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Botox
Under eye wrinkles worse after botox. Can this be corrected?
Treatment of the crow's feet with Botox relaxes the lateral portion of the orbicularis muscle. Sometimes this can result in compensatory activation of the adjacent portion of the muscle that can make undereye wrinkles become more noticeable. You will need an in person assessment but typically 1-2 units under the eye can soften these lines. This is an off-label area so always see an experienced injector.
Clinical Context
Botox for under-eye lines is an off-label use, meaning it's not FDA-approved for this specific area though it's commonly done by experienced injectors. The muscle around the eye works as one connected ring, so relaxing the outer portion can sometimes shift movement toward the lower lid. Because the skin under the eyes is thin and sensitive to even small doses, treatment here requires careful, conservative dosing and often a few units at a time.
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