Does Botox Help Reduce Under Eye Bags?

I am a 46 year old healthy man and have just started to see bags under my eyes. When I smile, I see wrinkles around my eyes. Will Botox help reduce the problem?

Doctor Answers 30

Botox on lower eyelids: may help wrinkles but may worsen bags

Botox is used to reax muscles. Muscles that repeatedly contract can cause wrinkles to appear worse.

Therefore, Botox may help minimize lower eyelid wrinkles.

However, lower eyelid muscles may help hold back the fat that surrounds the eye ball (globe) when the muscles contract, they can push back the fat making the lower eyelid bags look better. Try this by looking into a mirror and squinting. The lower eyelid bags usually improve. A poor analogy is what happens to your belly when you tighten up your muscles.

The problem with botox and bags is that the relaxed muscle sometimes allows your fat to bulge out a little more.

This is a little oversimplified but I hope it helps you to understand.

Chicago Plastic Surgeon
4.9 out of 5 stars 82 reviews

Eye Bags

The best way to correct the appearance of under eye bags is elevate the depressions in this area that are creating a "bag." Volume loss is the root of this development and therefore, a filler such as Voluma is an effective treatment option. Voluma is used to create a smooth surface between the eye and the cheek, so that the patient does not have contours in this area that create the appearance of under eye circles.

Justin Harper, MD
Columbus Physician
5.0 out of 5 stars 19 reviews

Botox around the eyes

Botox is meant to reduce the wrinkles that are caused by overactive muscle. It will not correct the bags under the eyes. Surgery would be one option to reduce the bags or redrape them, another option is to have filler placement at the juction of the bags and your cheek to help smooth the transition area.

A board certified plastic surgeon could determine what is the right procedure for you.

Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 79 reviews

Eye Bags and Botox treatment

Eye bags do not improve with Botox. If they are small they can be disguised by properly applied fillers. Some will respond temporarily to Skin Tight or Peleve treatments. More significant ones will require invasive laser treatments or surgery. Best Wishes, Maurice Vick MD

Does Botox Help Reduce Under Eye Bags?

Botox is used to relax muscles. Muscles that repeatedly contract can cause wrinkles to appear worse. Therefore, Botox may help minimize lower eyelid wrinkles.

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

Botox under eyes

It is possible to put Botox underneath the eye to help with those lines as well as the small bags that form under the eyes. A small bleb of botox (1-2 units) is placed in the area where the bags are. This should really only be done when the crow's feet are being treated wtih Botox at the same time, otherwise the effect will be minimal. 

Keep in mind, that, the cheek muscles are strong and if you have bulbous or bigger cheeks, lines will continue to form underneath the eyes as that excess skin is displaced upwards as you smile. Also, bruising is definitely a possible side effect of injecting in this area. I think it's a small amount of Botox may be the best way to go, if you are treating crows feet as well.

David Ikudayisi, MD
Tampa Internist
5.0 out of 5 stars 1 review

Early eyelid bags.

When bags of fat begin to form one option is to add a little juvderm or restylane into the tear trough and orbital rim areas.  For small bags it can camouflage them nicely.  Once they become prominent though they may be best treated by removal through a small incision made on the lining side of your eyelid (transconjunctival blepharoplasty).   I often inject very small amounts of botulinum into the lower portion of the eyelid and perhaps half the time patients feel that the prominence of the eyelid smile wrinkles is improved.  Too much and you risk weakening the eyelid support.  Good luck and stay healthy looking!

Jon A. Perlman, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 31 reviews

Under Eye Bags: Botox Vs. Blepahroplasty

It's not unusual for patients to develop loose lower eyelid skin with prominent fat pads and eyelid wrinkles during the aging process. When this situation arises, botox treatments are rarely indicated. Although botox may help fine eyelid wrinkles, it probably won't help eyelid bags and may possibly make them worse.

Under these circumstances, blepharoplasty surgery is probably indicated. This procedure would address loose eyelid skin, eyelid wrinkles and fat pads.  Blepharoplasty is associated with excellent clinical results and high levels of patient satisfaction.

When patients have complex eyelid problems, it's important to consult a board-certified plastic surgeon. This surgeon should be able to make an appropriate recommendation to address your eyelid concerns.


Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Botox can help under eye wrinkles and bunching, but does not flatten true under eye bags.

Botox works only by weakening muscles. Around the eyes this can help, or this can cause a problem. When used in the right amount, in the right locations, Botox can reduce the pulling and wrinkling around and underneath the eyes, which can prevent under eye bags from protruding further. But if used excessively or in the wrong spots, Botox can make the lower lid sag, change the shape of the visible portion of the eye, and generally be a disaster. True bags caused by outpouching of fat pads can only be camouflaged by filling in hollow spaces around them with filler, or by surgically tightening or removing them. It's best to see your local dermatologist for a careful evaluation of the anatomy and function around your eye to see what's going on and make a comprehensive plan.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
4.7 out of 5 stars 41 reviews

Does Botox Help Reduce Under Eye Bags

Botox can help soften the wrinkles but does nothing to the eye bags.
Dermal Fillers can help address the loss of volume that you are experiencing as part of the ageing process.
If it is a mild case of eye bags, then fillers may do the job if not you may need Surgery.
You should consult with a Plastic Surgeon who is capable of choosing the best treatment option for you.
Hope this helps

Naveen Somia, MBBS, PhD, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 74 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.