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Does Botox on Crow's Feet Usually Cause Swelling Under the Eye?

asked 3 years ago by Beth F
Latest answer by Steven Wallach, MD
Question viewed 14,330 times
Tags: crows feet, under eyes, complication, swelling

I had botox injected in my crow's feet a week ago, I now have a chipmunk look when I smile, it is like two swollen bags under my eyes which looks awful when I smile, I feel like crying. Has this happened to anyone else, and if so how long did it last? Will it go away? I hope it will go away soon. I will never get this done again.

I wanted to look better but I look weird now. The skin under the inner corner of my eyes also looks crepey and sunken in. I don't know what to do! Please offer some advice. This is the worst thing I have ever had done, I also had Juvederm injected in my nose to mouth lines and Botox between my eyebrows at the same time, but i have had them done twice before with no problems.

7 answers to Does Botox on Crow's Feet Usually Cause Swelling Under the Eye?

Botox Induced Pseudo-Herniation of Orbital Fat

Beth I agree with my colleagues, you are probably suffering from Botox induced pseudo-herniation of the infra-orbital fat pads. When too much Botox is injected into the obicularis muscles they becomes weakened and the fat pads bulge out - much like when you are really tired after staying up all night. Fortunately these effects will gradually improve with time. The other possibility is that the nurse may have tried to fill your tear-trough with Juvederm and accidentally injecting it... more

Daniel Reichner, MD
Newport Beach Plastic Surgeon

Cheeks and Botox

Injection of Botox to the crow's feet paralyzes the orbicularis muscle around the eyes. This can sometimes affect the other muscles of the cheek that allow you to smile. It can also cause accentuation of the appearance of the orbital fat that would normally be covered and protected by an active orbicularis muscle. This should get better when the Botox wears off.

Steven Wallach, MD
Manhattan Plastic Surgeon

Time will heal, and Botox will wear off

I agree with Dr. Khoobehi that the reson for the puffiness is paralysis of the obiculris muscle around the eye allowing the fat to herniate. Unfortunately, you'll have to wait for the Botox to wear off.

Christopher L. Hess, MD
Fairfax Plastic Surgeon

No

Looks like you have weaking of the lower eyelid muscle and that causing the fat pockets to herniate. This improve soon and it will not cause any permenant changes.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Botox does not cause prolonged swelling

Beth, Botox does not cause prolonged swelling. You may want to have your doctor examine you if you actually do have swelling a week after your injections. What may be happening is that they injected the Botox too deep or too medial which is not affecting muscles of facial animation unintentionally. If this is the case, it will get better with time as the Botox wears off. If you include a picture with your question, we may be able to give you more specific advice. Good luck.... more

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Swelling under eyes with Botox

Without actually examining you, it is difficult to determine exactly what is occurring. Sometimes swelling of the lower lids can actually be retained fluid from the Botox solution. If this is the case, the fluid should absorb within 2 weeks. You should be reassured that the effects of Botox (positive and negative) will gradually wear off. You should see improvement in the appearance of your smile as early as 4-6 weeks. If the crepey/sunken-in appearance of the inner corner of your eyes... more

Bryan K. Chen, MD
San Diego Dermatologist

Sometimes the Botox relaxes the muscle too much.

Beth, Botox is wonderful to treat active lines of the forehead and crow's feet, but sometimes, just with anything else, unintended problems occur. The "chipmunk" look is from the orbicularis muscle weakening over the cheekbone. Then this area along with the skin and fatty tissue it is attached to droops, giving the appearance of malar bags which can bunch up when you smile. The effect will wear off and the best thing to do is to note it with your surgeon so the problem is not... more

Andrew Miller, MD
Edison Facial Plastic Surgeon

www.associatesinplasticsurgery.com

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