Botox Swelling Under Eyes

Question

I Had botox injected under my eyes - I was told it would look great. This 'after' picture was taken 11 days after shots. My eyes are so swollen underneath that it is uncomfortable. No pain, but I can see the swelling under my right eye everytime I look down. My eyes are now different shapes and look ridiculous. How long will this last?

Otto Joseph Placik, MD · Answer

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.

Harold J. Kaplan, MD · Answer

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.

John Philip Connors III, MD · Answer

I do not inject Botox into the lower eyelids...I keep my treatment of the "crow's feet" area lateral or outside the corner of the eye. Paralyzing the muscle of the lower lid can cause unwanted problems, avoid in future. You will have to wait until the produce wears off in the next few months.

	Dr. C

	johnconnorsmd.com

Ron Shelton, MD · Answer

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.

Michael A. Persky, MD · Answer

Hi TS,

	Hopefully it won't last too long.  It is dependent upon the dose of Botox that was injected. It may take from a few weeks (hopefully) to 2-3 months.  Next time if your injector's waiting room has eye patches for sale, think twice about allowing them to inject into areas that should be limited to experts.  I hope that you are better soon.

	Be well.

	Dr. P

Botox Swelling Under Eyes

Answers (7)

Answer: Botox injections of the lower eyelids can cause swelling underneath the lower eyelids

Answer: Botox injections of the lower eyelids can cause swelling underneath the lower eyelids

Answer: Swelling Under the Eyes From Botox Injected Into Lower Eyelids

Answer: Swelling Under the Eyes From Botox Injected Into Lower Eyelids

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Botox Swelling Under Eyes

Answers (7)

Answer: Botox injections of the lower eyelids can cause swelling underneath the lower eyelids

Answer: Botox injections of the lower eyelids can cause swelling underneath the lower eyelids

Answer: Swelling Under the Eyes From Botox Injected Into Lower Eyelids

Answer: Swelling Under the Eyes From Botox Injected Into Lower Eyelids

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.