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Puffy Under Eyes After Botox?

My under eyes have been puffy for 2 weeks now . This was since I had Botox at the side of my eyes. It looks terrible and i know the Botox had caused it. What I want to know is, how do I get rid of it? Can anyone help me on this issue? Thanks.

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9 Doctor Answers | Asked by kaffe01 in leicester

Doctor Answers (9)
Community Comments (2)

Puffy eyes after Botox

There are several possible reasons for this: 1) Swelling from injection fluid/volume: I don't believe this is your problem because it should be resolved by two weeks after your injection. 2) Lymphedema: This is a more likely possibility. When your muscles move, they pump fluid out of the area. For example when you stand still fluid can "pool" in your ankles and you need to walk to get the muscle pump working to move the fluid out of your legs. This sometimes happens around they... more

Otto Joseph Placik, MD

32 reviews

Chicago Plastic Surgeon

Botox and undereye bags

Thanks for your question - There are several excellent answers posted below - I'd like to explain in a bit more detail what is likely happening in your case. It is unlikely that the swelling is due to the volume of the fluid or edema injected two weeks after treatment. It is much more likely that there has been a moderate amount of paralysis to your orbicularis oris muscle. This muscle is circular and sits on top of your bony orbit. Paralyzing the muscle can cause increased promience of... more

Undereye puffiness after Botox

The other doctors have given you superb detailed answers on what could have possibly caused your problem. The truth of the matter is, Botox injections around the eye area can be extremely tricky. Sometimes the result is great, and sometimes the cosmetic outcome is less than desirable despite adequate muscle relaxation. Looking at your picture, I don't see much of a lower lid fat bulge, and therefore, I don't think it is what is responsible for your problem. I would tend to agree with... more

Puffy eyes after Botox

Injection of Botox in your crow's feet 2 weeks ago is unlikely causing you the problem directly. Many patients have malar edema that may be more noticeable when the orbicularis along the lateral rim is deactivated by the Botox. Check with your doctor.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Puffy and Swollen After Botox to Eyes

All good information. We would like to suggest, however, that any massage or manipulation should not be over zealous as this may exacerbate the problem. We also believe that dosing with Botox or Dysport under the eyes into the eye muscle (orbicularis occuli) should not be done beyond the mid-pupillary region for almost all patients. For the majority of patients, dosing even further away from this area is prudent and still offers excellent outcomes.

Harold J. Kaplan, MD

4 reviews

Los Angeles Facial Plastic Surgeon

www.celibre.com

Give puffy under eyes after Botox some time

Since you had the BOTOX placed laterally and not beneath the orbit, I would assume that the Botox must have "leaked" to that area. Perhaps, the orbicularis oculi muscle, which surrounds the eye, in your case may be weak in that area allowing the Botox to "leak". Dr. Shafer above probably provides the best explanation: the Botox-weakened OO muscle has allowed the infra-orbital contents to bulge out. Because you are writing this two weeks later, it is unlikely that the... more

Arnold R. Oppenheim, MD

5 reviews

Virginia Beach Dermatologist

Puffy undereyes after Botox

Occasionally, the fluid injected along with the the Botox accumulates in the tissues of the lower eyelid and may take 2-3 weeks to resolve fully. Gentle manual massage would be helpful in this case. Alternatively, the problem may be that of loose muscles around the eyes. The good news is the effects of Botox do not last forever. Unfortunately, it will take a few weeks for the appearance to improve and up to 3-4 months for it to resolve fully.

The good thing is that Botox always goes away.

There are many possibilities for the cause, but only one really answer for the problem (time). If it is due to Botox, the good thing is that Botox always goes away. However, it will take 4 to 6 months for the Botox to wear off. If it occurred immediately after the injections, then it is likely due to swelling or hematoma which will resolve over a few days to a few weeks, respectively. If it did not occur for 3 to 7 days after the injections, then you may have to wait several months for... more

Hematoma or Botox-induced

Having swelling following Botox injection could be either from swelling and bruising due to a small blood vessel bleed or it could be due to orbicularis muscle relaxation (less likely). I would use arnica, massage, and ice to help with the swelling. It should go away even if it takes weeks. Best of luck!

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Comments (2)

Satish Bhatia MD 30 Mar 2013

Check for lid laxity or"snap test" before injecting Botox

CLM67 22 Mar 2013

I had Botox last week and am now experiencing the same thing..puffy under the eyes - like I've been crying or not had adequate sleep..am disappointed this is the result but I don't blame the doctor as this is just how my body responded. What's the point of getting rid of the crows feet and lines around my eyes if I look tired all the time? Since Botox can take months to wear off I'm going to try to do what I can to move the fluid out of the area myself but using creams as suggested here and highly doubt I will use Botox in the future since, for me, it created another cosmetic issue.

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