When you first discover small lines or wrinkles growing under your eyes, you immediately get unsettled. Those once-smooth under-eye areas suddenly develop creases, leaving you wondering if it's time for some help. Should you use Botox or fillers for under eye wrinkles, or would another treatment be a better way to restore lost volume?
With so much conflicting information online and innumerable 'botox under eyes before and after' photographs circulating, selecting the appropriate treatment can be difficult.
This guide will explain all you need to know about under eyes wrinkles — botox or fillers for under eye wrinkles, including what causes them and which treatment is best for you. Read on!
Understanding Undereye Wrinkles
Not all wrinkles are created equally. Aging, sun exposure, dehydration, and even facial emotions can all cause fine lines on the sensitive skin around your eyes.
Over time, collagen loss and frequent movement deepen these lines, making them more visible whether you smile or frown. Some people also develop under-eye bags when they smile, which makes them appear older.
The best therapy for your wrinkles is determined by the type you have. Would botox or fillers for under eye wrinkles be the right choice for you?
What Causes Under-Eye Wrinkles?

Your eyes consist of extremely delicate skin, which makes it prone to aging, environmental damage, loss of volume, and the effects of excessive facial movements.
The under-eye region also lacks enough supportive structures like collagen and fat so it becomes more susceptible to fine lines, drooping, and hollowness.
Here are the main factors that produce under-eye wrinkles:
● Aging processes and decreased collagen production lead to skin drooping, which results in wrinkles.
● The repeated motions of squinting, smiling, and frowning will deepen overall skin wrinkles naturally with time.
● The skin ages prematurely from UV ray exposure as it breaks down collagen and triggers early wrinkle formation.
● Skin dryness, along with insufficient skin care practices, results in a muted and crepe-like appearance of under-eye skin.
● Genetics play a role in the development of under-eye wrinkles since several genetic variations lead to quicker skin aging among different individuals.
● The combination of smoking, low food quality, and insufficient sleep accelerates wrinkle development.
Depending on the underlying cause, botox or fillers for under eye wrinkles may be recommended by your provider.
Botox for Under Eye Wrinkles
Botox is a popular and commonly used therapy for below-the-eye creases. But what does it do, and is it the best solution for you?
It is a neuromodulator that briefly calms the muscles used in repetitive facial movements. These movements, including squinting, smiling, and frowning, cause dynamic wrinkles, or fine lines that emerge when your face moves.
These creases become permanent over time as your skin loses elasticity. Botox or fillers for under eye wrinkles is a common debate, but Botox around eyes is particularly effective for lines caused by movement.
However, Botox does not provide volume, so if your wrinkles are caused by hollowness, an under eye wrinkles filler may be a better choice.
Who Should Consider Botox?

Botox or fillers for under eye wrinkles is a personalized decision. Botox functions best for:
● Small creases that emerge during facial motions — if your folds form when you grin, squint, or frown, Botulinum helps prevent them from deepening.
● Early-stage under-eye wrinkles. If your lines are still quite moderate, Botox can prevent them from becoming more noticeable.
● Those seeking a quick, non-invasive solution. Botox injections are quick and require little to no downtime, making them an ideal choice for anyone searching for improved skin texture without committing to a big treatment.
How Does Botox Work?
Botox is injected into the orbicularis oculi muscle, a circular muscle that surrounds the eye. This muscle is involved in squinting and blinking, and repeated activity causes small lines.
This is how the process works:
● A professional injector strategically puts Botox under the eyes to relax the muscles.
● This eliminates excessive movement, which smoothes dynamic wrinkles and keeps new ones from emerging. Perfect for answering, “How to remove eyelid wrinkles.”
● The benefits develop gradually over 3 to 7 days, with complete results noticeable in two weeks.
This explains how botox before and after eyes differences appear. However, Botox does not cover deep creases between eyebrows, hollowness, thus it is frequently combined with under eye wrinkles filler for more profound under-eye renewal.
How long should Botox injections last?
Botox or fillers for under eye wrinkles have different timelines. It is not a permanent remedy for under-eye creases, but it does produce noticeable results for 3 to 4 months.
The duration of the benefits varies depending on individual metabolism, muscle strength, and lifestyle choices.
After a few months, muscular mobility slowly returns, and wrinkles may emerge, therefore requiring Botox touch-ups that should be performed every 3-4 months to preserve the results.
For those wondering, "How long should Botox injections last?" Continuous maintenance and skillful injections are the keys to increasing durability.
Potential Botox Side Effects Under the Eyes
Botox is considered harmless when administered by a professional practitioner; however, there are some possible adverse consequences such as:
● Some individuals experience weird feelings in eyes after botox, a heaviness, or an odd sensation in the treated area. This happens when the muscles are temporarily loosened, which can feel strange at first.
● Mild bruises or inflammation at the point of injection is common and usually fades in a couple of days.
● Botox injections can induce temporary eyelid drooping (ptosis) if administered incorrectly or in undesired places. This risk is reduced when administered by a competent injector.
● Temporary dry eyes or excessive crying - Some individuals suffer mild eye discomfort or alterations in tear production, which usually resolves in a few weeks.
People with muscle disorders, allergies to botulinum toxin, or very loose skin should avoid botox around eyes.
Who should avoid Botox?
● Individuals with pre-existing muscular issues, botulinum toxin sensitivities, or excessively loose skin in the under-eye area may not be suitable candidates.
● It is effective for small creases, but it does not alleviate hollowness or deep wrinkles, which is where fillers come in.
Fillers for Under Eye Wrinkles

Unlike Botulinum, which relaxes muscles, dermal injectables enhance fullness to reduce creases and regain plumpness.
The most popular under eye wrinkles filler are hyaluronic acid (HA) injectables like Restylane and Juvederm. These fillers replicate the natural moisturizing substances in your skin, delivering a rapid plumping effect and reducing the appearance of:
● Slight wrinkles and creases below the eyes.
● Hollowness and deep tear troughs around the eyes.
● Uneven areas, reducing under-eye bags when you smile.
Because under-eye aging is frequently caused by both volume loss and muscle mobility, many patients choose both botox or fillers for under eye wrinkles to get balanced results.
Who Should Consider Fillers?
Fillers are most effective in treating under-eye wrinkles caused by volume loss rather than muscle movement. You can consider fillers if:
● If you have sunken eyes, deep tear troughs, or you detect a hollow appearance, fillers might help you regain a more youthful contour.
● You have under-eye bags when you smile. Instead of puffiness produced by fat pads, some patients develop shadowy under-eye hollows that fillers can treat.
● Static wrinkles persist on your face even at repose. Unlike dynamic wrinkles, which are treated with Botox, static wrinkles are caused by collagen depletion and require fillers to smooth out.
How do fillers work?
Fillers operate instantaneously to fill the under-eye region and smooth wrinkles. The process includes:
● Injecting a gel-like hyaluronic acid filler beneath the skin to target regions of volume loss.
● The increased volume lifts and fills the under-eye hollows, decreasing the appearance of wrinkles.
● The results continue to improve for two weeks as the filler settles and combines with your natural tissues.
Unlike botox before and after eyes results which are gradual, filler effects are immediate.
How long do under-eye fillers last?
Under eye wrinkles filler last longer than Botox, often 6 to 18 months. The duration depends on:
● The type of filler used (thicker fillers tend to stay longer).
● Individual metabolism (some persons process fillers faster than others).
● Sun exposure, smoking habits, and hydration levels are all lifestyle influences.
Most patients need touch-ups every 12 months to keep their under-eyes smooth and young.
Under-eye Fillers Risks and Side Effects
While under-eye fillers are generally safe, there are some dangers and possible adverse effects, such as:
● Mild puffiness and redness develop commonly at the injection area but should fade within two days.
● The Tyndall effect develops because fillers are positioned too near to skin surface leading the area below to appear blue. Knowledge of injection techniques and injector skills stands as an absolute necessity.
● Placing fillers at improper injection sites results in the formation of visible lumps together with an unpleasant cosmetic outcome. Expert injector skills ensure outcome products that have an even seamless appearance.
● Blood vessel injury occurs rarely, as filler material unintentionally enters blood vessels, causing circulation blockage and associated skin wounds. Your choice of an experienced injector is the most essential factor.
Important: Fillers, unlike Botox, can be removed if necessary using hyaluronidase, an enzyme that destroys hyaluronic acid.
Botox vs Filler for Under Eye Wrinkles: Which Should You Choose?

A variety of criteria influence the decision between botox or fillers for under eye wrinkles, including the cause of the creases, the type of results desired, and the length of the effects.
Both therapies achieve different aims, and understanding the difference will help you choose the best approach for your situation.
Choose Botox If:
1. You have dynamic wrinkles resulting from facial expressions.
It works best for tiny lines created by repeated muscle action, often known as dynamic wrinkles. When you move your face, these wrinkles appear. Examples include:
● When you squint, crow's feet appear at the outer corners of your eyes.
● Fine creases behind your eyes appear when you smile.
● Continuous muscle contractions cause expression lines to deepen over time.
It’s also great for areas of face for botox that involve motion like the eyes or forehead.
2. You want a speedy fix with minimum downtime.
One of the most notable benefits of Botox is that it is a quick, easy procedure with no or little discomfort. The injection takes less than 15 minutes, and most patients may resume their normal activities straight once.
There may be bruising or redness at the location of the injection, but this usually diminishes in a couple of hours. Botox, unlike other cosmetic procedures, doesn't need any downtime or special maintenance, making it an excellent alternative for busy people.
3. You don't need volume replacement—only wrinkle prevention
Botox is not a filler, thus it does not add volume to the skin. Instead, it inhibits muscle movement to smooth wrinkles and keep them from deepening. It may not be sufficient to treat under-eye creases caused by hollowness or lack of volume.
However, if your primary worry is small lines caused by movement and you do not have considerable volume loss, Botox can help you achieve a smoother, younger-looking appearance.
Choose Fillers If:

1. You possess extensive tear troughs or dark circles
As we age, we lose fat and collagen in the under-eye area, resulting in sunken tear troughs and shadowing that make the eyes appear fatigued. Fillers can help by plumping up empty spots that make you look tired even when you have rested well.
Hyaluronic acid (HA) fillers, such as Restylane and Juvederm, are often used to:
● Fill up deep tear troughs to achieve a more youthful appearance.
● Reduce the shadows and dark circles produced by volume loss.
● Smooth down any tiny creases that are noticeable even when your face is resting.
Unlike Botox, which simply minimizes creases, fillers quickly restore volume, making them the better choice if your under-eye aging is triggered by fat loss rather than the contraction of muscles.
2. You get under-eye bags when you smile.
When some people smile, they get puffy under-eye bags, which make them appear older or fatigued. This happens when there is an imbalance between fat pad dispersion and diminished volume in the under-eye region.
Cheek fillers to help eye bags can help smooth out the contours of the under-eye area, making transitions easier, and minimizing the appearance of under-eye bags.
3. You want a long-lasting solution with instant results
Unlike Botox, which takes several days to show results, fillers produce rapid results. Hollows will be filled, wrinkles smoothed, and dark circles decreased immediately after treatment.
Furthermore, fillers stay far longer than Botulinum depending on the kind of injectable used and how your body reacts to break it down. Results can last anywhere from 6 to 18 months, making it a more long-term option for under-eye wrinkles and volume loss.
Frequently Asked Questions (FAQ)
Where can you get Botox on your face?
Areas where Botox is typically injected into are dynamic wrinkles, which are the forehead lines, the frown line between the eyebrows (glabellar lines), the crow feet around the eyes, the bunny lines on the bridge of the nose, and occasionally on the jawline to contour. If you’re considering where to inject Botox, you must seek the advice of a professional injector to ensure that you inject the right areas of the face for Botox.
Can Botox get rid of under eye wrinkles?
Yes, Botox can get rid of under eye wrinkles, especially if they are produced by continuous movements of the face as squinting or smiling. It is most effective with dynamic wrinkles as opposed to lines or hollowness. To get a complete rejuvenation, most providers will recommend combining botox or fillers for under eye wrinkles.
Is Botox effective for under eye bags?
Botox for under eye bags can help if the bags are due to muscle tension or slight bulging related to facial movement. But in case the bags are a result of fat displacement or loss of volume, under eye wrinkles filler may be more useful. A combination approach is sometimes best.
What’s the best treatment: Botox for under eye wrinkles or fillers?
Botox for under eye wrinkles is effective on fine lines that are caused by muscle movement. However, if wrinkles are more static or due to volume loss, then fillers are better. In most cases, a combination of botox or fillers for under eyes wrinkles produces the best results since it tackles both causes.
Where to inject Botox for under-eye wrinkles?
It is usually placed in the orbicularis oculi muscle, which is a ring of muscle around the eye. Proper technique and placement are very important. Where to inject botox should be decided only by a trained provider to guarantee safety and optimal smoothing without side effects like drooping or asymmetry.
The Final Takeaway
To choose between botox or fillers for under eye wrinkles, you must first evaluate whether the creases are caused by movement or volume loss. Botox is best for small lines caused by expression, whereas fillers are effective for hollowness and deep creases.
If you're not sure, a visit with an experienced injector can assist in discussing options like botox under eyes before and after, or the best areas of face for botox depending on your facial anatomy. Also, if you're thinking about other cosmetic procedures, don't forget to compare forehead filler vs Botox for a more balanced, young appearance.
Smoothing under-eye wrinkles is very feasible, regardless of the strategy you take—you simply need the proper one!
Are you ready to smooth away under-eye wrinkles?
Try Diaminy's Hyaluronic Acid Filler! If you want a full, youthful under eye area without surgery. Our under eye wrinkles filler are designed to provide natural-looking volume, long-lasting hydration, and smooth wrinkle repair in a single session, allowing you to feel rejuvenated and well-rested.