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“Jabba the Hut Puffy Eyes After Botox for Glabella Region”
Spent: $400 in New York State
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.
This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.
Helpful review?

I feel your pain!! It is hard to tell the difference between oedema (excuse my Australian spelling) and pseudo-herniation of fat pads under the eyes caused by over-botoxing the lower parts of the eye muscle. Apparently, puffiness from oedema looks the about the same when you are looking straight ahead or when your eyes are in looking up. However, herniated fat pads look much worse when eyes are looking upwards (bulge out more). Take some photos to see the difference. Also, did your PS do a "snap test" on your lower eye lid before giving you the botox under your eyes?
I have pseudo-herniated fat pads under my eyes from over botox as well as the wretched CHEEK PTOSIS that makes me look like a demented chipmunk when I smile. Yesterday, it was 9 WEEKS since the botox and I have to say there has been very little improvement at all. Will this nightmare never end.....?
Before experiencing my current bad botox result, I thought the worst thing that could happen to me from botox would be that I might look 'unnatural' or 'frozen' or like a 'deer in the headlights'. I stupidly relied on the oft-repeated statements from the medical profession that 'botox is safe' and 'side effects are very rare'. I also believed the BLATANT LIE that the effects of botox wear off in 3 months. This all gave me a 'what's the harm?' type of confidence with botox that is completely misguided and wrong. If I had have known that botox could make me look older, more tired, disfigured and ABSOLUTELY HIDEOUS (and that the hideousness would persist for up to 9 MONTHS), then I would never have started this caper in the first place. I had heard about the side effect of EYELID PTOSIS because this is the only bad botox result that is ever really admitted to (although denied in Kim's case!). BUT I had no idea that misplaced botox or too much botox could cause CHEEK PTOSIS (aka the 'botox chipmunk', the 'dented apple' and 'punch and judy' face because facial fat droops down the face and swells outwards on smiling); PUFFY LOWER EYELIDS WITH HORIZONTAL WRINKLES (aka 'Jabba the Hutt' eyes caused by overweakening the eye muscle leading to oedema or pseudo-fat herniation under the eyes); FESTOON FORMATION UNDER THE EYES (again either from persistent swelling or pseudo-fat herniation); ECTROPION (where the lower rim of the eyelid turns outwards from botox under the lower eyelashes); BROW PTOSIS (aka 'caveman' forehead, which often comes with swollen upper eyelids and beady, sunken eyes because the brow line is dropped), DEFORMED EYEBROWS (aka 'Dr Spock' or 'Cruella D'ville' eyebrows); EXACERBATED FACIAL ASYMMETRY (creating a deformed appearance); SMILE PARALYSIS (where botox for crows feet leaks into the cheek levator muscle or botox for bunny lines leaks into the upper lip levator muscle) ETC, ETC, ETC. I have quite a few of the above!!!! In my self-imposed isolation while my revolting botox effect SLOWLY wears off, I have now read every medical journal that I can get my hands on and the medical profession is aware of these side effects - BUT THEY JUST DON'T TELL US!
My doctor did NOT do a "snap test" on my lower eye lid before giving me botox under the eyes - especially the 'death shot' under the lower lashes of my left eye. I have pseudo-herniated fat pads under my eyes, festoon formation under my left eye as well as the wretched CHEEK PTOSIS that makes me look like a demented chipmunk when I smile. Yesterday, it was 9 WEEKS since the botox and I have to say there has been very little improvement at all. 'Botox gone bad' destroys your self-confidence and the recovery is a long, lonely and depressing wait. DOCTORS - PLEASE BE HONEST ABOUT THE SIDE EFFECTS AND LET PEOPLE DECIDE IF THEY WANT TO TAKE THE RISK OR NOT. I am disappointed that my doctor clearly did not know what she was doing but I am ANGRY that I was not given the opportunity to decide for myself if the potential benefits outweighed the potential risks. (That's my rant for the day...)