Bags Under Eyes. Suffer From Autoimmune Sygdomme and Cannot Get Botox? (photo)

I am 28 years old and as you can see on the attached picture i have allready quite big under eyes and wrinkles. I have an an autoimmune sygdomme (hashimoto) and therefore i cannot get botox treatment. Which other treatment would you reccommend for such type of bags? Could laser help me? Thank you. Anna

Doctor Answers 2

Fillers and botoxs address different things

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Botox should be safe for you, even with Hashimotos.  Botox and fillers achieve different things. If you are unhappy with the hollowness just underneath your eyelids, fillers would be a good choice for you.

Looking at your photos, you do seem to have a  slightly hypertrophic [bulgy] orbicularis [eyelid] muscle, just underneath your lashes, especially on the right side.

A tiny amount of botox  [1-2 units] in that muscle will soften that bulgy appearance.


Seattle Oculoplastic Surgeon
5.0 out of 5 stars 41 reviews

Hashimoto's syndrome does not preclude you from having BOTOX.

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On the other hand, BOTOX is not the best for the lower eyelid.  For that, fillers are generally much better.  I would recommend that you discuss with your cosmetic surgeon your thyroid status so everyone is on the same page.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.