Baby Collagen (Under Eyes), Botox Injection (Periorbital Area, Forehead: Allergan)

Treatment details: Baby Collagen (Under Eyes), Botox Injection (Periorbital Area, Forehead: Allergan)

Two mechanisms were combined around the eyes. Baby Collagen was placed in the under eye hollow to address the shadow caused by lost volume, and botulinum toxin was injected around the eye and across the forehead to reduce the muscle movement that etches lines into the surface. Filling alone leaves dynamic creases, and toxin alone does not lift a structural shadow, so the two are complementary rather than alternative. This was photographed as the visit finished. The filler component is visible now, while the toxin effect appears from around day three and is complete at two weeks, when the final appearance can be judged.

Because the lower lid holds little tissue between skin and muscle, bruising is common and can take two weeks to fade, and swelling may look worse in the morning. Material placed near the surface risks showing as a ridge or as the bluish Tyndall effect, which can be revised. Small differences between the eyes are frequent early. Vessel involvement in this region is exceedingly rare but treated urgently. The result diminishes as the product resorbs.

Around the eyes, softening the muscle can leave the lower lid lines looking slightly different when smiling, and in rare cases a dropped brow or heavy lid follows forehead treatment. Bruising at the outer corner is common because vessels are superficial there. Movement of the forehead is reduced, so raising the brows may feel restricted for a period. Onset takes several days and the action fades over three to six months, when repeat injection is needed.