While traditionally used to address forehead lines and crow’s feet or even lips, Botox’s application under the eyes is a newer trend. The skin around the eyes is particularly delicate and prone to early signs of aging, such as fine lines, wrinkles, and under-eye bags, making it a prime target for rejuvenation efforts.

However, treating the under-eye area with Botox requires a detailed understanding of facial anatomy and the potential risks. This area is sensitive and complex, and an improper approach can lead to complications, such as drooping or an unnatural appearance. So, it’s essential to weigh the benefits against the risks and to be fully informed before undergoing the procedure.

That’s why we’ll explore how the treatment works, who it’s best suited for, potential side effects, and how it compares to other under-eye treatments.

Benefits of Botox Under the Eyes

Botox offers a range of benefits, from reducing fine lines to providing a convenient, minimally invasive alternative to surgery. Let’s explore each of them in more detail.

Aesthetic Enhancements

The primary aesthetic benefit of Botox is reducing fine lines, marionette lines, and wrinkles, often called “crepey” skin.

These wrinkles are usually the result of aging, sun damage, and repetitive facial expressions, which contribute to the loss of elasticity and smoothness in the under-eye area. Botox smooths these lines by relaxing the underlying muscles, resulting in a more youthful and refreshed appearance.

On top of that, when administered by an experienced practitioner, Botox can help improve the appearance of under-eye bags and hollows.

Non-Surgical Alternatives

We all want to look better, but we are not ready to “go under the knife” forever.

So, if you want to rejuvenate the under-eye area without going to invasive surgery, Botox is a highly compelling alternative. Traditional surgical procedures like blepharoplasty (eyelid surgery) involve incisions, longer recovery times, and a higher risk of complications — something we all want to avoid.

Botox is a minimally invasive procedure that can be completed in a matter of minutes, with only a tiny needle and no need for anesthesia (unless you want it). The lack of incisions makes Botox an attractive option if you want to improve your appearance without the commitment and recovery associated with surgery. This non-surgical approach allows for subtle enhancements, so it’s perfect for natural-looking improvement.

Quick and Minimal Downtime

One of the most appealing benefits of Botox under the eyes is the quick and convenient nature of the procedure. The treatment generally takes only 10 to 15 minutes, which is why it is called a “lunchtime procedure.”

Another significant advantage is that most patients can resume their normal activities immediately after the procedure, with only mild swelling, bruising, or redness that usually resolves within a few days. So, you won’t have to take extended time off work or social engagements.

Temporary and Adjustable Results

A unique advantage of Botox is its temporary nature.

If you don’t like your new look — don’t worry — the effects of Botox last between three to six months. Therefore, you can fine-tune results over time or even wait for them to disappear entirely if that aligns more with your facial anatomy or aesthetic goals.

If you like the results, you don’t have to wait for the effects of Botox to gradually wear off; you can go to subsequent sessions and keep the same look for a prolonged period.

Risks and Potential Side Effects of Botox Under the Eyes

Since you are here to find out everything about benefits, but also risks, now is the time to address that topic. Before delving into side effects and risks, keep in mind that Botox is generally one of the safest treatments when avoiding high-ris k areas.

Common Side Effects

Like any cosmetic procedure, Botox under the eyes can result in some common side effects:

• Bruising: Bruising occurs when the needle punctures small blood vessels during injection. This is the most common side effect and typically resolves within a few days. The extent of bruising can vary depending on the individual’s skin type and the skill of the practitioner.
• Swelling and Redness: Temporary swelling and redness result from the body’s natural response to the needle.
• Discomfort or Pain: Patients may experience mild discomfort or short-lived pain during or after the injection.

These side effects are harmless and temporary, but being aware of them can help manage expectations and reduce anxiety.

Specific Risks of Under-Eye Botox

The under-eye area is particularly sensitive, and improper technique or dosage can lead to several issues:

• Unnatural Results: Over-injection of Botox results in a “frozen” look, where natural facial expressions are diminished.
• Drooping (Eyelid Ptosis): Incorrect injection techniques can lead to eyelid ptosis, a condition where the upper eyelid droops over the eye, potentially impairing vision.
• Asymmetry: Uneven distribution of Botox makes one side of the face appear different. This asymmetry can be either subtle or pronounced.

Complications and Unintended Outcomes

Beyond the typical side effects, there are more severe complications that are very rare but still can happen:

• Ectropion: Ectropion is a condition where the lower eyelid turns outward, away from the eye. Ectropion may require surgical correction if it does not resolve on its own.
• Diplopia (Double Vision): Botox can migrate to muscles that control eye movement, leading to diplopia or double vision. This occurs when the toxin weakens these muscles.
• Allergic Reactions: A small number of patients experience an allergic reaction to Botox. Symptoms can range from mild (itching or rash) to severe (difficulty breathing or anaphylaxis).

Who Should Consider Under-Eye Botox?

Under-eye Botox is most suitable for individuals with early signs of aging:

• Younger adults: In their late 20s to 40s, looking to prevent or treat early wrinkles. This does not mean older individuals cannot benefit from the treatment.
• Those with realistic expectations: Those who understand the limitations of Botox and are seeking subtle improvements.
• Healthy individuals: People without significant medical conditions that could complicate the procedure.

Non-Candidates

Botox under the eyes is not suitable for everyone:

• Severe under-eye bags or hollows: These may require surgical intervention for optimal results.
• Pregnancy or breastfeeding: Botox is not recommended during pregnancy or breastfeeding.

Wrapping Up

This treatment can help you rejuvenate your appearance without surgery, making it an attractive option for most people.

The benefits of Botox are notable, no doubt, but it’s essential to approach this treatment with a complete understanding of the potential risks involved. The under-eye area is particularly sensitive, and choosing an experienced, qualified practitioner is crucial to minimizing complications.

A successful Botox treatment under the eyes begins with a thorough consultation, where you will be fully informed about the procedure, then continues during the procedure itself, and ends with careful post-treatment.

Ultimately, the key to a positive Botox experience lies in understanding the procedure, weighing the benefits and risks, and selecting a skilled provider.

Frequently Asked Questions (FAQ)

Can Botox under the eyes help with dark circles or puffiness?

Botox is not typically effective for dark circles or puffiness. These issues are usually caused by pigmentation or fluid retention, which require different treatments like fillers or topical creams.

How many units of Botox are usually required for under-eye treatment?

The number of Botox units needed for under-eye treatment varies but typically ranges between 1 to 3 units per side. A skilled practitioner will assess the specific needs of each patient to determine the appropriate dosage.

Can Botox under the eyes be combined with other cosmetic procedures?

Yes, Botox under the eyes can be safely combined with other cosmetic procedures like dermal fillers or chemical peels. Combining treatments can enhance overall facial rejuvenation, but talking with a qualified practitioner is a must.

What age is appropriate to start getting Botox under the eyes?

There’s no specific age to start Botox under the eyes, but it’s often considered by individuals in their late 20s to 40s when fine lines first appear. Early intervention can help prevent deeper wrinkles from forming.

Can Botox be used to treat under-eye veins or discoloration?

Botox is not effective for treating under-eye veins or discoloration. These issues are best addressed with treatments like laser therapy or specialized creams.

Can Botox under the eyes cause vision changes?

Botox under the eyes rarely affects vision when administered correctly. However, improper injection technique can potentially cause temporary issues like blurred vision or eyelid drooping.

References

Flynn TC, Carruthers JA, Carruthers JA, Clark RE 2nd. Botulinum A toxin (BOTOX) in the lower eyelid: dose-finding study. Dermatol Surg. 2003 Sep;29(9):943-50; discussion 950-1. doi: 10.1046/j.1524-4725.2003.29257.x. PMID: 12930337.

Flynn TC, Carruthers JA, Carruthers JA. Botulinum-A toxin treatment of the lower eyelid improves infraorbital rhytides and widens the eye. Dermatol Surg. 2001 Aug;27(8):703-8. doi: 10.1046/j.1524-4725.2001.01038.x. PMID: 11493292.