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Does Botox Help Reduce Under Eye Bags?

I am a 46 year old healthy man and have just started to see bags under my eyes. When I smile, I see wrinkles around my eyes. Will Botox help reduce the problem?

Asked 31 months ago by Mosa Noor in Tarzana

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eye bags

Can Botox Help for Under Eye Bags?

Hi Mosa. No, Botox will not help with under eye bags and periodically, we actually see patients in our practice that complain of Botox creating under eye bags. If you have the traditional dark circles or bags under the eyes then a dermal filler like Restylane or Juvederm is the proper product. The only disclaimer is that some patients have too much excess (or saggy) skin under the eye and are not candidates for the procedure. In this case, surgery is the best... more

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Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

Botox around the eyes

Botox is meant to reduce the wrinkles that are caused by overactive muscle. It will not correct the bags under the eyes. Surgery would be one option to reduce the bags or redrape them, another option is to have filler placement at the juction of the bags and your cheek to help smooth the transition area. A board certified plastic surgeon could determine what is the right procedure for you. Good luck.

Farbod Esmailian, MD

Orange County Plastic Surgeon

ASPS

Botox works for wrinkles around the eyes, but not for eye bags

Botox will not work to lessen the bags that form under your eyes with age. Depending on the causes of these bags, it can actually make them worse. On the other hand, the fine lines and wrinkles that appear around the outer corners of your eyes can be improved with Botox. I recommend that you see a facial plastic surgeon regarding this topic, as he or she can then help you decide what is best for you.

Jen Yuan Chow, MD

Pasadena Facial Plastic Surgeon

Botox Does Not Work For Bags Under Eyes

Botox will make the bags under the eyes worst. It can help with wrinkles on the side of the eyes called 'Crows Feet' and some wrinkles under the eyelid. The solution to those bags is Blepharoplasty (surgery on the eyelid to remove excess fat and skin) Regards Take a look by clicking on the link http://janjuafacialsurgery.com/photos/blepharoplasty_photos.htm

Tanveer Janjua, MD

Bedminster Facial Plastic Surgeon

Botox may actually it may make eye bags worse

Botox is great for relaxing the muscles in the crow's feet area. For the bags under the eyes you need to see an Ophthalmoplastic surgeon to see if you are a candidate for surgery to remove or reposition the fat that is causing the bags.

Nissan Pilest, MD

Irvine Dermatologic Surgeon

Botox may make it worse

No, in fact, Botox could make it worse. Whereby relaxing the muscle and allowing more of the fat pads to herniate forward. Botox should be avoided in this area of the eye.

Ronald Shelton, MD

Manhattan Dermatologist

Botox and eyelid wrinkles

Botox is fantastic for eyelid wrinkles on the sides of your eyes, aka the crow's feet. You also have a new choice called Dysport. Both do the same thing, and the cost may be lower for Dysport. I would avoid Botox for the bags underneath the eyes as this is most likely caused by excess skin or fat and this wouldn't be helped by Botox alone. Good luck!

Jeffrey E. Schreiber, MD

Baltimore Plastic Surgeon

ASPS

No

Typically the bags under the eyes are caused by fat around the eye pushing out against the structures of the lower lid. These structures are weakened by age, time etc. In addition because this is an age related process other aging phenomenon are occurring such as wrinkles around the eyes. So Botox will definitely improve these wrinkles but will do little for the bags. The only way to improve the bags is surgery.

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

Yes and no

Gingerly administered, the muscle induced crow's feet may be helped. However the bags under the eyes will not be helped by Botox. Surgery or fillers may be more helpful. sek

Scott E. Kasden, MD

Dallas Plastic Surgeon

ASAPS ASPS

Botox may not be the answer

Based on your description, it sounds as though you may need a blepharoplasty (eyelid surgery) to address the area under your eyes. Botox is usually more effectve for crows feet. Chemical peels or fillers may also be of some benefit however, are not likely to adequately address the problem. I would make an appointment with a plastic surgeon so he/she can evaluate your concerns and make appropriate recommendations.

David A. Robinson, MD

Munster Plastic Surgeon

ASPS

Eye bags

The best treatment for bags under the eyes is usually a blepharoplasty ( eye lid lift). Fillers can camouflage the depression underneath the eyes. Botox will do nothing for this.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Many options for eye bags

Considering the use of Botox, I would strongly recommend a consultation with the plastic surgeon for the evaluation and suggestions what is needed to be corrected. Every patient has different expectations. The botox injection around the eye area definitely could address the wrinkles you are concerned about. In many cases is not going to help with bags and dark circles under the eyes The surgical procedure called blepharoplasty is often required to remove the bags. Or you may have filler... more

Gregory Turowski, MD, PhD

Chicago Plastic Surgeon

ASPS

Botox on lower eyelids: may help wrinkles but may worsen 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... more

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Botox and bags under eyes

Botox will be helpful for the wrinkles you see around your eyes (crow's feet) when you smile. The "bags" you are starting to see under your eyes will need close evaluation by an experienced facial cosmetic surgeon, to see how best to improve them. You may need skin tightening by laser or other means, surgery or possibly a dermal filler depending on the cause of the "bags" and your facial contour. Good Luck!

Anifat Balogun, MD

Seattle Facial Plastic Surgeon

Botox for Crows Feet Wrinkles, Restylane for Lower Eye Lid "Bags"

Hi Mosa Noor, Best to be evaluated by a physician who is experienced with Botox and facial fillers. After carefully evaluating the areas of your concern, appropriately placed Botox will help reduce the wrinkles that are bothering you when you smile. If you are a candidate, properly placed Restylane in the lower eye lid hollows will smooth the transition between the "bags" and the cheek, giving you a natural and youthful appearance. See you around Tarzana. Let's keep all the bags in... more

Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

Botox is helpful for crow's feet around the eyes.

Botox will not help the bags you are starting to see. I have not had great success eliminating wrinkling of the lower eyelid skin with Botox either. The crow's feet respond well to Botox, and lower eyelid bags can usually be treated non-surgically with Injectable Fillers. By filling in the groove that develops between your lower lid bag and cheek, a natural un-operated appearance can be restored. You can see under eye treatment with Injectable Fillers in the photos section of my RealSelf... more

Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

Botox will not treat bags under the eyes

Botox is useful for treating wrinkles caused by contracting muscles. The wrinkles "around" your eyes may be treatable this way. Typically, the "bags" under your eyes would be best treated with lower eyelid surgery called blepharoplasty. This can be adressed with different techniques that would vary based upon the surgeon and your anatomy.

Jeremy Waldman, MD

Manchester Plastic Surgeon

Botox or Fillers?

To correct the bags under the eyes, nothing works better than Restylane to fill in the valleys and disguise the bags. This will help some of the lines but the better choice for lines is Botox or Dysport. This is a very delicate area because of the thin eyelid skin. At the outer corners the crows feet are easily treated. Under the eyes a tiny amount of Botox can relax things and sometimes even make the eye open wider if desired. Some will respond to Botox under the eyes in the lower eyelid... more