“Do Not Use Dysport! I Had It Done Under my Eyes and Forehead Area”

I would not blame the product but the person doing the injecting. Anything put in the wrong area of your face can go wrong where the same product used correctly can produce something wonderful. I am so sorry you are going through this and I hope is wears off quickly on you. I wonder if you have searched for someone else just to see if a few units in a different area could correct the problem?

Dysport is not for use under the eyes. I am not sure what your treating physician was trying to accomplish. Many injectables are used "off label" which simply means they are used for treating areas other than those approved by the FDA. For example, Juvederm is very often used for augmenting the lips, but the approval is for nasolabial folds. So it is with Botox and Dysport - both are for treating glabellar lines in the forehead, but Botox has been used for many years for close to a dozen cosmetic applications. Dysport has more "spread" than Botox, and for that reason, experienced injectors will not venture into the same off label areas as they will with Botox. Thank you for sharing your experience. This will not only help others who are considering cosmetic treatments, but also doctors and nurses who may not be aware of the care levels they must use in applying new products. It is unfortunate you must experience this unpleasant effect until the product has lost it's power. Although I'm certain your physician had no idea this would happen, I hope he or she has found a way to make this up to you.

It is very likely that the lack of normal movement under your eyes is allowing for some additional fluid accumulation (like what can happen if you sleep very long and wake up with puffy eyes and eye "bags") Because the action of the microtoxins will fade and disappear, you should not have long lasting effects. Keep the skin around your eyes moisturized with a light eye gel and watch your salt and soda intake. Any foods that are highly salted increase fluid retention. Some cool, fresh cucumber slices may help reduce fluid buildup. Be gentle around your eyes so as not to stretch the skin either. Since the effects generally wear off in 3 to 4 months, you should be okay by May. Please post again once your issues are solved.

Hi Shabbygirl - I absolutely know how sad and desperate you feel because I feel the same! I have the same effect from Botox in the bunny lines area (either side of the nose) and Botox in the crows feet area (lower outer part of the eye muscle.) I've got face and cheek drop, loose skin, puffy bags under my eyes from pseudo-herniation of the fat pads, a horrible 'lift' to my face when smiling, indents/divots on either side of my nose, the weird bunching effect around the eyes and the new horizontal wrinkles under my eyes and at the top of my cheeks. It is not only Dysport that should not be used around the eyes - neither should Botox. I agree with Dr Mani that some of the bag-like appearance under your eyes is from the inability to clear swelling because of the paralysed muscles BUT I think some of it is also pseudo-herniation of the fat pads under your eyes. When the muscles under the eyes are weakened too much they are no longer strong enough to hold the fat pads back and they bulge forward creating eye bags. This happened to me. As Dysport is known to spread further than Botox, the shots on either side of your nose could easily have overly-weakened the muscle directly under your eyes. No amount of creams or cucumber can fix the appearance of herniated fat pads under the eyes - only a strong muscle or a blepharoplasty can fix it. There are a couple of ways to tell the difference between swelling and fat pad herniation. Firstly, swelling comes and goes whereas fat pad herniation looks about the same. There are some difficulties with this if it is a combination of both. How do you tell which is which? Also the appearance of swelling doesn't change if the eyes are looking straight ahead or upwards, whereas the appearance of fat pad herniation is much worse when the eyes are in upgaze. Take a photo of yourself looking straight ahead then take another with your eyes looking upwards and see if it looks worse with your eyes upwards. Mine looks much worse when my eyes are in upgaze, which is how I know it is more than swelling. There is a bouncy, fluffy feel to herniated fat pads and I have that also. It has been 32 weeks since my Botox disaster and it has not yet worn off. I think you have been reading my posts on RealSelf and I should point out that my Botox horror result was EXTREME because the Botox was administered concurrently with tetracycline antibiotics and they massively potentiated the Botox effect. This was a horrible mistake by my doctor that I am now paying for. What I am trying to say is that it would appear that my recovery time from my bad Botox effect is longer than the norm. Please do not use the length of my recovery time as a gauge for yourself because you will be depressing yourself unnecessarily! I am sure yours will wear off much more quickly and fingers crossed in time for your big events coming up. I also hear that Dysport does not last as long as Botox. I have also sent you a private email. Wishing you the best. Cheers, K

Hi again Shabbygirl - I just re-read your email to me and I note that you had Dysport directly under the lower lashes of your eyes. I Botox directly under the lashes of my left eye only and guess what? It is the one with the FESTOON underneath it. A big, bulging, puffy eye bag that I did NOT have before Botox. Directly under the lashes is the WORST place to put Botox/Dysport and festoon formation is a common outcome. It causes the muscle to be weakened and the fat pad to bulge out. Your injector sounds almost as clueless as mine. It is not swelling under your eyes, it is herniated fat pads. I'm sorry - I should have read your email more closely the first time! K

Any improvement, Shabbygirl?

I feel lucky to have had a great experience with Dysport. I had it injected in my forehead and on the sides of my eyes where I have a line when I smile. I am totally satisfied with my results and this is the third time I have had it done with no problems ever. Iris Gin MD. is my dermatologist. BTW my dermatologist has never suggested I get it under my eyes. I am sorry you had a bad experience. Maybe you should go to a different dermatologist office?

I'm far too scared to ever let another fool around my eye area ever again.

I had dysport for glabellar frown lines about 5 weeks ago. After 3 weeks i was mostly satisfied with the look, my frown line gone, except for too much raising of eyebrows on the outer side. I returned to get a touch up on my forehead and the doctor said “don’t you want your crows feet done too?” I said no at first, and asked if I did would my expressions like smiling change. She said no, it would just soften those lines. After a week I started noticing I had slight bags under my eyes particularly when i smiled and the area on my upper cheek bones felt strange. I called the Dr. who gave me the treatment and complained about the puffiness under my eye, she said wait until 2 - 3 weeks for it to take full effect. Now after two weeks when i make any expression like smile or laugh I look terrible! When I smile have huge eye bags and look like a chipmunk, my eyes don’t smile anymore and my cheeks droop down on the sides. I’ve now read others who have experienced this side effect and it’s due to the person improperly injecting or injecting too much. I’m so upset, I don’t know what to do. I have an appt. for a follow up next week when I return from a trip to show this woman what she has done to me. I want to report this physician, I think she was careless when she did my treatment and is incompetent! I plan to report her to the Naturopathic Physicians Medical Board in Arizona. Is there anything I can do to minimize this? have fillers put in the eye bag creases? take anything to reduce the effects? I’m so afraid this is permanent and won’t go away. I’m so embarrassed, I have to try and hide my face when I smile or laugh because I look so odd!