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Can it help wrinkles, lines or bags?




Can it help wrinkles, lines or bags?

In cosmetic dermatology, the muscle bulges that appear under your eyes when you smile are known as jelly rolls. Some people love them, and others hate them. If you fall into the latter category, under-eye Botox (or jelly roll Botox) may be an option to consider.

The skin around our eyes is significantly thinner and more sensitive than other parts of our body, which is why it often shows the first signs of aging. People usually get Botox injected into the muscles at their temples to reduce crow’s feet, but you can also get Botox under your eyes to target those jelly rolls.

Experts in this article

  • Hee Jin Koh, MDa board-certified dermatologist based in New Jersey
  • Reshmi Kapoor, MDa board-certified dermatologist and owner and founder of Brooklyn Dermatology in Brooklyn, NY

Ahead, board-certified dermatologists Reshmi Kapoor, MD, and Hee Jin Koh, MD, talk about exactly how under-eye Botox works to smooth out jelly rolls, how it differs from under-eye fillers, and what side effects can come from getting Botox before your eyes.

How does Botox work?

Botox, like its alternatives Dysport, Xeomin and Jeuveau, is a neuromodulator, namely botulinum toxin type A, which blocks the signals that nerves release to allow muscles to contract. When Botox is injected into the face, it smoothes the skin by “temporarily relaxing the facial muscles that contribute to deep lines and wrinkles,” explains Dr. Kapoor out. Again, Botox is temporary, so results will only last three months, adds Dr. Come on.

Can Botox be used under the eyes?

Technically, Botox can be used under the eyes. Dr. However, Koh points out that this is considered deviant use. Botox is not approved by the Federal Drug Administration (FDA) for injections under the eyes, nor for the forehead, frown lines, or crow’s feet. With this in mind, Botox under the eyes should only be performed by an experienced practitioner, says Dr. Kapoor. You can find one near you by searching for board-certified dermatologists on the website American Academy of Dermatology websiteshe adds.

Benefits of Botox under the eyes

Jelly rolls are formed by the muscles of your lower eyelids (scientifically known as the orbicularis oculi). When Botox is injected into these muscles under your eyes, it reduces the appearance of jellyrolls and smoothes the skin under your eyes, says Dr. Koh. Additionally, Dr. Kapoor that relaxing the muscles that cause jelly rolls with Botox under the eyes can make eyes appear wider and stay open when you smile.

Botox under the eyes versus filler under the eyes

Under-eye Botox and under-eye filler have two different mechanisms and benefits. Simply put: you soften; the other is chubby. Botox under the eyes targets and relaxes muscles, so it’s best for reducing the appearance of “under-eye wrinkles that form when smiling or squinting,” says Dr. Koh. Dr. However, Kapoor adds that this procedure cannot help with under-eye bags, puffiness, dark circles and hollowness under the eyes.

Under-eye fillers, on the other hand, address these issues by plumping up the under-eye area. Dr. Kapoor says hyaluronic acid fillers, such as Juvéderm and Restylane, are usually the best options for this. They are known to restore volume loss, help with hollowing and improve dark circles.

Regardless of which injectable is best suited for your under-eye problems, Dr. Koh highly recommends consulting with your cosmetic provider for a personalized evaluation and recommendations that best suit your needs.

How to Prepare for Under-Eye Botox

The preparation for Botox under the eyes is no different than the preparation needed for any other injectable treatment, says Dr. Koh. As usual, a cosmetic consultation with an experienced doctor is an essential first step.

If you are considered a suitable candidate for under-eye Botox, Drs. Koh and Kapoor again recommend drinking alcohol for seven to 10 days before the procedure and taking blood-thinning medications and supplements that are not medically necessary to reduce the risk of bruising. This includes aspirin, ibuprofen, vitamin E, fish oil, gingko and even garlic.

How much does Botox under the eyes cost?

According to the American Association of Plastic Surgeonsthe average cost of botulinum toxin injections is $528. However, the price of Botox under the eyes varies depending on the provider. “Some offices charge per unit, and others charge per area,” says Dr. Kapoor.

Side effects

Botox is generally a safe cosmetic procedure. The most common side effects are swelling, bruising, or pain around the injection site. “With Botox under the eyes, there is a risk that if a person is not a suitable candidate, relaxing the jelly roll muscle can lead to slowing of the lower eyelid margin and possibly dry eyes,” says Dr. Kapoor.

Last takeaway

Botox under the eyes can be an incredible option for those who want to smooth the skin under their eyes, especially for those who want to look wide-eyed when they smile. Just make sure you find a board-certified dermatologist who is well-versed in these off-label uses of Botox.