How Long Will I Have These Bags Under Eyes After Botox Injection?

Botox injected in the lower eyelids can reduce the bulging of a hypertrophic muscle, but if you are prone to periodic swelling of the lower eyelids, then Botox might exacerbate your condition by inactivating the pump action of the muscle which helps drain the fluids.

Hi Jan.  Injecting Botox under the eyes is unusual.  There are very few circumstances where this would be appropriate.  Injecting 2 units is also unusual.  This is a very low dose and would normally not cause swelling or bags.  

A picture and description of where you were injected would be very helpful in clearing up the confusion.  It should not be long until things return to normal, but if you experience further swelling or pain, be sure to return to your injector immediately.

Without knowing more specifics, I can only presume that the Botox was placed into a hyperactive orbicularis muscle below the eye, which is not commonly done but I have certainly done it with good results for carefully selected circumstances. If that is the case then the 2 unit dose was appropriate. However, if you truly had a hyperactive muscle in that area then swelling would not be expected. Discuss your concerns with your injector.

Please do not let this injector place any more treatment in the lower eyelid area.  Fillers are preferred for lower eyelid issues.  Consider finding a new injector.  Creating this type of an issues raises questions about the judgement of the injector.

This recently happened to one of my patients.It seems on exam to be from loss of some of the pumping action of the lower eyelid muscles.Had 10 units to lower crows feet out laterally by and experienced injector and Allergan Botox trainer.The edema improved rapidly and to my patients satisfaction with 20 units of Vitrase to right lower eyelid edema and 10 units to left lower eyelid edema.Thanks to Realself to allow me to research the problem and come up with a solution.Keith Denkler MDSan Francisco Bay Area Plastic Surgery Larkspur, CAClinical Professor of Plastic Surgery, UCSF