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I Had Undereye Botox 5 Months Ago and Still Have Have Horrendous Fat Pouches Under my Eyes.

asked 1 year ago by Fed up! in Ireland
Latest answer by Peter A. Aldea, MD
Question viewed 839 times
Tags: eyes, 5 months post-op, black eye, filler, treatment, unhappy

I have returned to the cosmetic surgeon twice and he said that it would go in time. I look like I have two black eyes, minus the bruising! I went to two other surgeons and one said wait it out and the other questioned whether filler had been used instead of Botox! I am devastated. I have an appointment with a dermotogist this week to see if Laser might work. At the moment I don't feel like this is ever going to go away. Should I steer clear of Botox forever?

17 answers to I Had Undereye Botox 5 Months Ago and Still Have Have Horrendous Fat Pouches Under my Eyes.

It is unlikely that fat pad bulging 5 months after botox is due to the botox.

Botox wears off in 3-4 months and doesn't cause fat pad bulging in the first place. Is it possible that you had a filler placed under your eyes? Wishing you the best.

David Hansen, MD
Beverly Hills Dermatologic Surgeon

www.DrDavidHansen.com

Increased Lower Lid Bags after Botox

Regarding: "I Had Undereye Botox 5 Months Ago and Still Have Have Horrendous Fat Pouches Under my Eyes. I have returned to the cosmetic surgeon twice and he said that it would go in time. I look like I have two black eyes, minus the bruising! I went to two other surgeons and one said wait it out and the other questioned whether filler had been used instead of Botox! I am devastated. I have an appointment with a dermotogist this week to see if Laser might work. At the moment I... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Botox undereyes

Botox will not do anything for the under eye bags. Fillers can sometimes camouflage them. If they are swollen from edema( water) , perhaps you had a filler placed?

Steven Wallach, MD
Manhattan Plastic Surgeon

:Lower eyelid fat pad pouches, bulges or bags and Botulinum Toxin (Botox and Dysport) injection

Botulinum Toxin (Botox and Dysport) injections can make EXISTING lower eyelid fat bags or pouches appear to be worse but it is not known to make them appear de novo. The lower eyelid muscle tends to hold the fat back around your eye the same way your abdominal muscles hold back your intra-abdominal fat. And in the same way you can make stomach bulge by relaxing your stomach muscles, your lower eyelid fat can bulge out when the muscle relaxes. Tho opposite occurs... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Botox - fat under the eyes

In general, I'd recommend placing botox in the crows feet area only. Other areas around the eye like under the eye can cause some problems. It's impossible to recommend what treatment would be best for your eye area without seeing you in person. In general I'd recommend going to a board certified plastic surgeon, facial plastic surgeon, or oculoplastic surgeon experienced in the eye are to give you the safest and most accurate advice. Dr. Cat Begovic M.D.... more

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Discuss Botox with the dermatologist

The fat bags you complain about are probably not from your Botox injection, since it would all be worn off by 5 months. You definitely need another opinion about what had happened and hopefully the dermatologist you see can help. It may also be helpful to the dermatologist for you to get a copy of your records from the doctor who initially treated you.

Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon

facialplasticsurgerymd.com

Fat bags after Botox

If you had Botox to treat the fat bags, you had the wrong procedure. Botox only relaxes the muscles. Sometimes it helps with under eye muscles that are prominent but it never helps the fat bags. Filler may be able camouflage the bags. Removal of the bags with a lower lid blepharoplasty is likely indicated unless your anatomy makes this type of surgery too risky. You should be evaluated by a plastic surgeon, not a dermatologist.

Lisa L. Sowder, MD
Seattle Plastic Surgeon

Botox and lower lid fat herniation

It is actually quite common in older patients wanting to get rid of the lines under the eye and the doctor injected too medial into the muscle around eyes. The protruding of the fat does not go away after BOTOX wears off especially if you are older. You option now would be lower eyelid surgery to remove the fat pocket. Laser may help temporarily but you will be much better off with lower lid surgery.

Norman Ge, MD
Orange County Facial Plastic Surgeon

Fat pouches under the eyes after Botox

Contrary to what some responders are saying, it is possible that injection of Botox under the eyes can lead to what is called pseudo fat herniation. That is , the muscles that hold in the SOOF fat pads are relaxed by the midpupillary injection of Botox. I do agree that this should have been more temporary however. If they used Dysport instead of Botox it may last longer so giving it more time is wise. The key is that it should not be permanent. An oculoplastic surgeon is the... more

Shawn Allen, MD
Boulder Dermatologist

Fluid of lower eyelids after Botox

If Botox were the only thing injected in the lower eyelids, and if you had a tendency to retain fluid in your lower eyelid bags, then the Botox might interfer with the muscular pumping action of the eyelid and the fluid could accumulate more. In general, though, the Botox effect would not last more than five, to six months tops and the fluid situation would be expected to improve. Was there more than one needle prick youfelt in each lower eyelid? Possibly a filler was injected. Ask your... more

Ronald Shelton, MD
Manhattan Dermatologist

Pouches after Botox

Hi, Sounds like Botox is not working for you. However, pouches under the eyes are usually treated with surgery not Botox. If you have fat pouches under the eyelid then a Blepharoplasty is the procedure you should have. Botox only works for wrinkles on the outside of your eyes. Best, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

Please send pictures

Your complain about the fat pocket under the eye has nothing to do with the Botox. Botox will relax the muscles and will wear off in 3 months. The most common explanation is that you have noticed the fat pocket under your eyes after the Botox. Please see a board certified plastic surgeon or dermatologist.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Botox not usually the best choice for under eye area

From your description, it sounds like the issue is fat pads which would not have been significantly improved by Botox, and the Botox effect is likely gone by now anyway. There are a number of possible solutions, about which we can only speculate without seeing you personally. Sometimes injection of a filler such as Restylane or Juvederm just below the eye bag, to fill in the area where a shadow is seen, can be a good nonsurgical fix. You may also benefit from a surgical blepharoplasty,... more

Richard Baxter, MD
Seattle Plastic Surgeon

Photographs would be very helpful here.

Dear Fed up Not much of a BOTOX treatment is left at 5 months. It is therefore improbable that your issues are related to BOTOX. It is more likely that BOTOX weakened the muscles overlying fullness in the lower eyelid, did not help your cosmetic concern and now that your BOTOX has worn off, you are aesthetically unimproved and worse off by 5 months. It is important that you find other qualified help as it is clear that your don't have confidence in your prior... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Eyelid Fat Pouches Should be Treated by BC plastic or Oculoplastic Surgeon

I would not expect to see a significant change in the fat pads of the lower eyelid with Botox injections. Botox works by temporarily paralyzing specific muscles. You should seek a consultation with a Board-cerified Plastic surgeon or Oculoplastic Surgeon to discuss your options.

John Whitt, MD
Louisville Plastic Surgeon

Lower eyelid 'pouches'

I doubt the Botox is causing your symptoms. Botox last about 3 months anyway, so the effect should be gone by now. I recommend a consulation with an oculoplastic surgeon in order to examine your eyelids and determine what options there are. I cannot comment further without your photograph. Dr Taban

Mehryar (Ray) Taban, MD, FACS
Los Angeles Oculoplastic Surgeon

I Had Undereye Botox 5 Months Ago and Still Have Have Horrendous Fat Pouches Under my Eyes

Sorry for the issue but I can not comment without at least a frontal photograph. Sounds like you need fat removed in a lower lid blepharoplasty. But no picture no accurate advise. Best of luck.