Reviewed by Dr. Chad Gilliam PA

Under-eye wrinkles and dark circles become more noticeable as we age, making us appear tired and older. Facial expressions, sun damage, and lifestyle habits can worsen the appearance of wrinkles. 

Botox and dermal fillers are popular options if you’re considering cosmetic treatments for under-eye wrinkles. In this blog post, we’ll compare these injectable treatments and help you make the best choice for your cosmetic concerns.

What Causes Under-Eye Wrinkles?

Under-eye wrinkles are primarily caused by the natural aging process, repeated facial expressions, and sun exposure. As we age, our skin loses elasticity and becomes thinner, allowing wrinkles and other imperfections to form more easily. 

In the under-eye area, frequent facial expressions like smiling and squinting can cause “dynamic wrinkles,” or wrinkles that develop with movement. At the same time, a loss of volume beneath the skin’s surface can lead to “tear troughs” and dark circles.

To learn more about the different types of wrinkles, read our blog, Fine Lines vs. Wrinkles: How to Tell the Difference.

Botox and Fillers: What’s the Difference?

Botox and dermal filler injections are among the most popular cosmetic procedures for treating these lines without cosmetic surgery, but they work in different ways:

Botox: Relax the Facial Muscles

Botox, or botulinum toxin type, is an injectable treatment that temporarily paralyzes the facial muscles responsible for creating dynamic wrinkles. Botox for undereye wrinkles when smiling or squinting is a popular treatment.


  • Effective for reducing dynamic wrinkles
  • Results typically last 3-6 months, depending on individual factors
  • Non-surgical, minimally invasive procedure


  • May not be as effective for deep-set wrinkles or tear troughs
  • Side effects can include temporary weakness in nearby facial muscles and minor bruising
  • Requires regular maintenance

For more information on Botox, read The Benefits of Botox: An Expert’s Opinion.

Dermal Fillers: Add Volume to the Under-Eye Area

Dermal fillers, such as hyaluronic acid fillers like Juvederm, are injectable treatments for facial volume loss. These procedures can effectively treat under-eye hollows (tear troughs) and deep-set wrinkles.


  • Provides immediate volume and plumpness to the under-eye area
  • Can last from six months to two years, depending on the type of filler used and the area treated
  • Stimulate collagen production


  • Less effective for treating dynamic wrinkles
  • Potential side effects include mild swelling, bruising, and redness at the injection site
  • Maintenance is needed as filler is reabsorbed by the body

For more information on dermal fillers, read Getting to Know Dermal Fillers: The Benefits and Downsides.

Key Takeaway

Botox and dermal fillers offer effective solutions for under-eye wrinkles. The best treatment approach depends on the nature of your wrinkles. Consult a professional to personalize your treatment plan and consider combining treatments for optimal results.

Should I Get Botox or Dermal Filler for Under-Eye Wrinkles?

The best treatment for under-eye wrinkles depends on your concerns and desired results. Botox injections may be the better option for dynamic wrinkles as they can relax the muscles responsible for creating these lines. However, dermal fillers may provide more dramatic and longer-lasting results if you have deep-set wrinkles or tear troughs.

To determine the most suitable treatment plan, consult your cosmetic injector, who can evaluate your concerns and make personalized recommendations.

Read Freshen Up Your Look with These Non-Surgical Alternatives to Eyelid Surgery for more ideas on how to freshen your look.

Combine Botox and Fillers To Maximize Results

In some cases, a combination of Botox and fillers may be the most effective approach for treating under-eye wrinkles. By relaxing the muscles with Botox and filling in lost volume with dermal fillers, you can simultaneously target dynamic wrinkles and hollows.

Read Maximize Results: The Synergy of Botox, Dermal Fillers, and IPL Laser Treatments to learn more about combining treatments to get the best results for your cosmetic goals.

Botox and Dermal Fillers in Madison, AL

Under-eye wrinkles can make you feel self-conscious and be frustrating to deal with. Botox and dermal fillers are effective treatments for under-eye wrinkles, but they work in different ways.

At Madison Wellness & Aesthetic Center, we offer treatments for under-eye wrinkles, including Botox and dermal fillers. Our experienced clinicians will guide you in making an informed decision based on your needs. 

If you’re searching for Botox in Madison, AL, or dermal fillers in Madison, call (256) 529-4047 or complete the online booking form. Trust us to rejuvenate your under-eye area and give you a refreshed and youthful appearance!

Frequently Asked Questions

How Long Does Botox Last Around the Eyes?

The duration of Botox results may vary from individual to individual but typically lasts about 3 to 6 months. Regular treatments can lead to more enduring and long-lasting outcomes.

Does Filler Help With Under-Eye Wrinkles?

Yes, dermal filler treatments can help with under-eye wrinkles by filling in lost volume and plumping the area, reducing the appearance of fine lines and wrinkles.

What is a Tear Trough Filler?

The tear trough filler treatment involves injecting a dermal filler, such as hyaluronic acid, into the hollows under the eyes (tear troughs). It fills in lost volume and improves the appearance of dark circles, wrinkles, and sunken eyes.

Can Botox Help With Saggy Skin Under Eyes?

While Botox may help with dynamic wrinkles and lines, it is not effective for treating sagging skin. Dermal fillers or other cosmetic procedures may be more suitable for addressing this concern.

If you are searching for Botox near me or fillers near me, contact Madison Wellness & Aesthetic Center.