Our expert says:
Hi Linda, thank you for the question.
This is a difficult area to treat and usually responds well to combination treatments.
The skin at the lower eyelid area is the thinnest of the entire body and as such will be the first to show a reduction in collagen and elastin and sun damage. Furthermore, we have a fatty support pad (that supports the skin when we smile) that tends to thin at an early age.
Some people do get a nice improvement with Botox but if necessary fillers and laser skin rejuvenation (fractional ablative) may also be considered.
Typically the dosage chosen is dependent on the condition of the skin and the degree of laxity (a poor ‘snap test’ is a contraindication of using Botox in this area). We generally use between 1 to 4 units per side when treating this area with Botox.
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