Botox Swelling Under Eyes

Botulinum Toxin (Botox and Dysport) can relax the muslces of the lower eyelids resulting in swollen lower eyelids. Generally speaking this should resolve by 5 months after injection but could wear off sooner.

Hi TS.  Injecting Botox too close to the area directly under the eye can cause sagging or bags, especially with patients that do not have good elasticity in this area.  Some injectors will attempt to extend the injection points for the crow's feet to slightly under the eyes to remedy the fine lines under the eyes.  While this may benefit some patients when done correctly, it can also cause a lot of problems, as you are seeing.

Unfortunately, you will probably have to wait 2-4 months for the product to wear off.  Good luck.

If a patient has a tendency to develop baggy lower eyelids from swelling , then Botox injections are avoided usually as this would minimize the ability of the sphincter muscle of the lower eyelid to function and the fluid would not be pumped away. We also avoid hyaluronic acids such as Juvederm and Restylane in the lower eyelids in people who have chronic lower eyelid bags of fluid because the fillers would bind their water.