Botox before & after photos
65%
796 reviews
Worth It Rating Our index shows the percentage of community members saying this was "Worth it". See cosmetic treatment rankings
Botox Cost $500 average cost

Puffy Upper Eyelids After Botox?

I had Botox around my eyes 10 days ago, and I like the results. However, since then, I wake up to very puffy upper eyelids, regardless of my salt intake. This fades away slowly, and by mid-afternoon, I am back to normal, only to wake up to it again. Is this a side effect Botox? What can I do about it?

Asked 34 months ago by mayya in dubai
Sort 3 expert answers by:
+2

Should Resolve in a Few Weeks

This is an effect of Botox on the upper lids that have lost some of their squeezing power. Most likely your physician injected a bit more Botox into your forehead (frontalis) and this has caused downward pressure on the upper lid. It probably gave you a good result on your forehead, but at the expense of this mild complication. The good news is that this weakness of the upper lid will last only a few weeks. In the meantime you could use Teamine eye complex or Neo-Strata Under Eye.... more
Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
+2

This is a very rare side effect of Botox.

Hi! Botox relaxes muscles so that -- very rarely -- they cannot squeeze liquid in the tissues out, and you look puffy. As you are upright during the day, gravity drains the fluid out, and you look better. This will last 2 or 3 months. Next time, I would try fewer units of Botox, and farther away from your eyes.
George J. Beraka, MD
Manhattan Plastic Surgeon
+2

It is possible

Botox works by essentially paralyzing the muscle it is injected into. Soft tissues of the eyelid are very sensitive to fluid shifts and occasional swelling or puffy eyes is normal at any time. As the fine circular musculature surrounding the eyes contract, they act as a pump to squeeze the fluids away from the orbit and back into the circulation. if the muscle is weakened or not functioning from the Botox, this fluid will take longer to drain so to speak. I have seen puffiness from... more
Leslie H. Stevens, MD
Beverly Hills Plastic Surgeon
Use of this website and the posting of any reviews or other content on this website constitutes acceptance of the RealSelf® Terms of Service. The material on this site is for informational purposes only, and is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. © 2011 RealSelf, Inc. All rights reserved.