Botox Under Eyes: Is it safe to do botox under eyes

botox under eyes
botox under eyes-

As you become older, your skin and facial muscles change, which can affect the appearance of your eyes. Lines and wrinkles begin to appear, and bags or dark circles may form beneath them. Many people try to get moisturizers and start medical procedures to prevent wrinkles and even remove existing ones by using botox, which is well-known for its anti-wrinkle properties, but Is it safe to do botox under eyes?

Of course, Botox around the eyes can be used for other purposes. It can, for example, help conceal dark undereye circles and reduce puffiness under the eyes. One of the most common applications for injectable Botox is to help remove wrinkles, such as those between the brows on the forehead and crow’s feet: wrinkles on the outer corners of the eyes.

This article will teach you everything you need to know about Botox under eyes and how it can help you, so keep reading to learn more.

What exactly is Botox under the eyes?

Botox, also known as OnabotulinumtoxinA, is a neurotoxin made by the microbes Clostridium botulinum. Botox is an intravenous treatment used to smooth out fine lines and wrinkles and slow the aging process. Botulinum toxin type A, a neurotoxin that blocks signals from the muscles to the brain, is the active ingredient in Botox injections.

This procedure effectively freezes the muscle, preventing it from contracting and thus smoothing out dynamic wrinkles.

Botox, when used under the eyes, either alone or in conjunction with other treatments, can help with:

  • Wrinkles around the eyes.
  • Bags under the eyes.
  • Crows’ feet

How Does Botox Work Under the Eyes?

As previously stated, Botox involves a doctor injecting a special toxin into the area you want to treat in order to prevent that muscle from moving and causing you to relax.

These injections prevent certain chemical signals from your nerves from causing muscle contractions. You can avoid wrinkles and frown lines by blocking the chemical reactions of your facial muscles.

It may seem strange for some people to choose their under-eye areas as the injection site for Botox, but doing so can help with crow’s feet lines. Your eye muscle is a circle that surrounds your eye, and only getting Botox in the lateral areas of your eyes causes more wrinkles in the under-eye area.

When you get Botox under your eyes, you are preventing the entire muscle from producing wrinkles and extending the duration of the crow’s feet Botox. An insulin needle is used to inject Botox into your lower eyelid during this procedure. The effects of this injection may last three to four months.

Is it safe to do botox under eyes?

Even as Botox is FDA-approved to treat wrinkles around the eyes, it is not approved to treat creases under the eyes or on the lower eyelid. Botox, on the other hand, can be used in small amounts under the eye as a “off-label” treatment for dynamic wrinkles in the area.

This means that the treatment is being used to treat a face area that has not yet been FDA approved for treatment or has not undergone extensive research.

Off-label uses of any cosmetic procedure require the service of an experienced injector who has extensive experience treating under-eye wrinkles and can assist patients in determining the treatment process that will work best to meet their aesthetic goals.

How to inject botox under eyes

Every Botox injection should be administered in a doctor’s office by a board-certified dermatologist, plastic surgeon, or physician who has received special training in Botox injections. It is critical to find a skilled provider because they are the most familiar with facial anatomy and can provide safe and effective results.

After consulting with an experienced Botox injector to determine your candidacy, you will need to return to their office for the procedure.

  • To alleviate any pain or discomfort, your Botox provider may apply an anesthetic to the injection site. Because the anesthetic numbs your skin, you won’t feel the small Botox needles later on.
  • The injection sites will then be marked by the provider based on how you move your facial muscles. The ideal dose for the lower eyelid is around 8 units, or one to two injections per side. In comparison to other treatments, the Botox dose for the eyes is much lower to avoid increased complications.
  • They will inject Botox into the lower part of the orbicularis oculi, which is the muscle that closes the eyelids, with small needles. Some doctors may prescribe a wrinkle filler in addition to your Botox injection. The entire procedure will take no more than 30 minutes to complete.
  • You can immediately resume your normal activities after that. Botox is a non-surgical cosmetic treatment that is ideal for patients who do not want to have any downtime. Patients may also reapply makeup to conceal any temporary redness at the injection site.

Cost of botox under eyes

Botox under eyes prices vary depending on your location and the specialist. Aside from the medication, you’re also paying for the office space, your provider’s time and expertise, and other materials.

Botox rates are more likely to be more affordable in urban areas where there is a lot of competition, especially when compared to rural areas where no other injector is providing the service. Before requesting Botox injections under your eyes, it’s a good idea to get a price estimate.

Botox costs about $12 per unit right now. You may need to spend $300 – $400 for an initial treatment session with the 16 – 24 Botox units for crow’s feet, plus more for maintenance top-ups. Because men have stronger muscles than women, they may require more Botox units, making the procedure more expensive for them.

Negative effect botox under eyes

Botox has long been used in a wide range of therapies over the last several decades. It is mostly safe. And, while it is not permanent, Botox can provide pain relief, alleviate medical symptoms, and provide life-changing cosmetic effects.

However, because Botox for under-eye use is not FDA-approved, there is no comprehensive body of research on its safety. Nonetheless, you can expect common Botox side effects such as:

  • Pain 
  • Swelling
  • Headaches
  • Neck pain
  • Nausea 
  • Numbness
  • Dizziness
  • Redness
  • Rash 
  • Flu-like symptoms 
  • Muscle spasms
  • Twitching 
  • Bleeding 
  • Bruising

These adverse effects should subside within a few hours or days of receiving the injection. Aside from the usual side effects, under-eye Botox poses additional risks due to the treatment area’s sensitivity. Because of the relatively high risk of weakening the bottom eyelid, some doctors advise against this treatment.

Debilitated eyelids can cause the lower lid to pull away from the eyeball, which can be unsightly and cause a variety of problems such as dry eyes, blurry vision, difficulty breathing, droopy eyelids, eye swelling, eye numbness, and difficulty opening the eyes.

Patients should also be aware of the symptoms of a Botox allergy; if any of the following symptoms appear, seek immediate emergency medical attention:

  • Seizures
  • Fainting 
  • Vision problems
  • Chest pain
  • Shortness of breath
  • Rash or hives
  • Irregular heartbeat 
  • Facial asymmetry 
  • Muscle atrophy in the face
  • Incontinence
  • hoarseness of the voice
  • Having difficulty swallowing
  • Difficulty holding your head up Difficulty moving your head

How to get Ready for Botox Under the Eyes Session

Getting ready for an botox for under eye bags treatment is similar to getting ready for other injectables: Avoid alcohol 24 hours before your appointment, and stop taking any blood-thinning medications a week before, including aspirin, Advil, Aleve, Motrin, ibuprofen, fish oil, turmeric, green tea, and garlic supplements. All of these factors thin the blood and increase the likelihood of bruising.

To determine whether you are a good candidate for botox for under eye bags, your doctor will examine your eye muscles and may even perform a lower lid’snap test.’ Botox for under eye bags may not be the best treatment for you if your eyelids are very saggy or puffy.

If your doctor specifies that you are a candidate, they will proceed by numbing or icing the area, though Kitsos notes that this is not always necessary. The treatment usually consists of one or two small, painless injections.

During injection, patients consistently report very little to no pain. The under eye wrinkles botox should take effect two weeks after the initial injection, at which point you can schedule any necessary follow-up appointments with your doctor.

Other therapies for under-eye wrinkles

If you’re worried about the safety or efficacy of under eye wrinkles botox, speak with your doctor about other choices available.

Hyaluronic acid fillers, also known as dermal fillers, are commonly used by dermatologists and other medical professionals to reduce the appearance of wrinkles and fine lines under the eyes.

Fillers, unlike Botox, add volume and fullness to thinning skin, reducing the signs of aging.

Homeopathy and positive lifestyle changes can also help to reduce the signs of aging and promote smoother, younger-looking skin. Botox substitutes include:

Botox alternatives are as follows:

  • Drink plenty of water.
  • Avoid foods that are high in sodium.
  • Get plenty of rest.
  • Regularly apply sunscreen.
  • Smoking should be avoided.
  • Consume alcohol in moderation.
  • Antihistamines can help with seasonal allergies.
  • Make use of anti-aging eye creams.


If your ultimate goal is to reduce the appearance of horizontal lines under your eyes and/or the muscle that sticks out when you smile, you may be a good candidate for under-eye Botox—but make sure to consult with your doctor first. Under eye wrinkles botox may not be the right treatment for those who have sagging eyelids or naturally puffy eyes to begin with, but if you are a candidate, the end result can range from subtle to very significant. Always consult with your doctor to determine the problem you want to address, and if you aren’t a good candidate for under-eye Botox, looking into laser resurfacing treatments can help.

FAQs About botox under eyes

Can botox under eyes cause bags?

When botox is injected near the lower eyelid muscle, it weakens the pump action, allowing fluids to drain normally. Fortunately, the botox will wear off, and the fluid bags should disappear once the botox has worn off.

Can i have botox under my eyes?

Botox injections under the eyes are not permitted. Botox is used to reduce the appearance of wrinkles in areas with a lot of muscle movement.

How long does botox under eyes last?

Botox treatments can last anywhere from four to six months. If you want to keep the results of previous injections, you’ll need to return to your doctor after this time.


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