
Eye wrinkles are one of the most common issues that affect the appearance of the face, giving a tired and fatigued look even if the skin is still youthful. With the rise of fast cosmetic solutions, Botox for eye wrinkles has emerged as one of the most popular treatments, specifically targeting laugh lines and crow’s feet around the eyes. It works directly on the muscles responsible for expression lines, providing a smoother and more youthful appearance in a short time without surgery.In this article by we will explore in detail the benefits of Botox injections around the eyes, the injection procedure, potential risks, the expected results after the session, and whether Botox really is a fast and effective solution for eye wrinkles.
How to Know if Botox Is Successful
You’ll know a Botox session is successful when you notice that the lines around your eyes are reduced and your skin looks smoother. Improvements usually appear within a few days of the injection. Many people also feel more confident in their appearance after seeing the results.
It’s important to understand that response varies from person to person depending on skin type, age, and overall skin condition.
Is Botox Injection Painful?
Pain is minimal because the needles are very fine, and in most cases, anesthesia isn’t needed. For those sensitive to pain, a numbing cream can be applied before the session.
When Do Botox Results Appear Around the Eyes?
Results start to appear within 3–5 days after the injection. The full effect is usually visible after 10–14 days.
How Long Do Botox Results Last?
Results typically last from 3 to 6 months, depending on facial muscles and lifestyle.
Do Wrinkles Come Back Worse After Botox Wears Off?
No. Wrinkles do not return worse than before. If you stop treatments, the muscles will return to normal function, and lines come back to their original state—not worse.
Is Botox Suitable for Dark Circles?
Botox is not designed to treat dark circles and does not affect the pigmentation under the eyes. Its primary role is to treat expression lines around the eyes.
Is There a Recovery Period After Botox?
There is virtually no downtime. You can continue your day normally after the session, but it’s recommended to:
Avoid rubbing the area for the first 24 hours
Avoid intense exercise on the same day
Can Botox Cause Eyelid Drooping?
This is very rare and usually occurs if the injection is done with an excessive dose or in the wrong spot. That’s why it’s important to have the procedure performed by a specialized dermatologist or cosmetic doctor.
Is Botox Suitable for All Ages?
Botox is typically used from ages 25–30 when expression lines start to appear. It’s not suitable for children or younger people without a medical reason.
What Is Botox Around the Eyes?
It’s a cosmetic procedure where a small amount of Botox is injected around the eyes to reduce wrinkles and laugh lines, making the skin smoother and more youthful.
When Do Results Appear?
Results begin to show about 3 days after the session as the muscles gradually relax. The effect usually lasts 3–4 months depending on the individual.
How Long Does Eyelid Drooping Last if It Happens?
If mild eyelid drooping occurs, it usually disappears within a few days and is typically very temporary.
Does Botox Affect the Eyes?
Yes, Botox can have temporary effects around the eyes, such as:
Mild eyelid drooping
Dryness around the eyes
Increased tear production in some cases
These effects are usually temporary and resolve over time.
Can Botox Be Injected Under the Eyes?
Currently, Botox is not officially approved for use under the eyes, but some doctors use it cautiously to treat specific issues or improve mild expression lines in the area.
Can Botox Help with Strabismus (Crossed Eyes)?
In some cases, crossed eyes caused by muscle issues can be improved with Botox, which relaxes the muscles. However, this varies depending on the doctor’s evaluation.
How Many Botox Units Are Needed for Eye Wrinkles?
Botox is measured in units, and the required amount varies per individual:
According to FDA recommendations: 12 units per side, 24 units total for crow’s feet
Mild cases may need only 5 units per side
Severe cases may require higher doses, adjusted by the doctor after evaluating muscle response
The number of units depends on:
Wrinkle severity
Muscle response to treatment
Genetics and skin type
The doctor determines the appropriate dose after a careful evaluation to ensure the best results with minimal risks.
Who Is Suitable for Botox Around the Eyes?
Botox is ideal for people with expression lines and noticeable laugh lines, such as:
Men and women over ~25 years with visible laugh lines
People with dynamic wrinkles (lines appearing with facial movement)
Those with thin skin around the eyes wanting to soften lines
Those seeking fast results without surgery or downtime
Those wanting to reduce the tired appearance caused by muscle tension around the eyes
Who Is Not Suitable for Botox Around the Eyes?
People with dark circles due to pigmentation → Botox will not fix it
People with puffiness or under-eye bags → fillers or surgery may be better
Pregnant or breastfeeding women
Patients with neuromuscular disorders like myasthenia gravis
People with severe sagging of under-eye skin
Key Benefits of Botox Under the Eyes
Reduces fine expression lines such as laugh lines and lines visible during eye movement
Smoother appearance around the eyes by relaxing muscles
Reduces early wrinkles, especially for people under 35
Fast results compared to creams, visible within days and lasting several months
Reduces tired appearance by relaxing surrounding muscles
Types of Botox for Under-Eye Area
Botox (American) – Most popular, effective in 3–7 days, lasts 4–6 months
Dysport (UK/Europe) – Acts slightly faster, good for larger areas, use cautiously under eyes
Xeomin (Germany) – Purified, fewer proteins, useful for people with resistance to traditional Botox
Jeuveau (Korean/American) – Newer aesthetic use, effective for expression lines, affordable
Stages of Botox Injection Around the Eyes
Assessment – Determine type of wrinkles (dynamic or static) and suitability of Botox or alternative treatments
Marking injection points – Precise placement with medical pen, dose carefully calculated
Anesthesia (if needed) – Usually not required, small numbing cream for sensitive patients
Injection – Fine needles, small amount, session lasts 5–10 minutes
Cold compress – Reduce redness or mild swelling for the first hour
Initial results – Begin appearing in 3 days, full effect in 10–14 days
Follow-up – Evaluation after ~2 weeks; minor touch-ups if needed
What Does Botox Treat Around the Eyes?
Dynamic wrinkles – Lines appearing with facial movement (laughing, squinting)
Crow’s feet – Lines at the outer corners of the eyes, most effectively treated with Botox
Wrinkles from eye strain or lack of sleep – Continuous muscle activity creates lines, Botox relaxes muscles
Tired appearance from muscle tension – Even without deep wrinkles, relaxing muscles refreshes eye appearance
Early wrinkles in people under 35 – Prevents deepening of lines with age (preventive effect)
Preparation Steps Before a Botox Injection Around the Eyes
1. Stop Blood Thinners
Avoid medications like aspirin, vitamin E, or omega-3 for 3–5 days before the session (after consulting your doctor).
2. Avoid Alcohol and Smoking
Refrain from alcohol and smoking 24–48 hours prior to reduce the risk of bruising.
3. Avoid Intense Cosmetic Procedures
Skip aggressive laser treatments, deep chemical peels, or heavy dermarolling before the session.
4. Cleanse the Skin on the Day of the Session
Remove makeup and wash the area thoroughly to ensure clean skin.
5. Inform Your Doctor About Any Medical Conditions
Include pregnancy, breastfeeding, neuromuscular disorders, or any previous Botox allergies.
6. Agree on Expected Results
The doctor explains the expected outcome and that the effects will appear gradually over several days.
7. Apply Numbing Cream if Needed
A numbing cream can be applied for 10–20 minutes depending on patient comfort.
Botox Injection Procedure Around the Eyes
1. Area Assessment
The patient makes various facial expressions to identify muscle contraction points.
2. Skin Cleaning and Disinfection
A disinfectant is applied to prevent any infection.
3. Marking Injection Points
The doctor marks 3–5 precise points per side.
4. Injection with a Very Fine Needle
Small amounts are injected superficially into the muscles.
5. Accurate Dose Distribution
Ensures optimal results and prevents eyelid drooping.
6. Usually No Anesthesia
Pain is minimal; numbing cream can be applied if the patient is sensitive.
7. Quick Procedure
The session typically lasts 5–10 minutes.
Risks and Complications of Botox Around the Eyes
While Botox is generally safe, some temporary or rare complications may occur:
Swelling or mild bruising – Usually disappears within 2–7 days.
Eyelid drooping (ptosis) – May occur if injection is incorrect or dosage is excessive.
Slight difficulty in natural smiling – Rare, minor weakness in lateral muscles.
Mild headache or tightness – Some patients experience a light headache for 1–2 days.
Uneven results – One eye may appear smoother if dose distribution isn’t balanced.
Increased under-eye puffiness – Botox may make pre-existing bags more noticeable.
Rare allergic reactions – Extremely uncommon but possible with any cosmetic procedure.
Tips to Reduce Risks
Only get injections from a qualified dermatologist or cosmetic specialist.
Avoid unknown or unlicensed centers.
Pre-assessment of skin condition ensures Botox is suitable.
Follow pre- and post-care instructions closely to minimize complications.
Difference Between Sad Smile Botox and Fillers
| Feature | Sad Smile Botox | Filler |
|---|---|---|
| Main goal | Relax muscles pulling mouth corners down | Fill volume loss, lift skin and support tissue |
| Effect on smile | Reduces downward pull, less sad appearance | Adds volume, lifts corners, smooths deep lines |
| Area of use | Depressor anguli oris (muscles pulling down) | Marionette lines, under mouth corners |
| Mechanism | Relaxes muscle | Adds volume and supports skin |
| Duration | 3–4 months | 6–12 months depending on filler type |
| Pain | Very mild (like a pinch) | Mild to moderate depending on depth and filler type |
| Suitable for | Muscle-related downward pull | Volume loss and deep lines |
| Can be combined? | Yes | Yes — often best results when combined |
Detailed Eye Care Tips Before and After Botox
Before Injection (7–1 days prior)
Stop blood thinners (aspirin, ibuprofen, vitamin E, omega-3) unless prescribed by a doctor.
Inform your doctor of your medical history and allergies.
Prepare for a short session (usually 5–15 minutes).
Keep skin clean on the day of injection.
Avoid strong laser or peeling treatments 2–7 days before.
After Injection (0–48 hours: Critical Period for Results)
Stay seated or standing for 4 hours to prevent Botox migration.
Do not touch or rub the area for at least 24 hours.
Avoid intense exercise or sauna.
Do not apply makeup around the eyes for 24 hours.
Apply gentle cold compresses if there is swelling or bruising.
Perform gentle facial movements (smile, frown lightly) after 1 hour to help Botox settle.
After 48 hours – 2 weeks (Monitoring and Adjustments)
Results start to appear in 3–7 days, full effect in 10–14 days.
Minor “touch-ups” may be done after evaluation.
Light bruising usually resolves on its own.
Contact your doctor immediately if you notice:
Sudden weakness in eyelid or eye muscles
Severe pain or redness with heat (possible infection)
Severe headache or double vision
General Tips for Optimal Results
Avoid alcohol 24–48 hours before and after the session.
Avoid aggressive cosmetic procedures for 7–14 days after injection.
Do not repeat injections too soon; typically every 3–6 months depending on response.
Common Side Effects of Botox Around the Eyes
Swelling and redness at the injection site – Temporary, usually resolves in hours to 1–2 days.
Bruising – Small bruises may appear due to needle impact on blood vessels; improves in days.
Mild eyelid drooping (ptosis) – Temporary, usually resolves as Botox effect wears off.
Uneven appearance between eyes – May occur if dose is unequal; resolves gradually.
Tightness or pulling sensation – Mild feeling in first week, normal as muscles adjust.
Mild headache – Occasionally lasts 1–2 days, due to slight muscle tension changes.
Increased puffiness for some – People with under-eye bags may notice accentuation as muscles relax.