Does Botox Help Reduce Under Eye Bags?

Botox is used to reax muscles. Muscles that repeatedly contract can cause wrinkles to appear worse.
Therefore, Botox may help minimize lower eyelid wrinkles.
However, lower eyelid muscles may help hold back the fat that surrounds the eye ball (globe) when the muscles contract, they can push back the fat making the lower eyelid bags look better. Try this by looking into a mirror and squinting. The lower eyelid bags usually improve. A poor analogy is what happens to your belly when you tighten up your muscles.
The problem with botox and bags is that the relaxed muscle sometimes allows your fat to bulge out a little more.
This is a little oversimplified but I hope it helps you to understand.

Thank you for your question. Botox injections can weaken an overactive muscle that causes lines and wrinkles, allowing the skin to become smoother over time. Dermal fillers are a great option for reducing the appearance of under-eye bags by restoring lost volume to this area.
The results of dermal filler injections can last for up to a year or more, depending on the formula used. I recommend scheduling an in-person consultation with an experienced, board-certified injector. They will be able to conduct a physical examination and suggest the best treatment option to address your concerns.

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Great question! Botox is injected around the outside of the eye, into a muscle called the obicularis oculi. It is a circular shaped muscle around the eye. Injecting in this area, also know as the Crow's Feet area, will help smooth the lines caused by sun damage, age, smiling, talking and laughing.  Botox is injected to help decrease the appearance of wrinkles and lines. Whereas, Fillers are injected to restore volume loss.  Juvederm Ultra Plus is a filler and can be used for the under eye area.  It is a hyaluronic acid, and if injected properly, it will created a smooth surface between the eye and the cheek.  So to answer you question I would use both Botox and Filler to create a freshened up look. Regards, Anil Shah  

Patients and injectors should be very careful with Botox injections under the eyes. For wrinkling in the crow's feet area that occurs with smiling, Botox is a great option. This is not true for bags under the eyes. In fact, in patients with lower eyelid puffiness or bags, Botox injected into the lower eyelid area will often cause worsening of the puffiness. This is due to the relaxation effect of Botox on the muscle surrounding the eye that is holding back the lower eyelid fat pads.
Always see an expert physician injector.
All the best,

Thank you for your question and for sharing your photo. Botox may help to soften the wrinkles under the eyes. It does require a very small amount and it will help to soften the lines. It will not necessarily reduce all the wrinkles like you might see in the forehead or crows feet region. You will notice a soft relaxation of the dynamic lines under the eyes, and you may notice a slight opening of the eyes. I would start with 1-2 units under the eyes on each side. If you like the effects, then it is very easy to incorporate this into your future treatments. Dermal fillers such as Restylane can be used to fill in shadows under the eye and achieves a more rested look. You can combine the two treatments but it would require a thoughtful approach and careful analysis of your concerns to ensure that treatment options will help you achieve your goals.I would recommend visiting with a board certified plastic surgeon or dermatologist in your area to address your concern as it is an advanced area to treat.