Wrinkles, or lines around the eye, may appear from the age of 30 and are usually one of the first signs of ageing. The causes may be multifactorial; however, these hyperfunctional lines may result from repeated contraction of the underlying facial musculature.

The anatomy of hyperfunctional lines in the orbit is intricate. Contraction of the orbicularis oculi muscle is primarily responsible for the clinically observed periorbital crow’s feet. The orbicularis oculi muscle is bordered superolaterally by fibres of the frontalis muscle and medially by the levator palpebrae muscle. Injection of this area requires special recognition of adjacent peri-orbital veins to avoid bruising.

The skin may play a larger role in causing lines in this area, due to the relative lack of fat here compared to other facial areas. The sun can degrade the skin causing a loss of its abilty to ‘snap’ back into place.


A thorough analysis to assess prior treatments, skin mobility, skin tone, skin laxity and underlying muscular action is undertaken. The areas to be injected are then marked precisely using Dr Bharat Patels extensive knowledge in head and neck anatomy and his extensive practical experience with Botox. Several units of Botox are administered into the marked area normally targeting the orbicularis oculi muscle. Achieving perfect results area requires detailed planning to ascertain the opposing muscles of the forehead area and the desired result, as Botox in this area may have an effect on the eyebrow position which is central to an individual’s appearance. The procedure takes 10-15 minutes and is relatively painless. Extra fine gauged needles are used for maximum comfort during the procedure.

Young or Older Patients are suitable of both genders. Some patients prefer to have treatment as soon as a few wrinkles appear as a preventative measure. A thorough assessment is undertaken to ascertain the aetiology and suitability for treatment.

Botox is a brand name for Botulinum Toxin Type A, a purified natural protein chemically derived from bacteria that can be injected to cause muscular relaxation of the orbicularis oculi muscle and therefore a reduction in peri-ocular lines. It has been used for many decades and its popularity for cosmetic interventions makes Botox the number one non-surgical cosmetic procedure in the world. Botox blocks the signals to specific muscles at the point of injection.

You are encouraged to book in for a thorough consultation with Dr Bharat Patel. He will undergo a detailed examination to ascertain whether you are a good candidate. Various options may be available and they will be discussed with you at your consultation. The treatment takes 10-15 minutes and is well-tolerated.

Botox to the peri-ocular areas normally takes from 3 days to have effect though in some patients this is more. Maximal effect is seen within 14 days and this is checked at your review appointment when necessary.

The cost of Peri-Ocular Botox is from £199 though it is usually undertaken in conjunction with the forehead and glabella.