When it comes to treating the area under the eyes, many patients are understandably curious about whether Botox® injections are a good solution for concerns like fine lines, the “jelly roll,” or even to make their eyes appear wider. While Botox® is widely recognized for its results in the upper face, the under-eye region is a delicate and complex area that must be approached with great care.
Whether you’re a clinic owner, practitioner, or simply interested in the latest aesthetic trends, understanding why patients seek treatment for under-eye Jelly Rolls—and how Botox® can help—is valuable. With the right knowledge, you can offer tailored recommendations and find the most effective solutions for individual needs.
In this article, we’ll cover when Botox® is appropriate for the under-eye area, what factors influence its success, and the risks to keep in mind.
Not all under-eye lines are equal. Some are just part of your natural eye structure and aren’t actually creases that can be “erased.” Others may be caused by the lower portion of an eye muscle called the orbicularis oculi.
If fine lines are due to actual muscle movement at rest, a very small dose of Botox® can help relax the area. But if lines mostly appear when you smile—or are caused by cheek muscles—Botox® under the eye won’t help. Also, if the lines are from a loss of fat or volume as you age, treatments like fillers may be more effective.
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Sometimes, people want more rounded or open-looking eyes. This is especially popular in some East Asian countries, where a round eye is considered attractive. Injecting Botox® just under the pupil can relax part of the lower eyelid muscle and create a subtle widening effect.
However, in Western cultures, most people prefer an almond eye shape, and this treatment is less commonly requested.
“Jelly Roll” is a term used in aesthetic medicine to describe a small roll or bulge of muscle that appears under the eyes, especially when smiling or squinting. It is not caused by fat or fluid (like under-eye bags or puffiness), but rather by the contraction of the orbicularis oculi muscle, which encircles the eye.
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Not everyone is a good candidate for under-eye Botox®. The area is delicate, and the risk of problems is far greater with age, as the skin gets thinner and loses support. The margin for error is smaller in older patients, and even a tiny overdose can result in unwanted side effects like extra sclera (white part of the eye) showing or a smile that looks less natural.
Injecting Botox® under the eye can be helpful for certain people, particularly younger patients with muscle-related lines or a clear jelly roll. However, for many individuals, this treatment is not recommended because of the risks and potential for unnatural or displeasing results. It is best reserved for carefully chosen cases and always performed by experienced aesthetic practitioners who understand the underlying anatomy.
If you are considering Botox® under the eyes or have concerns about under-eye lines or bulges, consult a knowledgeable provider for a personalized evaluation and discussion of all your options—including safer and sometimes more effective alternatives.
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