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I have wrinkles under my eyes after crow's feet treatment, can anything else be done?
Thank you for sharing your question. It is not uncommon that after crow's feet treatment that you may notice more prominent undereye wrinkles. This occurs because the muscle around the eye is is a circular sphincter muscle so when the lateral (outer) parts are paralyzed with Botox, other parts of the muscle, such as the lower portion, may become more active (compensatory activity). A few units of botox in the undereye area can help to soften the appearance of these wrinkles but is considered an advanced technique with its own set of risk factors. I recommend following up with your injector to discuss your concerns and to evaluate whether you are a good candidate for treatment in that area.
Clinical Context
The skin and muscle under the eyes are thinner and more delicate than at the crow's feet, so this area needs a lighter, more precise Botox technique. If too much product is used, or it spreads to nearby muscles, it can cause eyelid drooping or an unnatural look that takes weeks to resolve since Botox effects can't be reversed. Because of this, most injectors treat the under-eye area conservatively and only in patients whose muscle pattern they know well.







