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How Long Does Botox Last Around the Eyes?

Patients can do botulinum toxin injections in various parts of the face. This article explains how long Botox lasts around the eyes, factors affecting longevity, and tips to achieve the most from the anti-wrinkle treatment.

Botulinum toxin injections are the most common cosmetic treatmentfor eliminating lines and wrinkles visible on various areas of the human face. Its popularity is attributed to lower cost and effectiveness in restoring a smooth and youthful appearance. Patients can get additional injections to make the effect last longer and maintain a youthful facial appearance. They should get treatment from a qualified cosmetic doctor. Botulinum toxin treatments treat various medical conditions making it a versatile substance with a wide range of benefits to human lives.

Around the eyes is a common area where anti-wrinkle treatment is done. How long it lasts depends on the specific site where injections are done. Below are specific areas around the eyes where Botox can be injected;

Crow’s Feet

Harii et al. (2017) stated that crow’s feet are small lines that appear at the corners of the eyes when smiling or laughing. Patients may feel muscles relax around the eyes and resistance in the formation of wrinkles when smiling or laughing After botulinum toxin treatment. After the treatment, you can expect results to last for four months.

Frown Lines or Glabella

de Sanctis Pecora et al. (2021) stated that frown lines appear between eyebrows when facial expressions makewhen tired or angry. They are also referred to as number 11s. Sheta et al. (2022) claimed that frown lines could last 2-6 months after botox treatment depending on the body’s metabolic rate.

The Forehead

The forehead is the most common part of the appearance of wrinkles. The forehead is the area above the eyes where wrinkles appear as horizontal lines. Saroya et al. (2021) claimed that the prescribed dosage for the forehead area could be high, and botox can last for approximately four months.

Bunny Lines

Bunny lines are on either side of the nose when you crinkle it. They spread from the bridge of the nose and extend to the lower eyelid. According to Bertossi et al. (2019),  patients can expect bunny lines to be less visible 3-4 months after botulinum toxin injections.

Marionette Lines and Mouth Corners

Marionette lines extend from the corners of the mouth toward the jaw. The corners of the mouth drop. Patients should ensure a cosmetic doctor doe the procedure in this area. Satriyasa (2019) claimed thatthe effect of Botox injection into the marionette area could last 3-4 months after treatment.

Smoker’s Lines

You don’t have to be a smoker to have smoker lines. These lines appear when you purse your lips.

Neck Bands

According to Hoerter& Patel (2021), neck bands occur when the platysma muscle starts to sag. Botulinum toxin injections make this muscle relax and become less visible. It is important to note that excess neck fat or loose skin do not respond to Botox.

Factors that affect the Longevity of Botox


The more toxin you use over time increases the longevity of botox in the body. This means that additional injections prolong the effect of initial injections.


Younger patients enjoy a longer effect of botulinum toxin injectionscompared to older patients. This is because collagen production in the body reduces when aging. This causes skin dryness and increased appearance of wrinkles. Older patients have deeper wrinkles compared to younger patients.

Injection Technique

A cosmetic doctor should place botulinum toxin treatments into the affected muscle to maximize its usage. Inappropriate placement of the toxin results in undesired results.

Skin Type

Wu et al. (2022) revealed that botulinum toxin unjections do not last long on thin white skins because the slight movement of muscles creates lines and folds. Patients with dark skin form fewer lines ,therefore, the effect of botox lasts longer.

Individual Uniqueness

How botox works vary in patients. This is because bodies have different rates of metabolism. Clients with higher metabolism rates will break down botulinum toxin injections faster than those with lower ones. Therefore, its effect lasts longer in patients with lower metabolism rates.

Tips to Make the Most from BotoxTreatment

Only Seek Treatment from an Experienced Cosmetic Doctor

Patients should ensure that the cosmetic doctor is licensed to administer botulinum toxin treatment. This helps to eliminate possible side effects that may come about as a result of using inexperienced cosmetic doctors.


Patients should notify their cosmetic doctor about their medications because some can interfere with the treatment.

Follow The Cosmetic Doctor’s Instructions.

Instructions are based on scientific observations. They can help improve the recovery process and achieve the desired result. Patients should follow all instructions before and after treatment.

Keep Hands off

Goodman et al. (2020) suggested that patients avoid touching the treated area for at least 24 hours after botulinum toxin injection. This minimizes the rate of infection.

Protect Your Skin from the Sun

Exposure to the sun accelerates the appearance of lines and wrinkles. Also, high temperatures from the sun may cause swelling in the injected area.

Get Regular Touch Up

Additional injections help the effect of the treatment to last longer.

Avoid Stress

Cortisol is a stress hormone that prevents the body from producing collagen and elastin. This makes the skin more prone to creating lines and wrinkles.

Frequently Asked Questions About Botox Injections

How Much Botox Will I Need?

The amount of Botox a patient needs depends on the following factors;

  • The type of wrinkle to be treated
  • The number of times a patient has had Botox in the past
  • The intended result
  • The degree of muscle movement
  • The history of a patient’s health

Are there any Side Effects of Botox Treatment?

According to Mostafa (2018), the most common side effects of botulinum toxin treatment include the following:

  • Redness
  • Swelling
  • Bleeding
  • Slight bruising
  • Muscle weakness near the joint


The area around the eyes is sensitive and requires much attention when administering injections. Patients should choose the best cosmetic doctor with the relevant skills required to carry out the procedure to avoid complications and side effects after injections. A comsmetic doctor should be licensed and experienced. Patients should inform their cosmetic doctors about their medical history. Additional injections can be administered to maintain Botox’s effect. However, manybotulinum toxin treatments can make the injection less responsive. Patients should follow the tips the cosmetic doctor gives to enjoy the full benefits of the treatment.


Bertossi, D., Giampaoli, G., Lucchese, A., Manuelli, M., Albanese, M., Nocini, R., &Nocini, P. F. (2019). The Skin Rejuvenation Associated Treatment—Fraxel Laser, Microbotox, And Low G Prime Hyaluronic Acid: Preliminary Results. Lasers In Medical Science, 34(7), 1449-1455.

De Sanctis Pecora, C., Pinheiro, M. V. B., Ferreira, K. V., De Barros Nunes, G. J., &Miot, H. A. (2021). The One21 Technique: An Individualized Treatment For Glabellar Lines Based On Clinical And Anatomical Landmarks. Clinical, Cosmetic And Investigational Dermatology, 14, 97.

Goodman, G. J., Liew, S., Callan, P., & Hart, S. (2020). Facial Aesthetic Injections In Clinical Practice: Pretreatment And Posttreatment Consensus Recommendations To Minimise Adverse Outcomes. Australasian Journal Of Dermatology, 61(3), 217-225.

Harii, K., Kawashima, M., Furuyama, N., Lei, X., Hopfinger, R., & Lee, E. (2017). Onabotulinumtoxina (Botox) In Treating Crow’s Feet Lines In Japanese Subjects. Aesthetic Plastic Surgery, 41(5), 1186-1197.

Hoerter, J. E., & Patel, B. C. (2021). Anatomy, Head And Neck, Platysma. In Statpearls [Internet]. Statpearls Publishing.

Mostafa, D. (2018). Successful Management Of Severe Gummy Smile Using Gingivectomy And Botulinum Toxin Injection: A Case Report. International Journal Of Surgery Case Reports, 42, 169-174.

Satriyasa, B. K. (2019). Botulinum Toxin (Botox) A For Reducing The Appearance Of Facial Wrinkles: A Literature Review Of Clinical Use And Pharmacological Aspect. Clinical, Cosmetic And Investigational Dermatology, 12, 223.

Wu, W. T., Chang, K. V., Chang, H. C., Chen, L. R., Kuan, C. H., Kao, J. T., … &Özçakar, L. (2022). Ultrasound Imaging Of The Facial Muscles And Relevance With Botulinum Toxin Injections: A Pictorial Essay And Narrative Review. Toxins, 14(2), 101.

Marie Salbuvik