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Botox Under Eyes: How It Works and What You Need to Know

Kristina Cadwell  
December 1, 2020  
Botox, a treatment for wrinkles and fine lines, is something everybody and their grandmother knows about. No wonder, as it’s one of the most sought-after non-surgical treatments worldwide! And it’s really good at its job. But in this post, we’re answering some other questions about Botox. Rumor has it that it can be used under eyes for those pesky little wrinkles that develop due to changes in your skin and facial muscles over time. So can Botox work under eyes? What exactly can it do?

Botox: The Factsheet

To understand how Botox can solve this problem, let’s step back and see how it works. Bear with us for a moment. Botox is a medication that stops the signals from the nerves to the muscles, so without signals for moving, the muscles are relaxed. The muscles in which the Botox is injected are those that create wrinkles by contracting, so when they’re relaxed, the skin that covers them is flatter and basically wrinkle-less.

Botox is not a permanent solution, because it wears off over time, and so does its effect. This means that the signals are restored and the muscles begin to contract again, “dragging” the skin along, which means – here come wrinkles again. If you want to maintain your results, you need to come for another treatment after several months.

Botox is used for so-called dynamic wrinkles – wrinkles created by muscle movement. It reduces the following wrinkles:
• forehead wrinkles
• between the brows (frown lines)
• crow’s feet (at the sides of the eyes)
• around the mouth.

But there are uses of Botox that have not been approved by the FDA, yet, skilled and experienced injectors work their magic in other areas as well. One such use is Botox under the eyes for treating fine lines, an extension to the treatment crow’s feet.

How Effective Is Botox Under Eyes?

Even though injecting Botox to treat lines under the eyes is not approved by the FDA, it has found its off-label use. There are studies investigating the effectiveness of Botox and its results under eye, but so far, they are few. In one study, patients who received Botox in lower eyelids in addition to crow’s feet area claimed positive results when it comes to their under eye area. This may be because Botox makes the lower eyelid appear fuller and plumper, which then leads to a subtle reduce in bagginess in this area.

Are You a Good Candidate for Botox Under the Eyes?

There are not very many specific requirements for Botox patients. Generally, you need to be healthy and over the age of 18. When we say healthy, we mean with no serious health conditions or chronic neuromuscular conditions. You need to not be allergic to Botulinum toxin, the substance from which Botox is made.

Because Botox under the eyes is usually not done on its own, you usually will already be getting injections for crow’s feet at the same time.

If you’re pregnant or breastfeeding, please refrain from getting Botox. The medical field does not know enough about the effects of Botox on unborn and nursing babies, so it would better to wait for a while!

What Is The Procedure for Botox Under Eyes Like?

All Botox procedures are swift and simple! As a non-surgical procedure, Botox doesn’t require any special preparations or down time. Getting Botox is often praised as the lunch time procedure, as you can be out and about in half an hour!

You will come to your injector’s office, have a conversation about wishes and expectation and establish a treatment plan. Your provider then may use some topical anesthetic cream to numb the injection site or ice. The needles they use are tiny, but they are needles nevertheless and can cause some discomfort. He or she will then inject Botox into the intended muscle. For this procedure, only two or four units of Botox will be injected on each side. If you’re a seasoned Botox goer, you know that it’s very little in comparison to other treatments such as forehead lines and frown lines. Higher doses in this area may increase the risk of complications, so it’s better to stick to small, proven doses.

Once the injections to crow’s feet and under-eye area are all done, you can go back to your normal activities: work, lunch, chill.

How Soon Will You See Results and How Long Do They Last?

You won’t see the results immediately after you leave the office as Botox needs time to work. But you won’t have to wait too long either! Botox has an onset time of about three to seven days. This means that you’ll see the results in several days, and full results become apparent within a week!

Of course, if you like your results, you will need to maintain them by having Botox injected again in several months. The effects of Botox are not permanent, and they will last for about three to four months. After this period, if you wish your results with Botox under eyes to stay, another treatment will be necessary.

How Much Does It Cost?

We can only speak generally when it comes to the cost of Botox, because many variations are included in the final price. Where will you undergo your treatment? The price differs in Los Angeles and Minnesota. Will you be injecting just your crow’s feet and under-eye area, or something else as well? What is the current state of your wrinkles and muscles? These are all issues that your injector will take into account to determine how much Botox you need for your desired results.

Typically, however, Botox costs about $12 per unit. Treating crow’s feet usually requires 16-24 units, and Botox under eye only requires a bit of Botox. That means your treatment of these areas will cost about $200-$300 per session.

If you’re in Phoenix, take a look at our pricing list and keep an eye on our monthly and holiday specials. We sometimes offer discounts on Botox, but we never compromise the quality, and it could be a great option for you!

Are There Any Side Effects?

Botox is a medicine, and as such, it can have side effects, from milder and common to those that require urgent medical response.

When you have your lower eyelid injected with Botox, risks include:
eye drooping
eye numbness
swelling of the eyelid
difficulty closing the eyes.
Other common side effects of Botox include:
flu-like symptoms (dizziness, fainting, muscle weakness)
pain at the sites of injections
bruising and swelling
neck pain

These may appear, but the majority of people treated don’t suffer from any side effects. If you do get them and they persist, contact your injector or your doctor immediately.


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