Botox Under the Eyes

Channel: Fox 26 Houston
Aired On: August 23rd, 2018

Dr. Sami was featured on Fox 26 News Houston KRIV NBC with Melissa Wilson (Anchors- Fox 26 News Houston) discussing “Botox under the eyes” – Aired August 23, 2018 Fox 26 Houston KRIV Fox, 4261 Southwest Freeway, Houston, TX 77027.

Statistics show that the number one non-surgical cosmetic treatment is Botox injections. According to American Society of Aesthetic Plastic Surgery (ASAPS), Botox injections have increased over 30% in the past five years. Some doctors are using Botox beneath the eyes to smooth out the appearance of lines and have reported good results, although other injectors will not perform this off-label procedure due to perceived risks.

Botox around eyes can smooth out the wrinkles, although it must be repeated four to six months to maintain the rejuvenated look. However, there are risks associated with the injections and we know that the risk for complications often depends on where the injection is administered.

Botox Under Eye
Botox Under Eye
Botox Under Eye
Botox Under Eye


Dr. Mirwat Sami states that “A lot of people do have misconceptions about how Botox and Fillers work. Education in aesthetics is so important.”

Botox is used both cosmetically and to treat medical conditions. Dr. Sami states, “The way Botox works is that it actually inactivates muscle movement, so in essence we are changing facial expressions and animations.” When injected into facial muscles, Botox inactivates the muscles responsible for facial expressions and the ensuing lines and wrinkles in the skin. It can be considered a preventative tool as it weakens overactive muscles thus preventing lines and wrinkles in those areas from becoming deep and permanent.

An interesting factoid about Botox is that it actually has ophthalmology roots! It was first used to treat eye muscle imbalance or strabismus and then spastic eyelid disorders. So oculoplastic surgeons have used botulinum toxin for years starting with medical conditions and then transitioning to cosmetic use.

The area around the eye is one of the most common sites for Botox injections. Areas such as the glabellar lines, crow’s feet and a lot of demand for treatment of lower lid creepiness.

However, in all such cases, it is extremely important for the injector to understand not only facial anatomy and structures but also how each individual uses their muscles. Without that knowledge and insight, one can end up with a botched Botox job resulting in devastating effects. Luckily most of these are temporary and can resolve in a few months. But for many in that position, those months can be terrible to endure.

Dr. Mirwat Sami, a board-certified ophthalmologist specializing in Ophthalmic Plastic and Reconstructive Surgery, states “when Botox is injected in the lower lid regions where the important structures help hold the eyelids against the eyeballs, it can result in serious complications.”  Some of the side effects that we can see are droopy eyelid, double vision, lower eyelid droopiness, worsening of lower lid bags, inability to close eyes, tearing and asymmetric smile.

Under eye Botox injections can lead to serious complications: droopy eyelid, double vision, lower eyelid droopiness, worsening of lower eyelid bags, inability to close eyes, corneal damage, severe dry eyes, double vision and asymmetric smile. When choosing a physician for Botox injections, it is extremely important for your physician to know the anatomy of the oculofacial region to prevent serious complications from arising.

As an oculoplastic surgeon, Dr. Mirwat Sami has cutting- edge expertise to treat cosmetic problems of the face. Dr. Sami strives for individualized and outstanding care with excellent results.

If you would like to schedule a consultation with Dr. Sami, please do not hesitate to contact us at 713-668-1264 so we can help enhance your life.