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Does Botox in the Frown Lines Cause Large Drooping Bags Under Eyes?

asked 3 years ago by bellabooo in Australia
Latest answer by Harold J. Kaplan, MD
Question viewed 4,037 times

Hi There! I recently got Botox for the first time injected into my frown lines, 3 injections, 2 on each side of my eyebrow and one in the middle.

I had never had a problem with bags under my eyes until I got the Botox done, which leads me to believe that it may have somehow caused it? I don’t like my frown lines, but I dislike these bags even more!

8 answers to Does Botox in the Frown Lines Cause Large Drooping Bags Under Eyes?

Can Botox for the frown lines cause eye bags?

Hi Bellaboo. It's very unlikely that an injection procedure to the glabella (area between eyes) caused you to develop bags under the eyes. Although Botox can migrate (move) outward from the injection site, it would be very unusual for it to migrate from the eyebrows to the under eye area. If your injector took before and after pictures, we would suggest going back to address your concerns and look at your before photos.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox in the frown lines and droopy eyelids and bags under eyes

There are a few possibilities for what might have happened to you. 1. Injections to the muscles underlying the crows feet (smile lines around the eyes) can cause the underlying fat of the lower eyelids to bulge - usually with individuals who have a loose underlying orbicularis oculi muscle and lax tissue to begin with. 2. If your injections were done relatively recently and deep in the glabellar complex (between the eyebrows) for the frown lines, if your doctor re-constituted the Botox with... more

Bryan K. Chen, MD
San Diego Dermatologist

These shouldn't be related

The only way I can think these are related is if your treatment was very recent and what you are seeing is just some swelling. There isn't any anatomical way I can think of where properly done injections in the brow could cause lower eyelid fat bags to appear.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Answers to both questions

The amount of Botox that was injected probably wasn't that much. So there are two likely things going on. First, even a small amount of Botox can relax the muscle around the eye enough to make lower lid bulging slightly more pronounced. Second, the bulging was probably already present but you may have been more focused on the wrinkles. As for what to do about it, a lower lid blepharoplasty with muscle plication and either a small amount of fat removal or fat redraping should resolve the... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Botox lower eyelid bulges, an over-simplified explanation

Occasionally the Botox can migrate to the lower eyelids and cause or make bulging eyelids more prominent. Let me give you an analogy. Sucking in you belly can improve the appearance. IF you relax your stomach muscles, it may appear that your stomach is improved and thinner. Same goes with the lower eyelids. The lower eyelid muscle acts like the stomach muscle to contain and hold back the fat around the globe (eyeball). IF you squint your eyes, this muscle tightens and pushes back the fat... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Botox in the brow not related to lower lid bags

Botox injections in the brow is not likely related to lower eyelid bags. What is more likely is that now that your eyebrow furrows are gone, you're noticing other areas around your eyes that could use improvement. Do you happen to have any photos taken before your Botox treatment?

Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon

First let's get the terminology right.

Dear Bellaboo To avoid confusion, it is important that we all agree on which lines we are talking about. A frown is the appearance of disapproval produced by furrowing one's brows. Generally frown lines are the lines that are developed between the eyebrows when we furrow. These lines are referred to at the "11" in some marketing material. So if you did receive treatment in the "frown lines" it would be understood to mean that you received BOTOX between the eyebrows... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Not related

Botox injection around the eye and under the eye may cause some laxity of the muscle and more fat pocket showing. Your botox injection was for the frown line and will not effect fat pockets.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

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