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POSTED UNDER Botox REVIEWS

Jabba the Hut Puffy Eyes After Botox for Glabella Region

ORIGINAL POST

I recently went to my provider, a prominent...

chloerose
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I recently went to my provider, a prominent plastic surgeon in the area for treatment of the glabella region only. He also treated the 'Charlie Gibson' horizontal line over my nose which is not that prominent but there. I have had this done by him many times before with excellent results. Usually I wait about 6 months between treatments but wanted to look good for my nieces wedding so was retreated at 3-1/2 months.

When I was injected this time I noticed the shots were extremely painful and he seemed to put more botox in the line over my nose. The night of the treatment I could not get to sleep at all and my eyes were actually hurting -- felt very dry and grainy. When I looked in the mirror the next morning I noticed a decided pouch under each eye that I definitely did not have before. My eyes themselves looked irritated red and beady. Over the next three days my eyes grew progressively worse -- the under eye pouches became huge, baggy and very wrinkly and the fat pad above the inside corner of each eye bulged out. My eyelids were also dropped -- my eyes are normally quite wide and large -- now they looked slightly closed and definitely smaller. They were also dry and uncomfortable -- I was using eye drops constantly.

Five days post botox treatment my eyes looked more puffy than ever. Upper eyelid was noticeably drooped and I had huge wrinkly elongated bags under each eye.

Alarmed, I phoned my doctors office only to find he was out for a couple of weeks but his associate would see me that day.

I went in looking for some help or at least compassion and admission that a the botox had gone wrong. Instead, the associate (who does only body work -- no face work) completely blew me off. He admitted my eyes looked very puffy but said it could not possibly be from the botox. I maintained that I believed the botox had seeped into the muscle surrounding my eye causing the puffiness and the fat pads to bulge. He said that could not happen because I had not had my crows feet treated and suggested perhaps I had eaten soy sauce or had an allergic reaction to something. He recommended I see a doctor and ask for 'water pills'. When I told him I take lasix every day he replied, well I guess that will not help then, sorry hope it goes away but it is not from the botox.

I am absolutely furious not only for my very bad result but especially for the shabby way I was treated -dismissed with little more than an afterthought. I examine my face everyday -- I know I did not have bulging puffy wrinkly eyes before the botox injections. I did not 'eat soy sauce' or have an allergic reaction to something else. My baggy wrinkling puffy eyes were definitely the result of the botox injections I had received five days before.

I am sick of these doctors who are so willing to take your money but completely unwilling to take any responsibility when things go terribly wrong. I plan to go back to see the doctor who injected me when he returns from his trip but he too will probably take no blame for the hideous way I look and blow me off as well. It is going to take months for me to return to normal -- if ever and I am just sick about it.

Replies (174)

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August 28, 2009
Hi Chloerose - the title of your post made me laugh out loud (thank you!), not because it is actully funny but because Jabba the Hut perfectly describes the look. I have the puffy bags under my eyes too. See my review and posts (I had a series of disasters starting in June) and also see reviews and posts from Amaxy, Beth F, Me Too and Learning etc. We all have the puffiness under our eyes and the strange horizontal lines and wrinkles across the puffy bags. None of us had this before botox. It is 7 weeks for me today and not much has changed. My right eye looks okay in certain lights but I can feel the puffiness and looseness of skin. My left eye is ghastly. I think it is because the asymetry in my face makes the left eye bag so much more noticeable. It looks like a puffy Nike swoosh under my eye and it is particularly evident when I smile. Not much to smile about these days - that's why I was so grateful to be able to get a laugh from your Jabba the Hut reference. I have to say that lots of us who got the puffiness under our eyes had crows feet injections but lots of us had our foreheads done too (I had both) so I don't see why your doctor's colleague is so adamant that it can't be botox causing your effect. I too have small, dark, beady and sunken eyes now. This was not the case before botox! Lots of us have also experienced the denial from the medical profession that comes with a bad botox result. I agree with you. I wash my face every day and I know where everything should be, how it should feel and how it should work. I know when something changes. The response you got from your doctor's colleague is absurd - SOY SAUCE?! I have never heard of anything so ridiculous. And I suppose they are saying it is just a coincidence that this has happened 5 days after botox and hasn't gone away since? If I had known that botox could cause these kind of results then I would have avoided it altogether. Last October I had some success with botox but now I just don't think it is worth the risk of a bad outcome. It takes ages to wear off and I strongly suspect that some (or most) of the damage will be permanent by then. You said that you usually have botox about every six months. I had it for the first time in Oct 08 and then again in April 09 (six months later). I am pretty sure that by the end of the six months not all of the botox effect had worn off. It was definitely wearing off but it had not completely gone. Is that your experience with having botox six months apart - that some of the effect is still there six months later? I would be really grateful for an answer because I want all of this gone from my face and need a realistic time frame! Please let us know how your meeting with the injector goes or if you see any improvement in the puffiness etc. Cheers.
August 29, 2009
Hi Tried But Failed - Thanks for your comment. Yep Jabba the Hut eyes they are -- I am nothing if not descriptive. I have read your posts and believe me you have my sympathy. I am now nearing 3 weeks since my botox in glabella and bunny line and sad to say the wrinkly bags and sunken eyes remain. I get up every morning hoping they will be gone but no such luck. I will say there is some improvement to the huge swelling all around my eyes but not to anything else. I have some ptosis as well but it is to both lids so if you did not know how my eyes normally looked you may not notice that part -- but the bags horrible, especially when I smile. I have gotten botox shots for about 3 years and probably have had problems more times than not. You may wonder why I keep doing it -- because when the reults are good they are wonderful. With my previous provider (also a plastic surgeon -- I would never go to a spa for this) my result was OK. But one time his nurse did it (I did not know she was going to do it but was too chicken to stop her once I got there and was in the chair and realized she was not just prepping me but also injecting me). She pumped nearly the entire syringe straight between my eyes and I looked VERY surpised for months -- not a good look. So I let that wear off and returned to the Doctor and he injected me for the glabella again. I ended up with uneven eyebrows. So I stopped going there and started with my current guy who is a very well known plastic surgeon. He did a fantastic job -- I looked like I had had a brow lift -- really ten years younger. The second time I had it done by him (always for the glabella - I have very strong "11" lines), I was so pleased I went back and had my crows feet done. It was a disaster. I ended up with the "dented apple" effect -- resembled a cast member from the Night of the Living Dead. I did go back and show my doctor the unfortunate results and, to his credit, he agreed. He said he had treated me conservatively and next time would use even less. Well there will never be a next time for botox in the crows feet for me. I will keep my crows feet. It is just too risky. But I digress. To answer your question, yes the botox, at least for me, lasts up to 8 months. By 8 months it is completely gone but certainly not by 6 months. That is why I was such an idiot to get my glabella region done after only 3-1/2 months had passed. My "11's" were just starting to be visible but hey, I wanted to look good for my niece's wedding. I think my Doctor injected the same amount of botox as he normally does (25 units) but I did not need that much because of my early return. I think that's part of the reason for my bad result but I also believe he injected deeper and put more in the bunny line. That line is very close to they eyes and I have a small face -- that is why I think it diffused into my eye muscle. I am hoping because I did not have my crows feet done, not a whole lot seeped in and the bags will be gone in 3 months. Hope springs eternal . . . I have not yet returned to the Doctor who injected me but will if I don't see improvement by next week or so. I will post here about that if I go back. You take heart, the botox will eventually wear off. It may take 6 to 8 months depending on how much was injected and where but it will go away. In the meantime, get yourself a nice pair of "Leslie Banfield" glasses. You know the big black rimmed ones that are so popular now. They do a lot to hide those Jabba bags. Good luck and it really helps to get sympathy from my sister victims.
August 28, 2009
That is awful. I had a similar experience with a filler gone wrong (by the same doctor with no prior problems) and he didn't take any responsibility for it. I think we should name them, then maybe they will learn to treat their patient better. I think your problem will subside. I don't think it's permanent, though I'm sure that it's horrible right now.
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August 29, 2009
Hi KGB - I actually got an apology from my injector after my bad botox result. Maybe it is different in Australia because giving an apology does not mean the doctor is legally liable for the mistake. I did, however, have a very bad experience when I sought a second opinion from a prominent plastic surgeon about how I could make my muscles recover more quickly from the botox. He was rude and dismissive and said that he could see nothing wrong. Clearly he thought I was there because I was planning to sue my injector and wanted him to be a witness later on. AS IF! Law suits (especially personal injury claims) are for lawyers, not for victims. They take ages to resolve and very rarely have positive outcomes. Who could be bothered?? I just want it all to go away and HOPEFULLY it will in several months' time. I read your review and posts. I agree that you were too forgiving with your injector. What most doctors don't understand is that we already know that they are not perfect and mistakes happen but what we expect when these mistakes occur is for them to admit it and take responsibility. It is the denial that makes people really angry, don't you agree? NAME YOUR DOCTOR! Why not? Okay, a mistake was made and initially you were kind and forgiving and didn't assign blame BUT you have been treated very poorly and you should at least name the doctor for that. Cheers
August 31, 2009
yeah you're right. I should name him.
August 29, 2009
KGB and Tried -- totally agree that we understand that mistakes can happen but when we patients return and show our doctors the bad results, we should not be blown off as neurotics or hysterical woman who are "imagining" things. In my case the doctor who injected me was out of town It was his colleague who saw me and blew me off. Therefore it would not be right to name my Doctor. He did actually admit to a bad result from botox in my crows feet last year. Hence I returned to him for more botox (just not in the crows feet). We just want them to admist when something has gone wrong even if there is nothing to fix it but time.
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August 30, 2009
Hi again Chloerose - your reply to my post made me laugh out loud AGAIN. Honestly, you should write a column for all of us poor devils with bad botox results to lift our spirits while we hide at home waiting (months!) to return to normal. I am also getting an education from your posts. Being Australian, I had no idea who Charlie Gibson or Leslie Banfield were but googled them to find out. I now understand your reference about the Gibson nose crease. Regarding the glasses, sadly(!), I still have 20/20 vision so will have to rely on a ton of concealer to camouflage my Jabba eye bags. Or maybe I could get fake Leslie glasses? To be honest, nothing much helps the gigantic Nike swoosh under my left eye because it creates shadows everywhere especially when I smile but I will give anything a go... More unfortunately, even decent concealer (dermablend) seems to get stuck in the horizontal lines across the puffy bags. Yuck! This 'magical fountain of youth' botox has aged me at least 10 years. Another RealSelf member (aboutface) described botox as a 'crap shoot'. That seems to be your experience and I agree. When it works, it is brilliant, but when it fails it is an EPIC FAIL. I have tried to tell other people that the effects of botox do NOT wear off in 3-4 months. This is the time frame for more botox if you want to maintain results that you like. For those of us with the 'botox chipmunk' (cheek ptosis) that you so aptly describe as creating the appearance of a 'dented apple' so as to look like one of the cast from the Night of the Living Dead it takes MUCH longer than 3-4 months to finally wear off. I am so glad you concur. I have said to other RealSelf members who are devastated not to look like themselves after 3 months that it is realistic to wait about 9 months for it to be completely gone and the muscles properly recovered. I don't tell them this truth to scare them, I just think they should be realistic about how long it actually takes to come right. False hope is worse than no hope! Also, they should not give up after 3 months and think that is the final result. It is a long and horrible wait but it does eventually get there! You say 8 months and I say 9, so I think we are on the money. Good grief! Only 6-7 more to go for me... I am hoping to look 'presentable' by Christmas. Scream! Look forward to seeing how you go with your real doctor when he returns from his trip next week. Please write a post about what happens. In the meantime, avoid SOY SAUCE at all costs!! Cheers.
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August 31, 2009
Some GOOD NEWS (finally). I am very pleased to report to my fellow Jabba sisters that the Nike swoosh has left the building! TODAY. I still have some under eye puffiness and the crazy horizontal lines across the under eye area but the horrid puff under my left eye is no longer there. For those who have not been reading my previous posts all over this website, it has been 7 1/2 weeks since my botox fiasco began. I still have a long way to go to correct the cheek ptosis and I still look a bit like a demented chipmunk especially on smiling but - hey! - I thought I should write for those who need some hope about a very definite and obvious improvement that happened almost overnight. This eye puff was under my left eye ONLY because the botox badly exacerbated my facial asymmetry and it was the absolute worst part of the whole effect because every day someone would ask me what was wrong with my eye. Honestly, how long can a person say 'allergies' when it is only one eye that is so obviously affected?? Anyway, today nobody asked me what was wrong with my eye for the first time in almost two months. HURRAY! Bring on the rest of my face, I say. (PS - I hope I am not writing again tomorrow to inform you all that the wretched puff is back!) Cheers
March 9, 2010
Hi tried but failed ... I really should find a way to get your email address because it is only by reading these posts that I realized that what is going on with me is very similar to what you went through and is NOT just the hyaluronidase nightmare but a combo of that and the botox. I also have a herniated fat pad, under my right eye (and in my other post I told you my upper eye inner fat pad on the left is also sticking out). My doctor, an oculoplastic surgeon, today couldn't figure out why my lower eye lids didn't match ... fine on the left side, a mess on the right side. He kept touching under my right eye and said it was fat; I showed him a photo taken in December (no fat pads). When I touch it there it feels like the muscle is all bunched up or something. I do not have the chipmunk look but am sure this is a herniated fat pad, and I did not have anything remotely resembling this before the botox near the crows feet. How long, if you have any idea, will it take for the herniation to disappear? If ever? (The posts of docs say it will improve with time and disappear when the botox goes away, but for me the botox is pretty much worn off in other areas of my face, e.g., the frown lines)
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March 10, 2010
Hi EyesC - I will send you a private email with my real email address. I am also happy to give you a call over the weekend if you want to email me your phone number. Might be best if we chat about all the issues and try to work them out one at a time? Firstly, let me start by saying that I got ahead of myself with that post. The puff bag under my eye was REALLY bad and it was the first time I saw ANY improvement at all at about the 2 month mark. In fact it had continued to get worse and protrude more for about 4-5 weeks following botox. I have photos of this and it was unbelievable actually. I wrote that post in response to the fact that it had stopped puffing out MORE and had actually gone down a bit. Celebration way too early, I'm afraid. For you, I have good news and I have bad news. The good news is that I got a tiny bit of movement back in my face after about 8 weeks and the hard, solid fat protrusion went down a bit as the skin that had been tightened by botox started to loosen up and allowed the bag to start to 'blend' back in with the rest of my face. I was relieved that it was not continuing to get worse and I was focused on that and the improvement. I did not realise how SLOW it was going to be to get better. The bad news is that I was fooled into thinking the worst was over and that recovery was only weeks away. (I was still thinking 3-6 months and it would be back to normal at this point - stupid me!) In all honesty, I STILL have the herniated fat pads that I never had before (way worse on the left side) and it is almost 35 weeks post-botox. The natural asymmetry in my face was also markedly exacerbated by botox. I think this has happened to you also. The herniated fat pads under my eyes are definitely not as noticeable as before and really only show up when I move my face. If my face is completely still then they just make me look really tired. One thing to be very conscious of is that botox initially makes the skin very tight and then the skin loosens up as it wears off. This is why you get ripples on your forehead as botox wears off, for example. The loose skin is pushed around by the botox when muscle movement starts to come back. The same thing will happen under your eyes - the skin will become really loose. This is generally when people go back for more botox because they think it has worn off. Not so. It is only about half way through at this point. Apparently as the muscle strength comes back, the skin tightens back up again to its normal tone ( because in the face, the muscles are unique in that they are connected to the skin). I have yet to see the skin re-tightening claim come true 9 months later but I live in hope! This is why I think facial exercises (manual or by exercising device) are really important to make this second phase occur more quickly. From the reports on RealSelf, the forehead always seems to wear off more quickly and the area around the eyes takes the longest. Ugh! If you tell me how long ago you had the botox, where it was injected and how much you had then I can probably take a guess at where you are up to in the 'wearing off' process so you know what to expect. Remember I had extreme botox so my horrendously long timeframe is not the norm, although the 3-4 month estimate is also a complete fabrication of the truth! I hope we get to chat on the weekend. Cheers, K
March 10, 2010
K, Thanks for your message. I've changed my account settings so you can email me privately, if you would not mind trying again. Sorry about that. My left eye is totally normal. My right eye looks so awful right now, especially under the bright office fluorescent lights (and the elevator here is the WORST and where I seem to run into everyone). I have this white "shape" under my eye with a darker shadow beneath (very noticeable festoon effect) and I can't determine whether it's herniated fat or leftover filler. The surgeon I saw did not know what it was but said he could not feel filler there, so my thought is it's herniated fat. Looks TERRIBLE. Could not tell you how much botox he injected though I got it done around 2 months ago. He put one or two shots in the corner of each eye but not under the lash, and he did no "snap test." The thing is, I had no crows feet and it was HIS idea not mine. Also, I can move the eye and the muscles surrounding the eye, though they are still somewhat weak. I started exercising them more and the skin looked better while I was doing that but the effect was temporary. I woke up today and it's as bad as ever. Wish the hyaluronidase wasn't so devastating for me, as I would love to get the filler out and see what it is I'm dealing with, but I won't do it of course given my horrible experience with it.
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March 11, 2010
It would appear that you and I are living the same nightmare on opposite sides of the world! I am so sick of not knowing what to do or what is really wrong too. I looked fine before and I regret every bit of this idiocy. I cannot remember the last time I felt good about myself. Must be about a year ago? Clearly injectables work sometimes. I had a decent (not brilliant) experience first time around but nobody warns you how devastating a disaster with injectables is really going to be. Moreover, nobody warns you that they will know what to do about it when one occurs. I never liked fluorescent lights because I thought they highlighted the dark circles under my eyes. What I would give to just have that minor problem back! I am now positively phobic about overhead lights, especially in the confined 'no place to hide' space of a lift. I am writing this at work and honestly feel like crying. I was never a crying person before this mess either. I was happy! I will send you a private email, chicagoeye. Cheers, K
UPDATED FROM chloerose

Jabba the Hutt - Nearly Five Years Later -- Back to Normal -- After Surgery

chloerose
I am the Chloerose who posted this review in August 2009. I updated my review by adding a comment but am also posting an 'update' because some may not see the comment. For all of those who want to know if it ever got better. Yes and no, it did get better but my eyes never looked they way they did before. I developed noticeable eyelid ptosis and herniated fat pads in the medial region (next to my nose). The more wrinkly skin under my eyes stayed more wrinkly, and I developed deep tear troughs. As I said there was SOME improvement but what really happens is, over time, you become accustomed to your "new normal" even though it is not normal at all. In October 2013 I underwent an upper and lower bleph to correct the lid ptosis and herniated fat pads. There were issues with that procedure requiring an in-office revision but nearly a year and a half later, I can say that I got a very good result. So ladies (and gentlemen) the answer for me at least was that the botox damage was permanent and required extensive surgery to correct. I will also admit that I did do botox again after the August 2009 debacle and on two occasions there were issues just not a serious as those that prompted this post. As others have said, it is a crap-shoot and some people (like myself) seem to be more prone to problems than others. Be very very careful who you let inject you and never let anyone other than a board certified PS, Ocu-PS or Dermatologist. But even if you do your due diligence, you can end of with a very bad result which will take many many months to recover from. Don't do botox unless you really really really need it.

Replies (3)

March 9, 2015
thanks for sharing Chloerose -I am seeing a surgeon next week to evaluate what can be done for my perm post botox issues. Glad that you are happy with the work you have done, you are very brave xx Meltyface xx
September 5, 2015
It's terrible this happened to you and terrible that the doctor's office didn't take responsibility for it. Boy, that must have been some potent soy sauce if it caused you to need corrective surgery!! lol What a ridiculous thing for the doc to say. Obviously it was the botox that caused the problem.
September 6, 2015
No doubt about it. The doctors, of course. only care about protecting themselves -- the patient is nothing but the "cash cow".