Eyebags Worse After Botox?

Will Botox to crows feet make the bags and lines under the eyes look worse, as they were not treated before? I have heard that Botox to crows feet will emphasize the under eye since they're not treated.

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12 Doctor Answers | Asked by sara d in nottingham england

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Botox making eye bags worse

Botox, when placed in the crow's feet can have several unintended consequences. First, eye bags can worsen. This is due to relaxation of the orbicularis muscle, causing the fat bag retained now only by the orbital septum to bulge. Second, the cheek can droop, by the same mechanism of relaxation of the orbicularis, causing descent of the cheek. Fortunately, both these problems are predictable and can be pointed out to the patient beforehand. Sometimes, the patient must make a choice of... more

Botox and the eyes

Hi Sara, As a general rule, Botox should not make the bags under your eyes look worse. However, if you have a tendency for your eyes to swell, and you receive Botox to crows-feet very close to the lower eyelid, it is possible that there could be an issue. When your eyes blink, the muscles massage away fluid that collects in those tissues. You might have noticed that your eyes are more swollen and the lower lid bags and wrinkles look worse in the morning. That is because your head has been... more

Botox treatments around the eye

As there is improvement with anything cosmetically, other non treated areas may start to bother that person because the most bothersome areas now look better. Most people who undergo Botox for the Crow’s feet are happy with their results regardless of still having wrinkles under the lower eyelids. Resurfacing can help these lines and it is worth discussing this with your physician

Botox effect on bags under the eyes

Botox injection into the crow's feet area can THEORETICALLY cause the bags under the eyes to look worse. This is due to the fact that the orbicularis muscle (the circular muscle around the eye) helps push the fat back, and weakening the muscle can interfere with that action. However, in reality, I have not seen any patients who have experienced increasing eye bags due to Botox injection into the crow's feet area. The problem of increasing fat bags after Botox injection is more probably an... more

A little too much Botox can make eyebags worse

Too much of a good thing can do that. If Botox was injected in the lower eyelid and there was already loose lag skin due to the process of aging then yes that can be problematic as the muscles that are keeping the fat pads in place because relaxed. That can cause the appearance of bagginess to happen. Also, smile lines that area at rest can become more prominent if the crow's feet were treated. Those lines generally do not get better with Botox injection. The dermatologist should be able to... more

Botox and Crows Feet

Any time you treat an area in a cosmetic fashion, you can partially over emphasize areas that have wrinkles. So in short yes you can make the wrinkles under your eyes more prominent, but it is not because they have gotten worse, just more obvious. Good luck.

Botox to crow's feet

When botox is injected into the crow's feet it inactivates that portion of the orbicularis muscle. While the lateral eyelid region will be less wrinkled, it may expose the noticeable lines along the lower lid region more.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Yes, it can emphasize under-eye wrinkles

Botox is a wonderful treatment for crows feet--those lines that extend radially from the corner of the eye when smiling. Botox relaxes the muscle that surrounds the eye, which results in diminished wrinkling of the skin when one smiles. I have seen, in a few patients, excellent results from Botox in improvment of the crows feet, but accentuation the wrinkles under the eyes. In select cases, Botox can be placed under the eye, but this may result in lowering of the eyelid rim. Sometimes I... more

Botox does not make eyebags worse

It is important to define "eyebags" as this may have different meaning to different people (and particularly doctors as compared to patients). In general, though, classic "eyebags" will not be worsened or caused by Botox. In fact, I would consider these completely different cosmetic issues as Botox does not treat "eyebags" whereas a blepharoplasty or an evaluation by an oculoplastic surgeon may be the most appropriate route if concerned with... more

Steven Hacker, MD

3 reviews

West Palm Beach Dermatologic Surgeon

Injecting in the crows feet can create bags or make them worse

Dear Sara This is absolutely reported. The botox injected for the crows feet area can drift, weakening the orbicularis oculi muscle below the eye in the outer lower eyelid. This causes the muscle to sag resulting in a little "bag" at the top of the cheek or a worsening of a preexisiting malar bag or festoon. It does not take a whole lot of BOTOX to create this effect. The effect is avoided by carefully controlling how the BOTOX is placed.

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Worsening of eyebags after Botox

Yes, it is expected. Botox relaxes the muscle that holds the fatty bags pushed in. This causes worsening of the bags for about one to two weeks. Typically after 2 weeks the muscle starts pushing the bags back inwards. If you received a very small dose then your bags will go back in soon. If it was a higher dose then it might be a few months. Regards

Eye bags after Botox for eyelid wrinkles

Sara, No. Botox should not worsen eyebags of the lower eyelid. Bags of the lower eyelids are generally due to fat that gradually protrudes with age & sagging of the skin & muscle. Botox Cosmetic is generally applied to the sides of the eyes to treat Crow's feet wrinkles, between the eyebrows, and forehead area. There are other less common areas of the face & neck where Botox cosmetic may be applied. Best of luck.