The answer is more complicated than a yes or no. Specifically, it depends on the skincare concern/s you would like to correct in the under eye area. Before we would recommend Botox for under eyes, we would need to identify whether you would like to treat:

• Under eye wrinkles, lines or crow’s feet
• Dark circles under the eyes
• Puffiness under the eyes
• Under eye hollows

Specifically, Botox under eyes works for the first concern: eye wrinkles, lines and /or crow’s feet at the corners of the eyes. For under eye bags, hollows, dark circles or puffy eyes, Botox is contraindicated and we’d recommend other nonsurgical options. 

Although an off-label use, Botox has good efficacy for treating Crow’s Feet, as well as wrinkles or lines around the eyes. That’s because a neurotoxin injection is specifically designed to treat lines of expression that tend to become static as we age. By weaking the contraction of facial muscles, it can soften, reduce or eliminate wrinkles or furrows in the skin, such as laugh lines around the eyes. 

No, it cannot help under eye bags. Botox is not a treatment of choice for smoothing hollows, bags or puffiness under eye area. In fact, it may make these issues worse. Specifically, the muscles under the eyes are responsible for holding the fat pads in place. By weakening the muscle with Botox, the fat pads can become even more destablized. As a result, they can bulge or recede even more. Instead, consider an Ultherapy treatment or a dermal filler, like Juvederm or Restylane, to get rid of under eye bags or hollows.

Botox is never indicated to help with skin discoloration. It’s mechanism of action has to do with smoothing the muscle, which has nothing to do with changing skin tone. Other options, such as lasers, chemical peels or facials can help with dark circles under the eye area.

Generally speaking, Botox under eyes has risks and complications that are less dangerous or serious than undergoing plastic surgery. That said, it’s important to remember that the eye area is extremely delicate. Therefore, always seek out treatment from a skilled professional and medical doctor who has experience using injectables at the proper dose.

You’re most likely looking for one of the best Botox doctor in NYC. You’ve found him here! Smooth Synergy®’s Medical Director, Dr. George Liakeas, has over 20 years experience administering injectables and holds the distinction of being an Allergan Platinum Provider. He’s not only a trusted medical physician, but has a keen eye for aesthetics. He has a knack for understanding the face and knowing where to place Botox and other injectables, in order to give you natural-looking results.  Call Smooth Synergy® MedSpa and Laser Center, conveniently located on the UES, NYC, at 212-397-0111 to find out more about cosmetic injectables including Botox, Dysport and Xeomin, as well as our comprehensive menu of skincare and beauty treatments. We’re here to help you decide if Botox under eyes is right for you.