​The short answer is, “Yes.” A small (<4U) amount of botox can be placed to decrease the fine “squint/scrunch” lines that appear under the eye and toward the nose with facial animation. This should be combined with the treatment of “crow’s feet” lines at the lateral orbital area for maximum effect.

There is a slight risk of lid lag if this is performed on an individual with weak supporting muscle (orbicularis oculi) of the lower lid so this injection should not be performed on every patient routinely. However, most patients between 18 and 45 years old will tolerate this application with good results.