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Botox for Under Eye Wrinkles When Smiling

Under-eye wrinkles when smiling is something that every patient doesn’t wish for. This article explains what Botox is, the causes of under-eye wrinkles when smiling, Botox for under-eye wrinkles when smiling and frequently asked questions.

Most patients have been looking for a way to reduce the wrinkles under their eyes and give them a better smile. A good smile is something that everybody wishes for. It makes patients feel beautiful and more attractive. Having under-eye wrinkles and laugh lines is normal in most patients, but when they get deeper and more visible, they remove the natural points of attention on the eyes, eyebrows and mouth. Anti-wrinkle injections address dynamic lines and wrinkles triggered by the movement of muscles. The common region most patients want to smooth out and relax is the part near the eyes.

What Is Botox?

Botox is a drug that is injected into the skin tissues. It works by relaxing the muscles to give patients a smooth appearance by eliminating creases and wrinkles on the face. According to Sameera et al. (2021), Botox minimizes wrinkles around the mouth, at the side of the eyes, on the forehead and between the brows. Currà et al. (2022)explained that Botox vials comprise three primary components: sodium chloride, human albumin, and botulinum toxin type A. Botulinum toxin A have the greatest effect as the active component. When botulinum toxin is injected into the muscles, it blocks the signal nerves that relax muscles. It makes the muscles not move, and this minimizes the appearance of wrinkles. It means that this toxin minimizes wrinkles and creases in the regions of the face that move. Botox is a temporary solution to creases and wrinkles. It lasts for three to six months. Patients willing to continue enjoying the Botox benefits should go for another injection.

Causes of Under Eye Wrinkles When Smiling

The area around the eye is frequently the primary part of the face to display active creases and wrinkles.Eyes are involved in most day-to-day expressions and facial movements, both unconscious and conscious; wrinkles and creases are more noticeable in this region since the skin is thinner. The skin near the eyes is very thin compared to the other parts of the face. Due to this, it is far less durable and much more prone to display wrinkles, fine lines, dark circles, and puffiness. Under the eyes, wrinkles are caused by some factors, including ageing, sun exposure and sleeping.


 Some wrinkles are a result of ageing. The ageing process takes the fragile, thin under-eye region and adds to its delicate nature. As the natural elastin and collagen reduce and new proteins are created to substitute and slow them down, the skin starts to display progressively more seeming wrinkles and fine lines.

Sun Exposure

According to Ansary et al. (2021), chronic sun exposure contributes to prematurely developing wrinkles and fine lines. When patients expose themselves to excessive sun rays without sunscreens, they experience sunburns. This type of exposure speeds up the disintegration of elastin and collagen in the skin. The noticeable primary effects of sun rays are wrinkles and fine lines under the eye. Patients should avoid exposing themselves to excessive sun to prevent the premature development of wrinkles and fine lines.

Sleeping Position

How patients sleep impacts how rapidly fine lines and wrinkles appear under the eyes. When patients sleep while their face is down, fluid accumulation can cause morning puffiness and pressure on the face skin. Patients who cannot change their sleeping position should consider purchasing a silk pillowcase to minimize the undesirable effects.

Using Botox for Under Eye Wrinkles When Smiling

Botox has been of great help in minimizing the appearance of wrinkles under the eyes when smiling. Patients should consult a licenced cosmetic doctor to help them reduce fine lines and wrinkles. The cosmetic doctor will determine the units of botulinum toxin to treat the under-eye wrinkles and any other area patients are interested in treating. The cosmetic doctor injects botulinum toxin into the wanted area using tiny needles. The treatment is not painful, but patients can experience minor discomfort after the treatment. It is common, and patients should not be worried since it disappears quickly. The Botox injections do not take more time and will be targeted to assist patients in eliminating wrinkles and fine lines. The target is to minimize the discernibility of wrinkles without making the patient’s face appear unnatural. According to Witmanowski&Błochowiak (2020), patients may experience some swelling, bruising and bleeding after the treatment. Once the botulinum injections are done, there is negligible downtime. Cosmetic doctors advise patients from massaging, touching or rubbing the treated area, particularly for four hours after the treatment. Patients should take care of the injected area to achieve optimal results.

How Long Will They Last?

Immediately after the procedure, patients cannot observe the results. However, they experience minor discomfort, swelling, bleeding and bruising. These side effects disappear after a short period. Patients can start noticing the results of smoothening process from day one to three after the treatment. Botox results are temporary, and they last between 3 to 4 months. When the botulinum toxin starts to fade, patients will observe a return of their preceding facial movements. Patients who want to continue enjoying Botox’s benefits should undergo additional treatment every few months. Some patients prefer to get another injection before they observe their previous injection has faded. The skin returns to its last look before the treatment when the Botox fades.

Frequently Asked Questions about

Can Botox Help with Under Eye Wrinkles When Smiling?

Botox can be used to reduce under-eye wrinkles when smiling. Botox works by blocking nerve signals that make the muscles relax. It reduces the formation of wrinkles under the eyes.

Why Do I Have Wrinkles Around My Eyes When I Smile?

As patients age, collagen production decreases, making the skin less flexible when recurrently relaxed and stretched. When patients frown or squint, the skin is tightly pulled and loosened. It results in lasting lines.

Can You Smile After Getting Botox?

After the treatment, patients can laugh and smile as normal. The skin will appear more youthful and smoother while doing so.

What Are Side Effects and Complications of Botox Around the Eyes?

Patients experience excessive tearing or eye dryness, drooling, droopy eyelid, crocked smile, headache, swelling, bruising and discomfort in the treated area.

What Should I Avoid After Botox Injection?

There are some things that cosmetic doctors advise patients to avoid after receiving Botox injections. They should avoid taking alcohol, doing active activities and exercises, wearing makeup at the injected area, and massaging the treated area.


Botox can be a solution for under-eye wrinkles when smiling. Patients should consult a skilled, experienced, qualified cosmetic doctor to get the best treatment. Botox injections are temporary. They last for three to four months, varying from patient to patient. Patients can undergo additional treatment to keep enjoying their youthful and smooth appearance. Cosmetic doctors advise patients to stop exposing themselves to excessive sun rays to reduce the formation of wrinkles.


Ansary, T. M., Hossain, M. R., Kamiya, K., Komine, M., &Ohtsuki, M. (2021). Inflammatory molecules associated with ultraviolet radiation-mediated skin ageing. International Journal of Molecular Sciences22(8), 3974.

Currà, A., Gasbarrone, R., Bonifazi, G., Serranti, S., Fattapposta, F., Trompetto, C., … &Lendaro, E. (2022). Near-Infrared Transflectance Spectroscopy Discriminates Solutions Containing Two Commercial Formulations of Botulinum Toxin Type A Diluted at Recommended Volumes for Clinical Reconstitution. Biosensors12(4), 216.

Sameera, D., Riya, B., Rukshar, K., Meena, J., Nisha, Y., & Vishal, J. (2021). BOTOX-A COMPREHENSIVE REVIEW AND ITS USES IN DENTISTRY. Annals of the Romanian Society for Cell Biology25(6), 17006-17019.

Witmanowski, H., &Błochowiak, K. (2020). The whole truth about botulinum toxin–a review. Advances in Dermatology and Allergology/PostępyDermatologiiiAlergologii37(6), 853-861.

Barbara Santini
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