Can Botox Cause Eyelid Puffiness?

I had Botox done to reduce my "stress wrinkle" between my eyebrows and my forehead lines about two weeks ago. The results for me were far beyond typical and I am thrilled - the wrinkles are GONE - except now, my eyelids have seemed more "puffy" than normal. It is not swelling or a "droop"- yet the area just over the brow bone seems thicker and heavier. Is this normal? Will it lessen or can I expect the same result each time?

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6 Doctor Answers | Asked by HeatherW in Sav, GA

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Improper Botox placement causes lid puffiness.

Hi. 1) This is not really swelling, I am afraid. When the Botox is injected too close to the eyebrows, the brows drop a tiny bit and this is enough to cause the very thin eyelid skin to bunch up and look puffy. 2) This may last 3 months, but need not happen again with better technique.

Some swelling, or puffiness, can develop after the injections.

Dear Heather W from Sav, GA, It appears from your question that you have recently had your Botox treatment, and that this is your initial experience. I am glad you are "thrilled" with the result. As you found out it typically takes 5 to 7 days to see the effect on the area from the Botox. Without seeing the area the "puffiness" you describe just below the area treated sounds as some mild/residual swelling from the injections to the area. Depending on the number of... more

Botox and Puffiness

Without photos, it is difficult to assess what is going on. It may just be some residual swelling. It may be from improper technique. I would contact the physician's office to ease your mind.

Puffiness of eyebrows

You may be experiencing some effects of the botox on the eyebrows themselves. Leaving them appearing lower and therefore feeling heavier.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Swelling 2 weeks after Botox is unlikely

It's unlikely that you still have swelling from a Botox injections two weeks after the fact. Is the swelling also accompanied by redness or tenderness? If so, this may be an indication of an infection that needs to be looked at. If there is no redness or swelling, it is more likely that this is "ptosis" or a drooping of the eyelids. This droopiness can often appear as heaviness or swelling. In either case, we would recommend you visit your injector for an evaluation.... more

Harold J. Kaplan, MD

4 reviews

Los Angeles Facial Plastic Surgeon

www.celibre.com

Common for patients to experience temproary brow swelling after Botox to forehead

I have had many patients complain about temporary brow swelling two weeks after experiencing their first Botox injections. In the vast majority of cases this has resolved and does not recur after repeated injections. It is my own opinion that this may be due to the altered circulation with cessation of muscle use that typically directs the fluid drainage of the face. Typically this will be worse in the morning and improve throughout the day. This has tended to improve by one month after the... more