By Andrea Callaway. November 30, 2023. Patients often ask their aesthetic practitioner for botulinum toxin or Botox® treatment under the eye area to rid themselves of fine lines and wrinkles, or a 'jelly roll'. This is distinct from the common areas for Botox treatment for the upper face and is a tricky area to treat.
Also known as 'jelly roll Botox,' under-eye Botox can help reduce horizontal wrinkles that appear when smiling or squinting – it's typically administered when the 'jelly roll' muscle protrudes from underneath the eye. This allows for a fuller, smoother, and more open appearance of the skin as wrinkles shrink.
Patients with undereye bags, dark circles, hollowness, or puffiness cannot benefit from jelly roll Botox. These patients are instead encouraged to come in for undereye filler injections, which restore volume, rejuvenating the region.
EyeFix: JellyRoll Treatment involves precise injections of Botox to relax the muscles beneath the eyes, minimizing the appearance of jelly rolls. By strategically targeting these muscles, the treatment aims to create a smoother and wider-eyed appearance, diminishing puffiness and enhancing overall eye aesthetics.
Under-eye filler—or tear trough filler—is a cosmetic procedure that uses hyaluronic acid to treat hollowness and dark shadowing under the eyes.
Restylane Eyelight is an FDA-approved hyaluronic acid (HA) dermal filler formulated with NASHA® Technology, which has a firm gel texture resulting in targeted product placement, helping it stay in place. Restylane Eyelight fills in the undereye area to reduce shadows.
Tear trough filler is used to address under eye hollowing by replacing lost volume. Polynucleotide injections are used to reduce the appearance of fine lines and to improve skin quality, including laxity, in the periorbital region. They can also be used all over as a full-face treatment.
How Much Does Under Eye Botox Cost? At Vibrant Skin Bar, Botox costs $13.5 per unit. Treating crow's feet usually requires 16-24 units, and Botox for the under-eye area usually requires up to 16 units. That means that the total treatment price amounts to approximately $540 per session.
Michele Green recommends Masseter Botox for face and jaw slimming to achieve the ideal face shape without downtime.
Botox for under eye wrinkles and lines is often used in conjunction with other hyaluronic acid-based treatments such as dermal fillers and skin boosters such as Jalupro. Following botox treatment, dermal fillers can be used in targeted areas to plump out the skin and fill any deeper lines.
Celebrities often pick alternatives like Dysport, Xeomin, and Juvederm. These fillers add volume or reduce wrinkles differently than Botox. They're popular for their varying effects and durations.
Potential complications from injecting Botox under the eye
If you were to overtreat the muscle, and skin laxity was insufficient enough, you could cause an ectropion where the eyelid skin hangs outwards, with the eyelashes emerging, and the pink part of the eye becoming visible.
The Role of Botox in Smile Enhancement
By targeting the facial muscles responsible for lifting the upper lip, Botox reduces the elevation of the lip during smiling. This subtle yet significant change can drastically reduce the gummy appearance of a smile.
Topical Treatments
Retinol is a well-known solution for under eye lines treatment due to its ability to boost collagen production and promote cell turnover. Look for eye creams containing retinol to smooth fine lines and rejuvenate the under-eye area.
Micro Botox can smooth out fine lines and wrinkles under the eyes, leading to a more youthful appearance. This treatment involves minimal doses of Botox, offering a subtle and natural-looking rejuvenation. Micro Botox for under-eye treatment can improve skin texture and reduce the appearance of tired eyes.
Sometimes called a “Nefertiti lift,” Botox® injections to soften the jowls are a great non-surgical alternative for a chin lift.
If too much Botox was injected, or it was injected incorrectly, one muscle may have more movement than the other, resulting in asymmetry. Other side effects include: Heavy eyebrows after Botox. Developing uneven facial areas. Lumpy sections.
DAXXIFY is the newest available Neuromodulator. The ones that have been available previously include Dysport, Jeuveau, Botox, and Xeomin. DAXXIFY helps to reduce wrinkles by administering a small dose of botulinum toxin into the underlying muscles.
Botox relaxes the muscles to smooth lines and wrinkles beside and above the eyes rather than filling in under-eye creases as fillers do. Oftentimes, using a combination of Botox and fillers is the ideal option to treat under-eye bags and rejuvenate the appearance of the entire eye area.
Most people with insurance, including Medicare, have coverage for BOTOX. when the costs are divided by 6 months between recommended BOTOX® treatments.
Botox relaxes muscles wherever it is injected, which helps reduce the appearance of wrinkles. However, Botox doesn't do much to help puffy under eyes or hollowness. If either of those issues is your main concern, you will most likely be better off with fillers or surgery.
Nucleofill Soft Eyes treatment has been around since 2021 in the UK. Active ingredients: Polynucleotides ( the building blocks of DNA). Nucleofill under-eye treatment is an alternative to tear trough filler to help under-eye volume loss; it also decreases lower eyelid puffiness, fine lines and wrinkles.
Overall, microneedling under eyes is a safe and effective treatment for addressing various skin concerns and can help improve the overall appearance of the eye area.