Will Botox get rid of my wrinkles under the eye?

Dr. Dean Kane Q & A.

Q. Will Botox get rid of my wrinkles under the eye? I am 26 and have very tired looking eyes. I was looking into getting blepharoplasty in the next year or two, but before doing a drastic surgery, are there other options for me?

A. ​Without photos it is most difficult to comment. It is best for you to consult with a well experienced Board Certified Plastic Surgeon or Facial ENT surgeon.

​There are so many considerations for wrinkles under the eyes such as:

1. ​Sun damage,
2. Skin thickness,
3. ​Eye shape; where the eyelid corners meet,
4. ​Bone shape and projection,
5. ​Bags, fat, swelling,
6. ​And others

Botox under the eyelid except in special circumstances may create worsening of eyelid wrinkles and relaxation bulging of the fat bags.
​
​Consider:
​1. ZO Obagi Skin Health using retinoids,
​2. Chemical and laser peels,
​3. Superficial filler,
​4. Deep filler,
​5. And finally blepharoplasty.
​
​I hope this has been helpful. All the best!