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Botox for Undereye Bags?

asked 1 year ago by lad68 in phoenix arizona
Latest answer by Francis R. Palmer, III, MD
Question viewed 707 times
Tags: under eyes, eye bags

Can You Use Botox Injections for Undereye Bags?

17 answers to Botox for Undereye Bags?

+2

Botox for undereye bags

Hello and thank you for the question. There is no indication for Botox Cosmetic in the management of under eye bags. Botox may be used for the management of dynamic rhytids under the eyes ( aka "Jelly Rolls"). Keep in mind that this is an off-label use of Botox Cosmetic and I would advise that you seek treatment by trained professionals with significant experience in this area. Under eye bags, in general, are attributed to pseudoherniation of... more
Glenn Vallecillos, MD

Beverly Hills Plastic Surgeon
+1

Lower Eyelid Bags Result of Herniated Fat & a Lax Orbital Septal Layer

No, lower eyelid bags are a result of herniated fat and a lax orbital septal layer.  Injecting Botox into this area could weaken the lower eyelid muscle and cause lid malposition (drop).  Lower eyelid bags are removed with lower eye lifts called Blepharoplasty.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Botox is not used for bags under eyelids

The typical bags under eyelids are caused by swelling of fluid or herniated fat pads so that there would not be an expected improvement with Botox injections.  Some patients do, however, have an enlargement of the muscle tissue of the lower eyelid and this hypertrophic orbicularis oculi muscle may thin down after Botox injections diminish the muscular contraction. This should only be done by a well-experienced Botox physician injector.
Ronald Shelton, MD

Manhattan Dermatologist
+1

Undereye Bags and Botox

Hi generally, bags of the eyelids cannot be treated with botox because it will loosen the skin and potentially exacerbate the puffiness as the muscle will have less stregth in pushing the orbital fat backwards. It sounds like botox isnt the appropriate intervention for this issue. COnsider seeking the advice of an ASOPRS-credited oculopplastic surgeon.
John Pak, MD, PhD

Chicago Oculoplastic Surgeon
+1

Botox is not used for under eye bags or hollows. That's for fillers.

Botox works by weakening muscles of expression to soften dynamic wrinkles. For under eye bags or hollows, this is not helpful. Some physicians are trying to use fillers to camouflage under eye bags, but this may have the effect of making the entire area look too puffy instead of what may instead need a gentle surgical correction. I advise careful research and a few consultations with dermatologists, plastic surgeons, and especially with oculoplastic surgeons, before making a treatment choice... more
Jessica J. Krant, MD, MPH

Manhattan Dermatologic Surgeon

www.ArtofDermatology.com

+1

Botox for Undereye Bags

Hi lad68, This is not the correct indication for Botox. Many people use the terms "Botox" and "Fillers" almost intrerchangeably, and that's not accurate. Fillers can be used to camouflage some of the appearance of bags under the eyes (by filling in the areas around the fullness) but if there is enough fat it may be advisable to have that removed, in addition to (or instead of) the fillers. Botox, on the other hand, works by relaxing muscles and,... more
Alan Engler, MD

New York Plastic Surgeon
+1

Botox for under eye bags?

Simply, no. Botox works by relaxing facial muscles that contract and cause wrinkles. For under-eye bags, we can use fillers sometimes to replace fat that is missing or we can repair them with surgery.
Andrew Kaczynski, MD

Sacramento Plastic Surgeon
+1

Botox can be used to relax wrinkles under the eyes but not for undereye bags

Under eye bags are caused by thinning of the skin and connective tissue which leads to the protrusion of the fat beneath it.  Botox is used to relax muscles in order to smooth wrinkles.  Muscles are responsible for horizontal creases immediately under the rim of the lower lid, and those can be relaxed.  However, there is no muscle involvement in the formation of under eye bags, therefore Botox would not work.
Emily Altman, MD

Short Hills Dermatologic Surgeon
+1

Botox for lower lid bags

Botox will not help lower lid bags, it in fact can make it look worse. Your options are lower lid blepharoplasty or Juvederm injection around the bags to blend them.
Peter T. Truong, MD

Fresno Oculoplastic Surgeon

www.facialsurgerydr.com

+1

Botox for undereye bags...

Botox is not intended to treat under eye bags.  Botox is a injectable that is used to temporarily treat wrinkles around the eyes, forehead, and glabella.  The best option for bags under the eyes is a procedure called lower Blepharoplasty.  It removes the excess fat under the eyes therefore reducing under eye puffiness.  Consult your board certified plastic surgeon to be evaluated for the best treatment for you. 
Andrew Miller, MD

Edison Facial Plastic Surgeon

www.associatesinplasticsurgery.com

+1

Botox not for under eye bags

Botox will not improve the bags you describe under your eye.  If indeed you have bags and extra skin below your eyes that make you look tired, you will likely need a lower eye lift also known as a lower blepharoplasty to definitively treat this problem.  As a non surgical option, fillers or fat grafting may be another option.  Please visit with a board certified plastic surgeon to explore ALL your options. Best of luck. Dr. Basu
C. Bob Basu, MD

Houston Plastic Surgeon
+1

Botox is not used for bags under your eyes

Dear lad68, I like to think of Botox as something that is used for dynamic lines or lines that are obvious when you are moving a particular muscle on the face. On the other hand, fillers (such as Restylane, Juvederm, fat, etc.) are used on static lines/folds or lines that are present even when you are not moving parts of your face. Around the eyes, Botox is usually only used to reduce the appearance of “Crow’s Feet” which are the lines of movement that you see by... more
Sarmela Sunder, MD

Beverly Hills Facial Plastic Surgeon
+1

Botox for Lower Eyelid Bags

Botox is used to limit lines of animation. I've never used botox for lower lid bags. Bags are either removed or camouflaged with the injection of Restylane or fat into surrounding grooves if augmentationis necessary.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Botox for Under Eye Bags

Botox does not work for under eye bags. Fillers such as Juvederm, Restylane or Radiesse can be used to make the bags less prominent. Ultimately, surgery may be the best solution.
Mitchell Schwartz, MD

South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

+1

Undereye bags can be cuased by protrusion of fat beneath the eyeball

Undereye bags can be cuased by protrusion of fat beneath the eyeball. They can also be caused by loss of fat in the aging cheek pulling down the eyelid. Filler treatment of the cheek may help.
Edward Lack, MD

Chicago Dermatologist
+1

Botox cannot help under eye bags but fillers can

Bags under in the lower eyelids are usually caused by small bulges of fat and loss of fat just below that at the orbital rim.   Hyaluronic acid fillers like Restylane, Juvederm or microfat transfer using your own body fat can be used to fill in the areas around the bags to improve this area and eliminate a tired look.   Botox is used for wrinkles that are caused by facial expression e.g. crow's feet, lipstick lines, frown lines or elevens, forehead lines.
James C. Marotta, MD

Long Island Facial Plastic Surgeon
+1

Botox does not help lower eyelid bags

Botox temporarilly weakens muscles, so it helps improve wrinkles that come and go when muscles contract, like frown lines, forehead lines, and crows feet. Fillers like Radiesse, Juvederm, and Sculptra fill hollow areas of the face and fill deflated areas, so they are used for different aspects of aging. Lower eyelid bags can sometimes be camouflaged with fillers, or treated by surgery.
Jeffrey Schiller, MD

New York Oculoplastic Surgeon

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