Bags under eyes 2 weeks after Dysport, 3-4 units directly under each eye. What is the remedy aside from waiting? (Photo)

Thank you for your question. For patients with a history of hay fever /
allergies, there may be some fluid build-up under the eyes after treatment with
neuromodulators (muscle relaxers) like Botox, Dysport or Xeomin.  Prior to
having treatment with neuromodulators, your muscles work to prevent and clear
out the normal (lymphatic) fluid which builds up at night (when we are not
using those muscles) however, once these muscles have been relaxed, the fluid
can build up overnight. Normally upon waking up with puffiness and bags, our
muscles work to clear out the fluid however when the muscles are not working to
clear it out, it remains. Taking antihistamines (if you are not allergic) can
help reduce this local fluid build-up. Please also consider use of a resilient
hyaluronic acid eye cream (I use Teoxane) which draws in fluid to the tissues surrounding
the bags and can help the hollow areas look better.  I would also
recommend consulting with a board certified dermatologist or plastic surgeon
who has extensive training and experience in injectables.  They fully
understand the facial anatomy and the artful placement of injectables which
leads to optimal results. They can also help you resolve your current issues.
Thankfully there are ways to improve this temporary situation and I wish you
the best.

Unfortunately there is nothing to make the muscle come back faster after Dysport injection. As you stated, the pumping mechanism of the lower lid is not functioning and thus lymphatic drainage is impaired. Filler might be helpful to restore volume loss, but I'd be conservative - maybe 1/2 a syringe per side of Restylane using blunt cannula placement. Typically I inject about 3 units for a roll under the eye from orbicularis hypertrophy/wrinkles and don't have similar problems.