Can Dysport Incorrectly Injected Cause Hallowing Under the Eyes and Eye Bags Permanently?

Question

At age 24, seeking help for under eye hallowing..I went to a medspa. Being young, and not well educated on fillers, etc... I trusted in the nurse. She suggested I get Dysport. So I did. Clearly, now 2 years later, after much research, I know this is for wrinkles, NOT filling areas... I now have worse hallowing and under eye bags. Can Dysport cause this? Even two year later? Or is this due to other circumstances? I have lost weight and aged 2 years.. I just hope that Dysport wasn't the culprit!

Young R. Cho, MD, PhD · Answer

Thank you for your question.  It highlights the need to go to an experienced injector at a reputable place of business.  Fillers are a much better option for the under eye hollow.  Dysport can be used under the eye but is more to relax the muscles and typically low doses such as 3-6 units are used.  It should not cause the hollows to get worse, and it does wear off.  Unfortunately as we age we do lose more volume in our face, and hence the hollows under the eyes become more prominent.

Harold J. Kaplan, MD · Answer

As mentioned by other panel members, the problem was most likely not due to Dysport, as it's effects are only temporary. Without seeing your photos, Restylane is an excellent option for improving undereye hollows. I recommend seeing a reputable injector in your area to discuss if this is an option.

Anita Patel, MD, FACS · Answer

Dysport is abobotulinumtoxinA, an alternative to Botox, used for wrinkles. When used around the eyes it can help get rid of "crows feet", or the laugh lines near the eye. It does not cause undereye hollows. That is usually a factor of losing volume as you age, your weight loss, and also genetic factors. That region responds well to fillers, especially Restylane, but be very careful in choosing someone with experience injecting this area. All fillers have potential risks, and injection of fillers is not the same as a beauty treatment. It is a medical procedure. In the right hands, fillers can be used to safely fill this undereye hollow, or "tear trough", and results tend to last longer than average in this location. Also, hylaurinic acid fillers tend to stimulate your body to form collagen, meaning you may need less filler in that location over time, and may even no longer require it over time.

Monika Soni, MD · Answer

Thank you for your question. I do not believe your fatigue is related to your Dysport injections, but if it is it should resolve soon. It is possible that the Dysport has spread to an unintended part of the eye. I suggest staying more lateral on the crow’s feet next time you have treatment. . I recommend following up with your injector for an evaluation and possible treatment. Best of Luck!

Grant Stevens, MD · Answer

Greetings~

	I'm sorry to hear that you didn't get the concern addressed that you set out to when you originally went for treatment.  Under-eye hollowness is a common concern, even at a young age. We often will address it with fillers.  If for some reason the person treating you two years ago misunderstood your concerns and addressed wrinkles/crows feet and not hollowness with Dysport (or perhaps wasn't familiar with using fillers in that area), that is unfortunate but thankfully it is not cause of the hollowness you have now.  Weight loss can accentuate this hollowness as well. Hollowness can also be made more pronounced by the small amounts of fat directly beneath the eye...this bit of puffiness makes the line beneath it look like a dark circle.  If the hollowing is of concern to you, seek out a consultation with someone familiar with various options for this area. (ranging anywhere from removal of the fat to injections of fillers) Don't worry about the why...focus on correcting what bothers you.

	Best of luck~

	Dr. Grant Stevens

Can Dysport Incorrectly Injected Cause Hallowing Under the Eyes and Eye Bags Permanently?

Answers (5)