Does Botox Help Reduce Under Eye 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.

Thank you for your question. Botox injections can weaken an overactive muscle that causes lines and wrinkles, allowing the skin to become smoother over time. Dermal fillers are a great option for reducing the appearance of under-eye bags by restoring lost volume to this area.
The results of dermal filler injections can last for up to a year or more, depending on the formula used. I recommend scheduling an in-person consultation with an experienced, board-certified injector. They will be able to conduct a physical examination and suggest the best treatment option to address your concerns.

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.