Botox Under Eyes: What to Know

Botulinum toxin type A temporarily reduces signals between nerves and targeted muscles. Around the eyes, this can lessen movement-related lines such as crow's feet. It does not replace lost volume or remove every type of under-eye shadow, crease, or puffiness. The skin, lower eyelid support, facial movement, and nearby muscles all influence whether it is suitable.

Choose a qualified medical injector who can examine your eye area and discuss your goals. Share medicines, allergies, previous injections, eye conditions, and any history of dry eye. Follow the aftercare instructions you receive, avoid rubbing the treated area, and allow time for the effect to develop. Dermal fillers work through a different mechanism and may be discussed when volume, rather than muscle movement, is the main concern.

Contact the treating clinician promptly for marked eyelid drooping, new double vision, trouble closing an eye, worsening eye dryness, spreading weakness, or symptoms that concern you. Seek urgent care for trouble breathing, swallowing, speaking, or sudden widespread weakness after an injection.

Ask which lines are realistically treatable, where injections would be placed, how existing dry eye may affect the plan, what alternatives fit your anatomy, and which changes should prompt a call.