Botox for Under-Eye Wrinkles Before and After

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Dr. Joel Kopelman

October 16, 2025

Botox smooths under-eye wrinkles by relaxing small muscles that cause creasing when you smile or squint.  Small doses of botulinum toxin minimize facial movement while keeping natural expression. 

Results appear within two weeks and last three to four months when performed by an expert.

At Kopelman Aesthetic Surgery in New York City, Dr. Joel Kopelman brings over 35 years of experience in facial plastic and oculoplastic surgery.

His precise techniques deliver safe, natural-looking results that rejuvenate the eye area. This guide explains how Botox for under-eye wrinkles works, including before and after photos, real outcomes, expected timelines, and how the treatment is performed.

Key Takeaways

  • Botox for under-eye wrinkles relaxes small muscles to smooth fine lines and reduce creasing caused by facial movement.
  • Results appear within 10 to 14 days, last three to four months, and vary by muscle activity and lifestyle.
  • Dr. Joel Kopelman uses conservative dosing and precision to ensure natural expression and balanced facial results.
  • Side effects like mild swelling or bruising fade quickly with proper aftercare and expert technique.
  • Combining Botox with fillers or laser treatments can further improve texture, dark circles, and overall rejuvenation.

Before-and-After Results and Effectiveness

Real Patient Photos and Visible Improvements

Under-eye Botox before and after results show smoother skin and reduced fine lines. Botox injections use botulinum toxin, a purified protein from the bacterium Clostridium botulinum, to relax muscles that form facial wrinkles. 

This relaxation softens creasing under the eyes and creates a youthful texture.

The effect of Botox depends on muscle strength, age, and skin condition. While results may vary, most patients see noticeable improvement. Each case produces natural, balanced results that maintain normal facial movement.

The wrinkles Botox before and after eyes comparison demonstrates a smoother texture and brighter tone without overcorrection.

Results for Eye Wrinkles and Smiling Lines

Botox for under-eye wrinkles when smiling, before and after photos show smoother “smile lines” and fewer creases when laughing or squinting. 

It reduces repetitive contractions that deepen wrinkles, particularly near the crow’s feet. Botox can’t lift sagging skin, but limits motion that exaggerates lines, giving a rested look.

Some patients also choose Botox to make their eyes look bigger, which slightly lifts the outer corners to open the eyes. This complements under-eye Botox and enhances natural brightness.

When to Expect Visible Results

Early improvement appears within three to five days, with full results around day 14. Smoothing lasts several months as muscle activity remains relaxed. 

As the body metabolizes the toxin, movement returns gradually, and maintenance sessions every few months help preserve results.

Results Timeline Overview

Results progress in stages:

  • Day 1–2: Mild redness or swelling.
  • Day 3–5: Early smoothing starts.
  • Day 10–14: Fine lines fade; full results visible.
  • Month 3–4: Results soften; maintenance may be scheduled.

These stages depend on facial movement, lifestyle, and muscle strength.

Every treatment at Kopelman Aesthetic Surgery is performed by Dr. Joel Kopelman, a board-certified oculoplastic and facial plastic surgeon with over 35 years of experience. His precision ensures safety, balance, and consistent, natural results.

How Under-Eye Botox Works

Injection Areas and Target Muscles

Botox targets the orbicularis oculi muscle – the circular muscle controlling eyelid movement. Dr. Kopelman softens movement without altering expression by treating only specific fibers. 

This prevents puffiness or asymmetry. Patients with dark circles may also notice mild improvement as smoother skin reflects light better.

Units Needed and Duration of Results

Most patients need two to six units per side, fewer than crow’s feet or frown lines. Results last about three to four months before ga gradual return of movement. Regular sessions help sustain results. 

Combining Botox for eye wrinkles with before and after care, along with skincare or fillers, enhances longevity.

Side Effects and Risks

Common Reactions and Aftercare Tips

Mild swelling, redness, or slight bruising can appear after injections but fade within days. Applying a cold compress and avoiding rubbing for 24 hours minimizes irritation. Light makeup and gentle skincare can resume once the area calms.

Common Patient Questions

  • Will I bruise after Botox? Minor bruising may occur but resolves quickly.
  • Can I wear makeup afterward? Light makeup is fine after 24 hours.
  • When can I exercise again? Gentle activity after one day; full workouts after 48 hours.

When Under-Eye Botox Goes Wrong

In rare cases, drooping or heaviness above the eyes may occur. For correction, Botox for drooping eyelids can lift and restore balance safely.

Incorrect dosage or technique can cause unevenness or puffiness. Sometimes, wrinkles temporarily look worse if muscles are over-relaxed. Choosing an experienced injector like Dr. Kopelman ensures balanced, natural outcomes.

Fixing Wrinkles That Look Worse After Botox

Uneven or tight results often fade naturally within weeks. In some cases, minor adjustments or dissolving filler with hyaluronidase restore harmony. Dr. Kopelman tailors every correction for natural symmetry.

Cost and Treatment Value

Average Price Range and Factors

The under-eye Botox cost varies by injector skill, location, and required units. Most treatments range from $200–$600 per session. Clinics like Kopelman Aesthetic Surgery focus on safety and aesthetic balance, not volume-based pricing.

Treatment cost reflects precision in the delicate eye area and the injector’s experience. Careful dosing ensures natural movement and reduces complications, offering long-term satisfaction.

Alternatives and Complementary Options

Fillers, Laser, and Surgical Treatments

Some patients benefit more from fillers, laser resurfacing, or blepharoplasty if wrinkles stem from volume loss or laxity.

  • Fillers replace lost volume.
  • Laser resurfacing improves skin texture.
  • Blepharoplasty removes excess skin or fat.

For puffiness or swelling, Botox for under-eye bags can smooth the transition between eyelid and cheek by relaxing small muscles under the eyes.

Choosing the Right Option for Your Needs

The ideal treatment depends on goals, skin condition, and age. Dr. Kopelman often combines Botox around the eyes with fillers or non-surgical tightening before and after maintenance to address wrinkles, smile lines, marionette lines, and dark circles together.

Comfort and Natural Expression

Botox does not freeze the face when done by a skilled specialist. It simply relaxes overactive muscles while keeping genuine emotion. Dr. Kopelman ensures patients look refreshed, not overdone – a key part of his aesthetic philosophy.

Who Is a Good Candidate for Under-Eye Botox

The best candidates have mild to moderate fine lines under the eyes and good skin elasticity. Botox isn’t suited for deep folds or severe sagging – these need surgery or laser support.

Those with puffiness or hollowing may need fillers or lower eyelid surgery. During consultation, Dr. Kopelman evaluates muscle strength and eye shape to ensure safety and best outcomes.

The Role of Botox in Overall Facial Balance

Botox is also used for frown lines, smile lines, and marionette lines to maintain symmetry. Targeted use of botulinum toxin in the eye area helps reduce wrinkles while preserving facial movements. Some patients add a lip flip for balanced expression.

Performed by an expert, Botox treatment delivers smooth, natural improvement without stiffness. Dr. Kopelman’s focus is on refreshed, individualized results.

What to Remember Before and After Treatment

To prepare:

  • Avoid alcohol and blood thinners 24 hours before.
  • Keep the area clean and makeup-free post-treatment.
  • Stay upright for several hours and avoid massaging the area.

Follow-up every few months helps maintain smooth results and allows Dr. Kopelman to fine-tune dosage as facial activity changes.

Botox Results and Expertise

Before and after photos of Botox for under-eye wrinkles highlight how precise injections brighten the eyes and reduce fatigue. At Kopelman Aesthetic Surgery, Dr. Joel Kopelman combines advanced oculoplastic training with artistry for balanced rejuvenation.

His expertise ensures each treatment prioritizes safety, natural harmony, and confidence – though results may vary depending on anatomy and lifestyle. Patients interested in personalized guidance are encouraged to schedule a consultation with Dr. Kopelman to discuss the most effective and natural approach for their aesthetic goals.

 

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