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Posted on 28 Jul 2026
You may have heard people talking about under-eye Botox before, but it’s important to understand that treating the area around the eyes is different from treating forehead lines or crow’s feet. The skin there contains delicate muscles that affect the use of your eyes. If you’re interested in using under-eye Botox to address wrinkles around your eyes, you want to make sure you’re choosing an experienced provider who can safely perform the injections and give you the results you’re looking for.
What Is Under-Eye Botox?
For under-eye Botox treatment, Botox is injected into very small muscles beneath the lower eyelid.
This relaxes the muscle movement in that area, so your skin doesn’t bunch up into crinkles when you make certain facial expressions. Because such a small area is being treated, the procedure uses much smaller doses than most facial Botox treatments.
Under-eye Botox isn’t designed to treat every type of wrinkle. It works best for very specific concerns.
What Concerns Can Under-Eye Botox Address?
You may be a good candidate for under-eye Botox if you’re dealing with these common concerns:
Dynamic under-eye wrinkles
These are the wrinkles that show up when you smile. Botox for under-eye wrinkles can address the fine lines created by muscle contractions to help smooth this area of your face.
Jelly roll under the eyes
Many people have a small bulge beneath their lower eyelid when they smile. Jelly roll Botox relaxes the muscles that create this effect.
The transition from lower eyelid to cheek
In some patients, Botox can be used to soften the transition from the lower eyelid to their cheek. This is a subtle change, and works best only for certain facial structures.
Navigating the Anatomy Around the Eyes
The tiny muscles around your eyes control blinking, smiling, and eyelid support. Every person’s facial anatomy is different, and your muscle strength, eye shape, and skin quality can all impact where your injections should be placed and how many units you need.
Unlike larger treatment areas, like your forehead, the lower eyelid requires only a very small amount of Botox. Even a tiny change in placement or dosage can impact your results. Because of that, there’s no one-size-fits-all approach to Botox under eyes.
Is It Worth It? Risks and Limitations
Treating the area near your eyes comes with risks and limitations. Understanding these will help you understand what you can realistically expect from under-eye Botox.
- Possible risks include:
- Temporary lower eyelid weakness
- Puffiness
- Smile asymmetry
- Difficulty with forceful blinking (rare)
- Almost imperceptible results
The treatment can’t tighten loose skin, and it won’t get you the same results as blepharoplasty. For a lot of patients, under-eye Botox works best as part of a more comprehensive facial rejuvenation plan.
Injector Experience Matters
To be safe and effective, under-eye Botox requires precise dosing and placement. Your injector needs to have a deep understanding of facial anatomy, not just potential injection sites. A truly experienced injector also knows when to recommend Botox, because some patients may see more benefits from other types of treatment.
During a consultation at Neaman Plastic Surgery, one of our injectors will talk to you about the specific concerns you want to address. They can help you find a treatment that best suits the underlying cause of your concern, whether that’s Botox under eyes or something else.
To determine what procedure might be best for your anatomy and goals, schedule a consultation with a member of our team.
Frequently Asked Questions
Is under-eye Botox safe?
When it’s performed by an experienced injector, under-eye Botox is generally considered safe. However, the lower eyelid contains delicate muscles that affect blinking and eyelid position, so it’s important that your injector uses a very precise technique.
Does Botox help crepey skin?
Botox can help crepey skin to an extent. The treatment can soften fine dynamic lines, but it won’t improve skin texture or be able to address loose, crepey skin caused by aging or sun damage. Getting treatments like laser resurfacing or using medical-grade skincare are often better options for this concern.
How long does it last?
Most patients enjoy results for 3-4 months, but this can change based on your metabolism, muscle strength, and the amount of Botox that was used. To maintain the effect, you’ll need regular maintenance treatments.
How much does under-eye Botox cost?
The cost of under-eye Botox depends on your provider’s experience, your location, and the amount of Botox you need. Many Botox providers charge by the unit, which means the cost is often based on the number of units needed for treatment. Units can range anywhere from $10-$20 in price. The under-eye area is one of the most technically demanding places to inject Botox, so don’t sacrifice the quality of your injector for a low cost.
What should I expect during my under-eye Botox procedure?
Your very first appointment will start with a consultation to determine whether under-eye Botox is the best treatment for your concerns. If you’re a good candidate, your injector will clean the area and place a few tiny injections into carefully selected muscles beneath the lower eyelid using a very fine needle. Treatment usually takes 10-20 minutes, and you can go back to your normal routine as soon as you’re done.
