Delayed Swelling After Botox on Undereye Area?

I agree with the comments of the other physicians who attribute the fullness to laxity of the muscle rather than swelling. When the botox effect dissapates (3-5 months), you should see return of lower eyelid muscle tone and improvement in the bulges.

Dear Oksantafe To help Speed up your recovery from the Botox you can do some muscle exercises in front of the mirro for 15 minutes each day- an action like sand is blowing in your eyes- will speed up the recovery of the muscle function. There are some individuals that I have seen that the muscle has not completely recovered- this is not common. With Warm Regards, Trevor M Born MD

It sounds like the swelling you are describing is due to weakness of the eye muscle under your lower lid from the Botox injected in the area. This weakness of the lower lid eye muscle is causing the fat and soft tissue to bulge through. If you did not have much swelling in your lower lid area before the Botox was injected, chances are very good that it will resolve in 2 to 3 months when the Botox wears off. I would discourage you from having Botox injected directly into your under eye... more

Hi! This is not swelling.  You have weakness of the lower eyelid muscles because of too much Botox.  The muscle is a sling, and when it is loose and weak, the lower lid bulges out.  The good news is that this bad effect will be gone in another 2 or 3 months.

What might have occurred in your case is relaxation of the orbicularis oculi muscle under the eyes resulting in herniation (protrusion) of the underlying fat and soft tissue. At this point, I would simply wait until the Botox wears off (another 1-3 months) and see if the swelling improves. I think there is a good chance your problem will self-resolve. If the problem persists in 3 months, I would consult an oculoplastic or facial plastic surgeon. I would also notify your injecting... more