Can Botox cause water retention under eyes?

I had Botox on my crow's feet (and between my brows) and after about a week, I got a puffy, watery bag under one eye. It looks like I was punched in the eye (without the brusing) or had a teaspoon of water injected under my eye.

I went back to the doctor who treated me who said it was ademoa and doubts it was caused by Botox but... I have tried icing it, sleeping on my back, reducing salt. It is on the side of my face where I sleep and I wonder if the combination of Botox and presure from the pillow may have caused this. Does this happen often? Is there anything that can be done?

3 answers to “Can Botox cause water retention...”

A: Botox does not cause swelling

David Shafer, MD

Botox does not cause swelling. And, unless it is very dilute, there should not be much saline either. Additionally, the small amount of saline used with the Botox should be absorbed with in a few hours at most. If you provide pictures, we may be able to give you more advice.

A: Puffy lower eyelid after Botox

Daniel Reichner, MD

The fact that the lower eyelid became puffy one week after your Botox injection makes me doubt that this is due to edema. I suspect that this "bag" could very well be from pseudo-herniation of the obicularis oculi muscle due to the botox.  When the obicularis oculi muscle is... more

A: Water retention after Botox

Bryan K. Chen, MD

Fluid from the forehead or glabella (between brows) can travel with the pull of gravity to an area of least resistance, in this case the lower eyelid. I would recommend gentle massage of this area to encourage fluid to leave the tissues in that area. I have seen fluid of the lower eyelids last 2-3 weeks.

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