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Botox
Can Botox Fix Tear Trough Wrinkles?
Botox works by paralyzing muscles that when they contract create wrinkles. In the area you describe is part of the orbicularis muscle around your eye. In this portion of the eye the wrinkles you see are more likely to be caused by loose skin or by herniating fat than by the muscle contraction. This means that Botox is unlikely to be a good solution. These areas typically require surgery or ablative laser treatments to remove or tighten the underlid skin.
Clinical Context
Under-eye lines can come from three different things: muscle movement, loose skin, or fat pads pushing forward. Botox only helps with lines caused by muscle movement, so it works well for crow's feet but often not for lower-eyelid wrinkles. During a consultation, your surgeon will check your skin's elasticity and whether fat is bulging forward to figure out which of these is causing your specific wrinkles, and recommend treatment based on that finding rather than assuming Botox will work.
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