Botox Caused Malar Bags?

Patients consult me with this issue at least a couple of times a month.  BOTOX injected low into the crows feet area or lower eyelid weakens the lower lateral orbicularis oculi muscle at the top of the cheek.  This is a glide area.  When this muscle weakens from Botox, the weakened muscle collects about the ligament responsible for the midcheek groove causing the appearance of a festoon.  I will sometime place some filler at the lower edge of the bag to blend it back into the cheek.  Ultimately, the treatment is letting the BOTOX wear off which takes many months.  In the interim it is not appropriate to have surgery or laser to address this issue.

Thank you for your question. As we mature our skin changes too, so whatever worked few years ago may not work as well now. I would recommend consulting with a Board Certified Plastic Surgeon for safest and best treatment option. I hope this helps.

Although not impossible, it would be unusual for a Botox injection to result in malar bags.  Malar bags can more commonly be produced after a filler injection.  There are some procedures that can help with malar bags, but sometimes they are very difficult to treat.  It would be very helpful to see pictures of you to give you advice as to what might help.