Puffy hooded eyes after Botox? How can I avoid this next time? (photos)

Hi Tayloor,
On your before photos, you have deep set eyes which you like.  The 1 week after photo show a fuller, puffier brow which you do not like.  At 3 weeks, it is beginning to become more hollowed again perhaps as the swelling goes away.
The injections between the eyebrows can cause swelling around the brow area which may have given you the puffy brow. 
Your 3 week photo perhaps was in the morning, but I can see a bit of hollowing returning.
If you take a selfie in the evening I think you will see it looks more like your before photo, than a selfie taken first thing in the morning.
In general the forehead Botox should keep your eyebrows low which should keep your eyes more like your before Botox appearance.  Perhaps the swelling around the eyes from the injections was making you raise your eyebrows instead of relaxing them when you are not puffy. 
I don’t think you will need to wait for the Botox to wear off to get your old eyes back.  Waiting for the swelling to go away should get you back, I hope.  Good luck.
Please post a follow up to let us know you are doing better. 




























Best, 
Dr. Yang 
P.S. If you find my answers or other doctors answers to questions are helpful, please +1 those answers to push up the better answers to the top, which helps others who read the same post, get to the more helpful answers first. 
P.P.S. There is a new feature on Realself, which is the “Follow” button. It is similar to the “Like” button on Facebook. If you like my response or any of the doctor responses while you research on Realself, you should “Follow” them. You will get email updates, when the doctors you follow post any new answers to questions, post new photos, or have any new reviews.

Thank you for sharing your question and photographs.  Treatment of the forehead with Botox will have a tendency of lowering one's brows, while treatment of the glabella and crows feet will tend to elevate it.  Injector experience then figures the appropriate injection pattern and unit amount to effect this tug-of-war to give the best results.  Although your appearance will be completely restored once the Botox wears off I would alert your injector to your negative side effects so that they can adjust accordingly.  

If you have too much brown drooping I would minimize or eliminate treating the forehead. You can follow up with your injector to see if they can do anything to get a little lift for now. Good luck.

Botox should be used only when there are proper indications for the use of it. In people who use botox just because, problems can occur. Your undesirable effect of Botox will diminish within a few months and most likely you will get back your preferred appearance. I hope this helps and good luck from New York City