Puffy eyelids after botox - why does this happen and is there a solution? (photos)

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Botox is a neurotoxin that works by blocking the nerve signals that cause muscle contractions, leading to a temporary relaxation of the muscles. While Botox is generally safe and effective, it can have side effects, including puffiness or swelling around the injection site.
In some cases, the puffiness above the eyelid that you have experienced may be due to the placement of the injections or the amount of Botox used. If the injections were placed too close to the eyelid, it could cause swelling. Alternatively, if too much Botox was used, it could cause the muscles to weaken excessively, leading to sagging skin and puffiness.
It's possible that your body may also have a sensitivity to Botox, which could contribute to the puffiness. In some cases, individuals may develop an immune response to the neurotoxin, which can cause swelling and other adverse reactions.
To avoid this , the injection technique may be changed or the amount of Botox used to minimize your side effects. Or in case your body developed immune response to the neurotoxin , different treatments might be suggested