Why do my under eye wrinkles look worse after Botox?

Author: Dr. Joyce Borer MD  |  Last update: Saturday, August 30, 2025

"After receiving Botox, a patient may unconsciously attempt to re-create the facial expressions in the area where treatment has paralyzed their facial muscles, "said Dr. Becker. "What can happen is that other, nearby muscles compensate--this can have the effect of actually creating new wrinkles."

Why do I have more wrinkles around my eyes after Botox?

Dr David S Becker, Clinical Assistant Professor of Dermatology at Weill Cornell Medical College, said that sometimes the skin around the botox site could become more wrinkled as a result of patients unconsciously attempting to recreate facial expressions with the paralysed facial muscles.

Can Botox make under eyes look worse?

Paralyzing the muscle can cause increased promience of undereye troughs as the muscle tone helps keep this area tight. It will require time to allow the botox to wear off.

Why do my 11 lines look worse after Botox?

The appearance of vertical lines after Botox is due to its unique utilization and weaving. The corrugator muscle is responsible for creating the inter-brow number “11” creases. Once these muscles are crippled, the brain recruits the orbicularis oculi to produce the same expression.

When Botox wears off, are wrinkles worse?

If you stop using Botox, your wrinkles will not worsen. Once the effects of the tox neuromodulator wear off, your muscles gradually resume their normal activity and appearance, and your skin returns to its pre-treatment appearance.

TRETINOIN - THE GREATEST LIE EVER TOLD!

How long does it take for wrinkles to smooth out after Botox?

While some patients may begin to notice subtle improvements as early as three to five days post-procedure, the most noticeable results typically appear between days 7 and 10. By the two-week mark, you can expect the treatment's full impact to be evident, providing the smoother, rejuvenated look you desire.

How to stop bunching under eyes after Botox?

Elevating your head and upper body while resting or sleeping can help prevent fluid accumulation around the eyes, reducing puffy appearance. Using an extra pillow or adjusting the angle of your bed slightly can aid in drainage and circulation, allowing any excess fluid to move away from the eye area naturally.

What are the signs of bad Botox?

Common indicators that Botox may have gone bad include drooping eyelids, uneven results, excessive bruising, or prolonged swelling beyond the expected recovery period. Difficulty swallowing or breathing could also signal that the toxin has spread to unintended areas.

Why do eyes look weird after Botox?

They can inject Botox into the wrong area or use a dose that's too high, which leads to muscle weakness and droop. You could have trouble fully opening your eyes or vision problems. In the unlikely chance that this happens, you'll usually see signs of eyelid droop a few days to a week after you get a neurotoxin.

What makes Botox wear off faster?

High intensity workouts are designed to boost your metabolism in order to burn calories and build muscle more quickly. By raising your metabolic rate, you may be causing your body to metabolize the Botox more quickly so it breaks down sooner than expected.

How to stop under eye wrinkles with Botox?

Botox injections around the eyes work by relaxing the muscles t reducing the nerve signals from reaching the muscle so they don't contract as often as they normally would. Giving you smooth skin without the deep creases.

What can go wrong with Botox around the eyes?

Possible side effects of Botox around the eyes include: Difficulty breathing or swallowing, which can be fatal. The traveling of the poison from the injection site to other parts of the body, causing severe complications. Shortness of breath.

Is Botox or filler better for under eye wrinkles?

Under eye wrinkles in the lower eyelid can be treated with Botox, but only if there is good skin elasticity. Wrinkles here cannot be treated with fillers since there is a risk of swelling and eye bags.

What are examples of bad Botox?

3 Botox Danger Zones
  • Brow Droop. If a Botox provider injects too much above the brow, they can paralyze the frontalis muscle. ...
  • Eyelid Droop. Another danger-zone problem gained attention in 2021 when a lifestyle blogger and influencer from Chicago shared her story of Botox gone wrong. ...
  • Raised Brow.

Are bunny lines worse after Botox?

For example, bunny lines — the diagonal marks that appear on both sides of your nose when you scrunch it — often become more noticeable after BOTOX if the injector doesn't use the right technique.

Why do I have wrinkles around my eyes after Botox?

When patients get Botox and Dysport in the crow's feet area, the intention is to stop that portion of the muscle to reduce animation lines and wrinkles – particularly when people are smiling. This graphic here helps to explain why the area under the eye can appear more wrinkled after crow's feet Botox and Dysport.

Why are my eyes more hooded after Botox?

A rare issue is eyelid drooping, also known as eyelid ptosis. This condition can occur when the BoNT migrates from the injection site to adjacent muscles, such as the levator palpebrae superioris muscle, which is responsible for elevating the eyelid and results in a droopy eyelid.

Can Botox make your eyes look older?

Starting too young. Having heavy Botox from a young age is likely to make you look older over time. An early start and heavy-handed approach can leave a face looking frozen and over-treated.

What can ruin Botox?

7 Things Not to Do After Botox
  • Rubbing Your Face. ...
  • Sun and Heat Exposure. ...
  • Intense Exercise. ...
  • Taking Blood Thinners. ...
  • Alcohol Consumption. ...
  • Washing Your Face With Soap. ...
  • Applying Topical Products.

How to fix spock eyes after Botox?

Yes, Spock eyebrows after Botox can often be reversed. This issue occurs when certain forehead muscles are over-relaxed, causing an unnatural arch in the eyebrows. To correct this, a skilled injector can administer additional Botox injections in strategic areas to relax the overactive muscles pulling the eyebrows up.

Why no retinol after Botox?

Your skin can be very sensitive after your procedure and you may find retinol irritating. It is best to avoid anything that might promote inflammation while the area heals. Avoid using anything that might promote inflammation while the area heals.

How to get rid of under eye wrinkles with Botox?

The targeted injection of Botox around the eye area causes the overactive muscles to relax, thereby reducing the appearance of wrinkles. If you want to know more about Botox around the eyes, from the benefits, before and after results, cost and more, click here.

How long does Botox around eyes take to settle?

You will start to see the effects of your treatment, with the area looking smoother and more refreshed after just 5 to 7 days. The full effect of your BOTOX injections will be seen between 10 and 14 days.

What are jelly rolls under eyes?

These bulges—sometimes called “jelly rolls”—are caused by an overactive muscle, and they can create an irregular contour under the eye and cause the eye to appear smaller. At MFI in San Francisco, we treat these under eye bulges with neuromodulators like BOTOX, so you can have eyes that appear more open and youthful.

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