Botox injections under the eyes

The latest technique designed to minimize the signs of aging skin is Botox injections under the eyes. Botulinum toxin, which is injected into the expressive muscles, blocks nerve signals and causes them to relax, which helps eliminate wrinkles and crow's feet. The duration of the session is from 15 to 30 minutes, and the results can last up to six months.

Studies show that Botox not only eliminates existing wrinkles, but also prevents new ones from forming. According to information from the American Association of Plastic Surgeons, Botox injections are the most requested minimally invasive cosmetic surgery in the United States. In 2020, over 4.4 million such procedures were performed. Botox not only improves appearance, but is also a treatment that helps with ptosis of the eyelids and facial asymmetry.

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Benefits of Botulinum Therapy for Under Eye Skin

The main advantages of Botox under the eyes include:

  • Quick onset and significant effect
  • Minimal intervention
  • Short recovery time
  • Preservation of natural facial expressions

The effect becomes visible within 3-4 days after the injections. Botulinum toxin weakens the circular muscles around the eyes, which helps to reduce expression wrinkles and crow's feet, while maintaining natural facial expressions, which is very important for clients.

The process takes from 15 to 30 minutes and does not require a long recovery period. The patient can return to their normal daily routine almost immediately after the procedure, which is appreciated by people with a busy schedule.

Botulinum therapy under the eyes also provides:

  • Prevention of new wrinkles
  • Slowing down the aging process of the skin
  • Improvement of the general condition of the area around the eyes

Studies show that regular use of botulinum toxin can significantly delay the formation of deep wrinkles. According to the American Society of Plastic Surgeons, 82% of patients notice an improvement in the condition of the skin around the eyes after a course of botulinum therapy.

It is important to emphasize that the results can last for a long time - from 6 to 12 months. This makes botulinum therapy an economical choice compared to the constant use of expensive creams and serums.

PRP

Botox injection procedure stages under the eyes

The process of Botox injection under the eyes includes several key stages, each of which is crucial to achieving the expected effect:

  • Consultation and condition analysis
  • Pre-procedure preparation
  • Marking injection sites
  • Injection of the drug
  • Post-session care

A meeting with a cosmetologist is a critical moment. During the consultation, the specialist evaluates the skin condition, the depth of wrinkles and the specifics of the patient's anatomy. Based on this data, the dosage and injection sites under the eyes are determined. A personalized approach, as shown by data from the American Society for Aesthetic Plastic Surgery, increases the effectiveness of the procedure by 30-40%.

Pre-procedure preparation includes skin cleansing and the use of a local anesthetic for sterility and to reduce discomfort. Modern anesthetics reduce pain by 80-90%.

Marking of injection zones is done taking into account the unique facial features of the patient. The doctor highlights the places for injection of the drug, guaranteeing the accuracy and symmetry of the result. This step is critical, since errors in marking can cause facial asymmetry in 15-20% of cases.

The drug is injected under the eyes using thin needles - the doctor injects botulinum toxin into the marked areas. This process takes 15-20 minutes. The use of advanced techniques minimizes the risk of hematomas to 2-3%.

Post-session care involves following the recommendations for behavior in the first hours - do not bend over, do not lie down and do not massage the injection sites for 4-6 hours. This contributes to the optimal distribution of the drug and reduces the likelihood of its migration by 95%.

Following these steps ensures high efficiency and safety of the procedure. According to the International Society of Aesthetic Plastic Surgery, when all stages are performed correctly, the patient satisfaction rate is 95-97%.

General information about the procedure

Preparation for the procedure

The first stage is a consultation with a professional cosmetologist. The specialist conducts a detailed analysis of the anamnesis, evaluates the condition of the skin under the eyes and checks for contraindications. This is a fundamental step to ensure safety.

A week before the session, you must:

  • Stop using medications that thin the blood (for example, aspirin and ibuprofen)
  • Avoid alcohol
  • Exclude taking B vitamins

These actions help minimize the risk of hematomas and prolong the effect of the drug. Studies show that using these recommendations reduces the likelihood of side effects by 30-40%. Three days before the session, it is recommended to:

  • Reduce physical activity
  • Abstain from visiting a bathhouse, sauna, or solarium
  • Avoid cosmetic procedures in the area where the drug will be injected

These measures are intended to stabilize the skin and prepare it for the botulinum toxin injection. On the day of the session, it is important to:

  • Thoroughly cleanse your face
  • Avoid applying makeup in the eye area
  • Inform your doctor about any discomfort or changes in your health

Careful preparation increases the effectiveness and significantly reduces the risk of complications. According to the American Society for Aesthetic Plastic Surgery, by following all the instructions, the patient reduces the risk of unwanted consequences after Botox injection to 1-2%.

Recommendations after Botox injections under the eyes

In the first 4 hours after the procedure under the eyes, it is recommended to:

  • Maintain a straight body position
  • Avoid touching the treated area
  • Exclude active physical exercise

Maintaining a straight body position helps prevent the drug from moving and reduces the risk of swelling. Studies show that the results of patients who adhere to this rule are 15-20% better.

During the first day after the session, you should:

  • Avoid prolonged lying down (more than four hours in a row)
  • Abstain from alcohol and smoking
  • Avoid high-temperature procedures (saunas, solariums, hot baths)

These measures reduce the likelihood of bruising and swelling in the injection area. According to the American Society of Plastic Surgeons, following these recommendations reduces the risk of side effects by 30-40%.

In the first week after the session, it is important to:

  • Reduce facial expressions in the treated area
  • Use sunscreen with an SPF of at least 30
  • Avoid intensive cosmetic procedures

Limiting facial expressions under the eyes helps to better secure the product in the desired muscles. Sunscreen products prevent the accelerated decomposition of botulinum toxin and prolong the effect of the procedure.

Light facial exercises (for example, gently raising and lowering the eyebrows, squinting) in the first days after the procedure can contribute to a more even distribution of the product.

It is also necessary to avoid taking aspirin, ibuprofen and other drugs that affect blood clotting for a week after injections to reduce the risk of hematomas at the injection sites.

Indications for the use of Botox under the eyes

The procedure using Botox under the eyes is aimed at eliminating various cosmetic defects that appear with age or due to the activity of the facial muscles. The main indications for the use of the drug include:

  • Facial expression lines ("crow's feet")
  • Dropping of the upper eyelid (ptosis)
  • Asymmetry of the eyebrows
  • Dropping of the outer corners of the eyes

Such defects under the eyes usually begin to appear noticeably after 30-35 years, when the level of collagen and elastin in the skin naturally decreases. Botox is effective in weakening muscle contractions, which helps to reduce existing folds and prevents the formation of new ones.

Additionally, Botox under the eyes is recommended for the treatment of:

  • Hyperhidrosis (excessive sweating) in the forehead and temples
  • Migraines and headaches caused by tension
  • Blepharospasm (involuntary contraction of the eyelids)

Studies prove that botulinum toxin under the eyes can significantly improve the quality of life of people suffering from these diseases. For example, data from the American Academy of Ophthalmology indicate that Botox injections reduce the frequency of migraines by half in 70% of patients.

It is important to note that Botox is also used for preventive purposes. Regular sessions of the procedure for its introduction, starting from the age of 25-30, can significantly delay the appearance of deep wrinkles in the future. However, the beginning of such procedures should be discussed individually with an experienced cosmetologist.

Contraindications

Absolute restrictions for the Botox injection procedure:

  • Pregnancy and breastfeeding
  • Myasthenia and myasthenic conditions (disruptions in neuromuscular interaction)
  • Hemophilia (blood coagulation disorders)
  • Intolerance to the components of the drug

Under these conditions, the use of Botox is completely prohibited due to the risk of serious complications. For example, in patients with myasthenia, botulinum toxin can cause increased muscle weakness, posing a health hazard.

Relative limitations of Botox under the eyes, in the presence of which it is important to exercise additional caution:

  • Acute infectious diseases of the respiratory tract
  • Inflammation at the site of the intended injection
  • Use of antibiotics (in particular, aminoglycosides and tetracyclines)
  • Exacerbation of chronic diseases

In these cases, it is recommended to postpone the procedure until complete recovery. For example, antibiotics can enhance the effect of botulinum toxin, leading to unforeseen effects. Even without direct restrictions, the decision to inject Botox under the eyes should be made individually. Studies show that 1-3% of patients may develop resistance to botulinum toxin, reducing the effectiveness of the session.

Answers to popular questions

Specialists from the K+31 clinic answered frequently asked questions regarding Botox injections under the eyes.

Is it possible to do Botox under the eyes during pregnancy?

Most experts unanimously believe that Botox under the eyes is strictly contraindicated during pregnancy and breastfeeding. A leading cosmetologist of the highest category explains: “Despite the lack of direct data on the harm of botulinum toxin for a developing child, we strongly recommend avoiding such procedures for safety reasons. The risks here significantly exceed any possible cosmetic benefits.”

A professor, a specialist in obstetrics and gynecology, adds: “The main arguments against using Botox under the eyes during pregnancy include the lack of extensive studies on safety for the embryo, the risk of drug distribution throughout the body and the possibility of allergic reactions.”

“We advise women to refrain from botulinum toxin six months before planning a pregnancy. After childbirth and the end of the lactation period, you can return to the procedures, but only after consulting a doctor,” says Dr. Maria Ivanova, a dermatologist-cosmetologist.

What are the possible side effects of Botox under the eyes?

A plastic surgeon notes, “Side effects from Botox under the eyes are uncommon, but patients should be aware of them. Fortunately, most are temporary and go away within a few days.”

A cosmetologist lists the most common side effects:

  • Minor bruising and swelling at the injection sites
  • Slight facial asymmetry
  • Temporary drooping of the eyelids (ptosis)
  • Dry eyes

“According to the American Society of Plastic Surgeons, serious complications occur less than 1% of the time. Most adverse reactions are related to incorrect injection techniques or failure to follow post-procedure instructions. To reduce risks, it is extremely important to choose an experienced specialist and strictly follow his instructions for post-procedure care. If you experience any unusual symptoms, you should seek medical attention immediately,” says the doctor.

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Mavrova Irina Vasilievna
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Varaksa Natalia Valerievna
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Reviews 49

A very pleasant and competent doctor.
01.12.2025
R. Ekaterina
A very competent doctor, pleasant and polite reception. I am very pleased, thank you very much!!!
30.11.2025
A. Ekaterina Vasilievna
For the first time I was correctly diagnosed and the treatment helped.
23.11.2025
O. Aiza Idrisovna

About doctor:

Bobko Svetlana Ivanovna

Elena Viktorovna is a wonderful doctor! Knowledgeable, friendly, calm, and gets to the heart of the matter. I highly recommend her!
15.11.2025
Ch. Alexandra Mikhailovna
Extremely favorable impressions from the reception
09.11.2025
B. Elena Nikolaevna
I am simply delighted with the doctor - his attentiveness, professionalism and desire to help!
04.11.2025
Z. Zoya Fedorovna
A very attentive doctor, always ready to see a patient at a moment's notice. He helped resolve my issue quickly. I highly recommend him!
28.10.2025
D. Anna Sergeevna
Thanks to Alexandra for her professionalism!
28.10.2025
S. Natalia Alexandrovna
Excellent! The best doctor.
25.10.2025
G. Valeria Alekseevna
Excellent doctor, consulted on all issues
21.10.2025
G. Fedor Denisovich
Thank you to Elena Vladimirovna for her professionalism, attentive attitude, clear explanation of my problem, recommendations, and kindness. I am very pleased with the appointment!
16.10.2025
L. Marina Borisovna
Thank you to Ekaterina Viktorovna for the procedures and advice, for her exceptionally professional approach, and for explaining everything she did to my face!
10.10.2025
S. Natalia Igorevna
I'm very pleased with my visit to Tatyana Viktorovna, because all my questions and concerns were answered professionally and patiently. As a result, I have healthy and well-groomed skin.
06.10.2025
M. Flyura
A very competent doctor, she really helped me with my problem. Thank you.
30.09.2025
F. Daniil Viktorovich
Maria Viktorovna is a top-level specialist with an excellent attitude towards patients, effective diagnostics, and equally effective prescriptions and recommendations for treatment.
29.09.2025
E. Ivan Vladimirovich
A wonderful specialist, a true professional. Thank you very much for your work.
27.09.2025
Sh. Alevtina Vladimirovna
I have been a long-time patient of Alexandra’s, I respect her and thank her for her high level of professionalism!
21.09.2025
S. Natalia Alexandrovna
The most pleasant experience I've had with the doctor. Attentive, tactful, and professional.
20.09.2025
S. Stanka Alexandrovna
An excellent experienced doctor who knows how to establish contact with the patient, help and give recommendations for the future
14.09.2025
M. Gennady Nikolaevich
Maria Georgievna helped solve the problem with neoplasms on the face in one visit!
19.08.2025
K. Olga

About doctor:

Ivlieva Maria Georgievna

Khlunovskaya Anna Nikolaevna. Many thanks to the doctor for help. Excellent professional. I recommend. Sokolova Yana Olegovna. Professional. Many thanks. I recommend.
08.08.2025
Anonymously
This is not my first time with this doctor. I recommended him to my friends. All issues were resolved quickly and professionally. In addition, I really liked the communication with the doctor, everything was very friendly and understandable. Thank you very much!
05.08.2025
B. Sergey Valentinovich
I received a consultation on both dermatology and cosmetology. Very attentive.
02.08.2025
O. Daria Vladislavovna
I really liked the doctor, I really hope that he will help me figure out how to find a solution for treating my disease
23.07.2025
L. Evgenia Alexandrovna
Thank you, very nice and polite doctor. Explained everything clearly and calmly.
23.07.2025
R. Adelina Andreevna
I always feel comfortable at the reception, I go home in a good mood. Attentive and sensitive doctor.
17.07.2025
M. Elena Gennadievna
This is the best dermatologist I have ever met! Thank you very much, Yulia Sergeevna!
17.07.2025
A. Tatyana Vladimirovna
Attentive, delicate, truly systemically thinking doctor. Thank you for the diagnostics and procedure.
01.07.2025
E. Eva Vladimirovna
I am very pleased with the results of the procedures performed by the cosmetologist Vorobyeva Tatyana Viktorovna. She always explains in great detail, simply and clearly how the procedure will be carried out and what the result will be. Professionalism, warmth, pleasant communication and useful recommendations - you want to return to such specialists.
05.06.2025
Marina G.
I first came to see Inessa Andreevna two years ago and now I go exclusively to her. My problem for the last 15 years has been acne and, as a result, very visible pigmentation on my face in large areas. Inessa Andreevna is the first doctor (and I had several before her) who really brought me to a visible result in solving my problem. The rashes stopped, the spots were removed so much that I calmly began to allow myself to go without makeup. The treatment was chosen in such a way that while we were fighting pigmentation, the general condition of the skin improved. It became more even, dense and glowing. In general, if in a few words about Inessa Andreevna - a doctor who "hits" right on target, allows patients to be confident in the result, does not impose unnecessary things, and she herself is very beautiful, which I think is important for a cosmetologist).
22.05.2025
G. Vera
Inessa Vladimirovna is the doctor you go to for beauty, without fear and with 100% trust. Professionalism at the highest level. And a very sensitive approach.
18.05.2025
K. Irina Anvarovna
Inessa Andreevna is an amazing cosmetologist! The only cosmetologist I trust 100%, unconditionally, I know she won't give unnecessary advice, she won't hurt
14.04.2025
Sofia Z.
Dear Elena Viktorovna! I express my sincere gratitude for your amazing work. Here is my story. At the beginning of the year, I went to the clinic, made an appointment with Dr. Elena Viktorovna, for a consultation and treatment of chronic onychodystrophy and onychomycosis of the nails of the big toes. The nail on the toe of my left foot was in terrible condition, I was even ready for its surgical removal. The doctor immediately offered me a treatment system without the terrible removal: correction with a titanium thread, laser therapy, various external drugs and dietary supplements. I began to come to the procedures and follow all the necessary recommendations for treatment. I really like the laser heating procedure for nails, at first it was a little scary, and then even pleasant. The effect of the treatment did not appear immediately, barely noticeable and gradually as the nails grew. After six months, without exaggeration, a miracle happened: the nails acquired a normal, human appearance, and the former nightmare was left in the past. The treatment is still ongoing, but the positive result is obvious. My long-time dream that I will soon be able to walk barefoot openly is coming true. Elena Viktorovna, you are an excellent doctor and a wonderful person. Your main personal trait is your reverent care for the patient, and your professional traits are your golden hands, experience, iron patience and love for work. I am happy that I got treatment from you. I wish you career growth, success in professional development and studies. Thank you very much! In conclusion, I would like to write a few words to the heads of the clinic: Thank you for the good organization of the clinic, I wish you success and further prosperity. Please pay attention to the excellent work of Dr. Marchenko Elena Viktorovna. She is your golden employee! Such a doctor is the pride of the clinic. Please love, encourage and promote her. Sincerely, your client.
29.11.2024
Lapshinov Fedor
I express my admiration for the work of the cosmetologist Yegor Evgenievich Makhin. A qualified, competent cosmetologist, an excellent specialist and, what is no less important, a wonderful person. A worthy representative of the young generation of highly qualified specialists! Many thanks to the management of the clinic, in particular, the head of the department S.V. Pivovarova: it is very difficult to find and interest such wonderful doctors. Success and prosperity to you!
14.10.2024
Gombolevskaya Svetlana Leonidovna

About doctor:

Pivovarova Svetlana Victorovna, Makhin Egor Evgenievich

I am incredibly grateful to Tatyana Viktorovna for putting me into remission of long-term moderate acne; for almost 4 years I have not been bothered by rashes or pain and I have completely stopped using any foundation. Tatyana Viktorovna works for results, the tactics are cooperation with the patient, this includes advice, and answers to the strangest questions, and the coolest thing is that the doctor tells what should be done and why, explaining the processes. I am absolutely confident in my recommendations when I refer friends, girlfriends, acquaintances. The main thing for the patient to know is that they also need to make efforts and maintain discipline to achieve results. And Tatyana Viktorovna will definitely help
11.06.2024
Mikhailova Flura
Olga Yurievna, a very competent specialist and a Person with a capital P! Thank you very much for being you!
10.06.2024
Bogdan Andrey Vasilievich

About doctor:

Anoiko Olga Yuryevna

Very attentive and qualified doctor. I was very pleased with the reception.
03.04.2024
German Mikhail Mikhailovich
An excellent specialist and professional. Polite and courteous doctor. I have been visiting Lyubov Viktorovna for 4 months now. I have diabetes 2 and have foot problems. She helped me a lot. Thanks a lot!
26.02.2024
Victoria Nikolaevna Golovko

About doctor:

Arm Lyubov Viktorovna

Thank you very much, Ksenia Vladimirovna, for the high-quality and professional removal of keratomas. Very attentive, polite and pleasant to talk to. Gave clear advice necessary for treatment. The doctor saw me on time at the appointed time.
18.11.2023
Pogulyaa Galina Ivanovna

About doctor:

Katz Ksenia Vladimirovna

When I was young, I got a tattoo with my husband’s name. After the divorce, there was a desire to remove it. Clinic K+31 attracted my attention because they use modern and reliable equipment, and all the doctors are experienced and certified. At the preliminary consultation, the cosmetologist carefully examined the tattoo and said that the tattoo artist had introduced the pigment deeper than necessary, and this would complicate the process of removing it. It took me 8 procedures to completely cleanse my skin. The redness after the sessions went away within 4-5 days. The result met my expectations.
05.10.2023
Veronica

About doctor:

Ivlieva Maria Georgievna

I went to the clinic for a classic bikini. The professional work of the doctor pleases me. I was free after 20 minutes. There were no burns or painful sensations. The hairs began to fall out on their own on the 3rd day.
17.09.2023
Swede Maria
I decided to get rid of the tattoo any way I could. Safety and quality of service are always important to me, not price. The doctor at the K+31 clinic recommended removal with the PicoCare 450 laser. It took me 6 sessions to completely remove the image. Thank you for your help!
30.08.2023
Konstantin

About doctor:

Ivlieva Maria Georgievna

I would like to express my gratitude to Daria Alexandrovna Lebedinskaya! There is no discomfort after epilation. I was pleased with the delicacy of the work and painlessness. I have already done 3 procedures, we plan to do 3-4 more.
13.08.2023
Daria Kravtseva
Clinic K+31 was recommended to me by a friend. After looking at photos of other patients’ results on the website, I decided to remove the hated tattoo I got 8 years ago. Before the procedure, the doctor applied an anesthetic, so I did not experience much pain. The result pleased me.
23.07.2023
Victoria

About doctor:

Ivlieva Maria Georgievna

Many thanks to the cosmetologists K+31! I did 10 sessions of diode laser hair removal on the whole body. Totally removed hair from legs, arms, back and bikini area. I am very pleased. The skin is smooth, there has been no new hair at all for 2 months.
29.06.2023
Voronova Elena
Recently, I underwent a procedure of photorejuvenation and laser rejuvenation around the eyes by a cosmetologist Alexandra Sukhanova. I am very grateful to the doctor, excellent result. Under my eyes and on my right temple, I had small age spots, and so, all this disgrace disappeared, and there were fewer wrinkles under the eyes and it felt that the skin seemed to have become denser, dark circles under the eyes disappeared, the look became more open. The procedure itself was painless and everything went smoothly. Doctor is a professional in his field.
07.02.2023
Skryabina Irina Yurievna
I would like to express my deepest gratitude to Catherine. For a year of mesotherapy of the scalp, the hair began to recover. I went through 2 courses of 7-9 procedures and the difference between what was on my head (hair fell out after covid, problematic thyroid gland) and what is now huge. Hair restoration is a long, laborious process, and you don’t have to wait for a miracle right away. Mesotherapy is not a pleasant procedure. But you need to be patient and everything will work out. Ekaterina is a competent specialist, answers all questions, advises, encourages. Thank you so much)
12.12.2022
Tatiana
Alexandra is the only doctor who helped me solve my problem. I have been looking for "my" cosmetologist for about 10 years and I am happy that one day I came to Alexandra. I completely trust her experience and aesthetic taste. Alexandra, thank you very much!
13.11.2022
Julia I
Ksenia Vladimirovna is a wonderful doctor and very pleasant to talk to, quickly and cleanly removed a large number of papillomas (30+) and moles (4 very large ones) for me in just a couple of sessions, everything healed quickly (thank you very much again!), I will contact !! thank you for the great work!
14.10.2022
Lily

About doctor:

Katz Ksenia Vladimirovna

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Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.

Our clinics

K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

+7 499 999-31-31

Subway
1
11
Prospect Vernadsky Station
By a car
Lobachevsky, we pass the first barrier (security post of the City Clinical Hospital No. 31), turn right at the second barrier (security post K+31)
Parking pass
Opening hours
Mon-Fri: 08:00 – 21:00
Saturday: 09:00 – 19:00
Sunday: 09:00 – 18:00
K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

Subway
9
Tsvetnoy Bulvar
10
Trubnaya
By a car
Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00
K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

74999993131

Subway
3
Molodezhnaya
By a car
Moving along Orshanskaya street, we turn to the barrier with the guard post K+31. You do not need to order a pass, they will open it for you
Opening hours on holidays

01.11: 09:00—20:00

02.11—04.11: 09:00—18:00

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