I had Botox around my eyes two weeks ago. When I smile, this is what it looks like.

Dr. Dean Kane Q & A Q. I had Botox around my eyes two weeks ago. When I smile, this is what it looks like. A.​ Thanks for sharing your photo! While there is not enough information revealed here and a in-person exam is required, I can share some experience regarding your concerns. ​ ​Botox is a injectable muscle relaxer. When injected in the lateral to inferior crow’s feet, it will relax the circular muscle around the eye and maybe reduce minor crow’s feet lines BUT it also allows the cheek muscles to work more unopposed and when you smile will accentuate the static lines, wrinkles and folds of the lower eyelid and infero-lateral crow’s feet. ​ ​Options to counter this effect include:
  1. ​seek consultation from a Board Certified, well experienced and artsy Plastic Surgeon or ENT Facial Surgeon with great injectables skill.
  2. ​consider a smoothening hyaluronic acid (HA) filler such as Silk in the dermal lines (conservatively)
  3. ​consider a deeper HA filler in the sub-orbicularis, deep cheek fat compartments and under the cheek muscles to “fill-out” the crease lines and folds.
  4. ​prepare your skin with ZO Obagi Skin Health regimen and proceed to tightening chemical peels
  5. ​consider firming your skin with Sculptra
  6. Wait for 3 months until Botox wears off.
​ ​All of these techniques take advanced training and understanding by the consultant and injectors. ​ ​I hope I have helped. All the best!
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