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.

Puffy under eyes after Botox?
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7 answers to “Puffy under eyes after Botox?”

A: Botox and undereye bags

Steven H. Williams, MD

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... more

A: Undereye puffiness after Botox

Stella Desyatnikova, MD

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... more

A: Give puffy under eyes after Botox some time

Arnold R. Oppenheim, MD

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... more

A: Puffy eyes after Botox

Otto Joseph Placik, MD

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... more

A: Puffy undereyes after Botox

Bryan K. Chen, MD

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... more

A: The good thing is that Botox always goes away.

David Shafer, MD

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... more

A: Hematoma or Botox-induced

Hisham Seify, MD, PhD

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! 

Comments

Amaxy
77 posts
17 Mar 2009

Hey there, I am experiencing the same problem and I hate it! Apparently sad to say there is not much we can do about it but wait it out. I wish the doctors would tell you about this potential problem before going in for this procedure. I thought after Botox my crows feet would be lessened and that would be it. I didn't think that this sort of side effect would occur. It's awful!!! For me, it's even worse since my wedding is coming up in a month. What a nightmare! I just pray every day that I won't have this puffiness under my eyes in a month. Ughh!!! Sorry about your results:( Amy

joannh
11 posts
24 Apr 2009

help! just had botox for the swinting frowny thing and did a little for crows feet in total 20 whatever you call it. woke up today and my right eye underneath has a puffy thing. I told doc this happened before and was hesitant to do it. he said they injected too much and just did a little in key places. he is a wonderful doc will this go away. had it done yesterday.

aboutface
14 posts
20 May 2009

I have the same thing. I'm coming up on 8 weeks since the treatment, and was told it will diminish in about 10. I'm just afraid that the muscle will be weakened permanently and the bags won't go away. I'll keep posting. I also look like crap. I'm 40, but when my face is sedate, look like I'm still in my early 30's. With Botox on my lower lids I look my age, or older, because I have these bags under my eyes. At least I have a window into how I'll feel when I look old and am not cute any more :)

LymphActivi
1 post
28 Jun 2009

Have any of the Board Certified Plastic Surgeons considered the effect of Botox on lymphatic flow? Tissue lymphatic drain depends on the proper functioning of the lymphangions, which are believed to be driven by an autonomous nerve system. Could the Botox interfere with this autonomous function and prevent the pumping of lymphatic fluid? This would explain swelling in the area affected by the Botox, and suggest a treatment, i.e. manual lymph drainage.

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