Around the Eyes (periorbital) Botox Injection Results (before and after)
It is critically important to understand what features around the eyes (periorbital) are of the most concern to the patient before making a botox injection. Patients can complain of “looking tired” when concerned about losing skin tone, excessive eyelid skin, eyebrow ptosis, dark circles under the eyes, hollowness in the tear trough area, bulging orbital fat pads, or deep lateral canthal rhytides. The best candidates for around-the-eyes Botox injections are those with mild to moderately deep lateral canthal rhytides (smile lines) or crow’s feet wrinkles and those who develop a “roll” as they smile. Botox should be used with caution in patients with dry eyes, weak muscle function, and patients whose eyes do not close well due to earlier nerve palsy, thyroid eye disease, or previous surgery.