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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?

Doctor Answers (24)

Botox on lower eyelids: may help wrinkles but may worsen bags

+2

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.


Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

Botox around the eyes

+2

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
5.0 out of 5 stars 39 reviews

Under Eye Bags: Botox Vs. Blepahroplasty

+1

It's not unusual for patients to develop loose lower eyelid skin with prominent fat pads and eyelid wrinkles during the aging process. When this situation arises, botox treatments are rarely indicated. Although botox may help fine eyelid wrinkles, it probably won't help eyelid bags and may possibly make them worse.

Under these circumstances, blepharoplasty surgery is probably indicated. This procedure would address loose eyelid skin, eyelid wrinkles and fat pads.  Blepharoplasty is associated with excellent clinical results and high levels of patient satisfaction.

When patients have complex eyelid problems, it's important to consult a board-certified plastic surgeon. This surgeon should be able to make an appropriate recommendation to address your eyelid concerns.

 

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 78 reviews

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Botox can help under eye wrinkles and bunching, but does not flatten true under eye bags.

+1
Botox works only by weakening muscles. Around the eyes this can help, or this can cause a problem. When used in the right amount, in the right locations, Botox can reduce the pulling and wrinkling around and underneath the eyes, which can prevent under eye bags from protruding further. But if used excessively or in the wrong spots, Botox can make the lower lid sag, change the shape of the visible portion of the eye, and generally be a disaster. True bags caused by outpouching of fat pads can only be camouflaged by filling in hollow spaces around them with filler, or by surgically tightening or removing them. It's best to see your local dermatologist for a careful evaluation of the anatomy and function around your eye to see what's going on and make a comprehensive plan.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
5.0 out of 5 stars 40 reviews

Does Botox Help Reduce Under Eye Bags

+1
Botox can help soften the wrinkles but does nothing to the eye bags.
Dermal Fillers can help address the loss of volume that you are experiencing as part of the ageing process.
If it is a mild case of eye bags, then fillers may do the job if not you may need Surgery.
You should consult with a Plastic Surgeon who is capable of choosing the best treatment option for you.
Hope this helps

Naveen Somia, MBBS, PhD, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 28 reviews

Does Botox help with under eye bags?

+1
 No, Botox  will not help with under eyelid bags. Botox is an injection that placed into the muscles of the forehead that are hyperdynamic and causing wrinkles. The best uses for Botox include the vertical corrugator lines between the eyebrows, the horizontal lines of the forehead and crows feet.
 A  lower blepharoplasty  performed through a trans-conjunctival approach inside the eyelids will address removal of the bags( three fatty compartments) in the lower lids.
 For many examples of eyelid surgery, please see the link below

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 58 reviews

Botox for eyes

+1
Yes, Botox works great for the wrinkles around the eyes, especially those dynamic wrinkles that you get from smiling.  The bags, however, are from deposits of fat.  If the deposits are not too bad, you can have Restylane injected into the area to smooth it out and make it look much better. Either way, there is definitely something cosmetic that can be done to help you.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 27 reviews

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

+1

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

Can Botox Help for Under Eye Bags?

+1

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 option.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Botox Does Not Work For Bags Under Eyes

+1

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
5.0 out of 5 stars 25 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.