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

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.

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.

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.

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!

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

Botox or Dysport are not the culprits in this scenario.  However, either option is only injected in very tiny amounts under the eyelid to sometimes change and overactive "squint" that produces a strong roll of muscle under the eyes.  But still, it is temporary and not the cause of what you are seeing currently.  Take heart, though, that many options exist based on the severity of the hollowing.  Typically a small amount of filler on either side can camoflauge this issue and give a lovely result.  Think about this option as being the best one to correct the problem.  Hope that helps!  Dr. Shep

The good and the bad about all neurotoxins such as Dysport and Botox is that the effects are not permanent.  Your hollowing is most likely due to the normal changes we all experience with age, weight loss, and of course, genetics.  You may want to try a filler such as Restylane to help fill the hollow areas.

Dysport should not have caused a problem under your eyes and would have wirn off by about four months. I have had success with injecting Restylane under eyes as it is easy to mold and if injected correctly should not cause grey/blue discoloration. 

There are several key points to be made from your question:

1. Dysport and/or Botox injections will never cause permanent changes. After six months, or sooner, everything will have returned to normal.

2. As you now know, neurotoxins such as Dysport or Botox should not be used for under eye hollowing. Fillers such as Restylane and Juvederm are much more appropriate.

3. Neurotoxin such as Dysport or Botox injections should never be done by a nurse at a med spa.

4. Both losing weight and getting older will often make hollowed areas worse.

5. Always do your research before being treated.

Dysport and Botox are not recommended under the eyes, but once they dissipate there shouldn't be long term effects in this area, unless the actual injection technique was done incorrectly. I would recommend you seek consultation with surgeons who perform lower blephs. This might be a good solution for you and a good surgeon will be able to guide you.