What happened with my jelly roll Botox? (Photo)

Question

I am about 35 days after Botox injections in my under eye and crow feet. My face does this thing now where I have bags under my eyes that were not there before. They only appear when smiling. My injector says that these are herniated fat pads and that they will go away once the Botox wears off. Is this true? I have read reports of under eye Botox bags lasting from 6 months into indefinitely and I'm very nervous of the possibility of this being permanent. What happened?

Camille Cash, MD · Answer

Botox effects are temporary.  The results wear off gradually typically over three to four months.  Eye bags can be treated both surgically and non surgically depending on patient goals and the severity of the condition.  See a board certified plastic surgeon near you to learn more.

Eric M. Joseph, MD · Answer

We have been using BOTOX for 25 years and we have not seen any permanent results in any of our patients. Please feel confident that the appearance of your under eyes will look the same in two to three months as it did before treatment. I hope this helps! Sincerely, Dr Joseph

Tanya T. Khan, MD · Answer

Hi, so in your before photo, it looks like the "jelly roll" is coming from the orbicularis muscle that naturally enlarges as you smile or animate. When that muscle is botoxed, there is a chance that the connective tissue framework that holds the fat pads back is weakened and so the fat pads are even more visible. Would suggest not doing the jelly roll botox anymore and see if that helps. Please visit an experienced oculofacial plastic surgeon for best results.

Darryl J. Blinski, MD · Answer

In my 43 years and specifically 20+ years doing Botox I’ve never seen Botox injections under the eyelids cause eyebags. You either have eyebags or you do not. Best to do virtual in person consultation for examination by board certified plastic facial plastic or ocular plastic surgeons. Whether the Botox is present or wears off, will not affect eye bags.

What happened with my jelly roll Botox? (Photo)

Answers (4)

Answer: Botox causing under eyebags?

Answer: Botox causing under eyebags?

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What happened with my jelly roll Botox? (Photo)

Answers (4)

Answer: Botox causing under eyebags?

Answer: Botox causing under eyebags?

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Everything you need to know about Botox

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