under the eye, only 2 units of Botox are required, as the area is very small.

How many units of Botox for around eyes?

When it comes to treating dynamic wrinkles around the eyes, the number of units of Botox necessary depends on the size and scope of the treatment area. Patients with deeper wrinkles may require more units of Botox around the eyes than those that are dealing with fine lines and slight creases. Dr. Green will help to determine the number of units necessary during your initial consultation. Typically, patients can expect to receive between 6 and 10 units of Botox when treating creases around the eyes.

44 year old, Botox before and after

Which Botox is the best?

Botox is the brand name for the botulinum toxin-based anti-wrinkle injectable treatment owned by the company AbbVie. There are other brands of injectable treatments that use the botulinum toxin as well, including Xeomin, Dysport, and Jeuveau. The newest FDA approved neuromodulator for treating dynamic facial wrinkles is called Daxxify, and was approved to treat frown lines on September 8th, 2022. At this point in time, Botox is the most popular neuromodulator treatment, accounting for 70% of the neurotoxin use on the aesthetic market. Each botulinum toxin treatment has unique features that are appealing to different patients and every type of botulinum toxin treatment is available at Dr. Green’s office. Xeomin is advantageous because it does not require refrigeration like Botox does, and does not contain any preservative proteins, meaning the effects of the treatment can be seen more immediately. Dysport has been created specifically to address forehead lines and is best for patients with moderate to severe facial wrinkles. The molecules of Dysport are smaller than those in Botox meaning that results can be seen sooner after the treatment and Dysport can diffuse to treat a wider area. Daxxify has the unique advantage among the neuromodulators of being very long lasting. While Botox, Xeomin, and Dysport effects last for 3-4 months, Daxxify can last for up to six months, meaning that patients will require fewer touch up appointments to maintain the results of the treatment. When it comes to choosing the injectable anti-wrinkle treatment that is right for you, there is no treatment that is inherently “better” than the rest. Dr. Green can help to pick the procedure that is best to meet your needs.

How much is Botox under eyes?

When patients ask, how much is Botox under the eyes, the answer is: it depends. The cost of Botox treatment varies depending on the number of units necessary to address your aesthetic goals, geographic location, and the type of institution at which you are receiving treatment. Botox is typically priced per unit, meaning the more units necessary, the higher the cost. The number of units needed for treatment depend on the severity of the wrinkles and which areas of the face are being treated. After your consultation appointment with Dr. Green, she will be able to provide you with a better estimate of the cost of the procedure based on which areas of the face are being treated. The type of institution at which you receive treatment also affects the price of treatment. The procedure may be cheaper at an institution such as a MedSpa, however, the risk of developing very serious side effects is much higher when seeking treatment from someone who is not board-certified. That is why it is best to receive treatment from an experienced, board-certified dermatologist, such as Dr. Green.

Botox for forehead and glabella

Can you get Botox for under eye bags?

Patients often wonder, does Botox help bags under eyes? When we think about bags under the eyes, we are typically referring to dark circles or hollows under the eye. While Botox is great for treating wrinkles that are caused by repeated muscle contraction, it is not the best treatment for bags under the eye. There are many non-surgical cosmetic solutions available at Dr. Green’s office, however. When you come in for your initial consultation, Dr. Green will examine the treatment area and make a determination about what treatment, or series of treatments, will work best for you.

What are the side effects of Botox?

Botox is a safe and effective treatment for dynamic wrinkles on the face. Patients may experience some mild side effects that can occur as a result of any injectable treatment, such as redness, swelling, bruising, itchiness, and soreness at the injection site in the couple of days following treatment. These side effects are common and resolve themselves on their own. There is a risk of more serious side effects as a result of botulinum toxin injections. The risk for more serious side effects is higher when seeking treatment from institutions such as MedSpas. More serious side effects can include droopy eyelids or headache from too much Botox. If the botulinum toxin spreads, patients can experience trouble with vision, breathing, or swallowing and muscle weakness. If this occurs, seek help from a healthcare provider immediately.

Can Botox cause bags under eyes?

The side effects of Botox are typically mild and only include temporary swelling, bruising, or redness at the injection site. In some rare cases, Botox can result in droopy eyelids. Botox does not cause bags to appear under the eyes. There are many other risk factors for developing under eye bags, such as a lack of sleep, too much sodium intake, smoking, or allergies. When it comes to treating dark circles under the eye, there are many treatment options available at Dr. Green’s office, including dermal fillers, skincare products, laser treatments, chemical peels, and more.

35-44 year old female after chemical peel and vbeam

Does Botox help puffy under eyes?

Puffiness generally occurs below the lower eyelids and can be caused by a number of risk factors. A general lack of sleep, allergies, too much salt intake, sun damage, and the natural aging process can all result in puffiness under the eyes. For many, this can feel distressing and patients seek the best way to rid themselves of this condition. Since puffiness under the eyes is not caused by dynamic wrinkles, Botox is not the best treatment. However, there are treatment options available at Dr. Green’s office and behavioral changes that you can make to help diminish the puffiness. At Dr. Green’s propriety MGSKINLABs there are eye creams available to help address puffiness and dark circles under the eyes. In terms of behavioral changes, it is imperative to get 7-8 hours of sleep every night, avoid smoking, and diminish the amount of food that you consume that is high in sodium. When addressing allergies, you can take medication, such as an antihistamine.

Does Botox help under eye circles?

While Botox is not used to address pigmentation or hollows under the eyes that contribute to the appearance of dark circles, there are many other treatment options available and Dr. Green’s office to address the issue:

Dermal Fillers: To address hollows under the eyes that are caused by age-related volume reduction, Dr. Green will frequently use hyaluronic acid fillers, such as Juvederm or Restylane. Fillers are able to restore lost volume and boost production of collagen for firmer, fuller, more youthful looking skin. When injected into the tear trough, dark circles from hollows are eliminated.

Thermage: Thermage treatment is best used for patients with increased skin laxity, which contributes to a hollow appearance under the eye. Thermage uses radiofrequency energy to heat the layers of skin, resulting in tighter, smoother skin.

Fraxel Laser: To resurface the skin under the eyes and boost collagen production, Dr. Green will use the Fraxel laser. The eMatrix laser in particular has a tip that is designed specifically for the delicate area under the eyes. Fraxel lasers work to tighten the skin to reduce the appearance of hollows and dark circles under the eyes.

Eye Cream: When looking for eyecream that works wonders under the eyes, Dr. Green’s proprietary MGSKINLABs has the Intensive Eye Repair Cream. MGSKINLABs’ Intensive Eye Repair cream is a gel that works to reduce the look of puffiness, creases, and circles under the eye for a healthier, more youthful appearance.

How to get started with under eye treatment today

If you are struggling with creases, fine lines, puffiness, or dark circles under the eyes, Dr. Green has many treatment options available at her Upper East Side dermatology office that can help. For patients experiencing the etching of dynamic wrinkles into the skin under or around the eyes, Botox may be the perfect solution. Botox is considered to be the gold standard treatment for softening the fine lines and wrinkles that develop as a result of repeated facial expression over time. It is important to select a medical professional with the expertise and experience required to perform your Botox injections so that you achieve ideal cosmetic results that are natural-looking and long-lasting.

Dr. Michele Green in NYC is an internationally renowned board-certified cosmetic dermatologist with over 25 years of experience providing her patients from around the globe with the best non-invasive cosmetic treatment solutions, including Botox, dermal fillers, laser resurfacing treatments, chemical peels, microneedling, and more. Dr. Green is consistently voted as one of New York’s best physicians by Castle Connolly, New York Magazine, and Super Doctors for her holistic approach and ‘less is more’ philosophy when it comes to facial rejuvenation treatment. When you consult with Dr. Green, she will work with you to customize a treatment approach that is catered to addressing your unique skin concerns and achieves your cosmetic goals. To learn more about Botox for under the eyes and other cosmetic non-invasive procedures that will leave you looking and feeling like the best version of yourself, call 212-535-3088 or contact us online to book an appointment today.


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