Puffy eyes after Botox treatment. (photo)

There are many things that can cause "puffiness" to the  eyelids after a botox injection, such as swelling, brow drop, or ptosis. Some of these are treatable.  I would recommend a follow up appointment with your surgeon to evaluate you and make an exact diagnosis and plan.

Thank you for sharing your problems and photo. When the forhead is treated with Botox, the eyebrows can drop, which causes the heaviness "puffiness" to the eyes. Next time your doctor should inject the forhead higher.Make sure your doctor is experienced with procedures around the eyes. In 6 weeks, you will probably have some elevation of the brows and less puffiness. Good luck,

It is very difficult to see if the puffiness is on the upper or lower lid. Puffiness or ptosis of the upper lid is normally caused when the patient has a heavy brow to begin with and the frontatis (forehead muscle) stops working. Please go back to your Doctor who will diagnose and help you.Tracey Bell

You may have had a bit too much Botox and it will take about 6 weeks to not feel heavy.  Since you have lowering of your eyebrows, not your eyelids, drops will not help.  Sleep with your head elevated on a few pillows and avoid salt and alcohol which can cause more puffiness.

It is important to remember that this single photo is limited and can't replace an in-person followup with your injector. However, there are several issues I see. I get the sense that your upper lids have dropped giving you a "heavy" eyelids. There is  swelling in your lower eyes lids and malar region. Finally, there appears to be a bruise/skin breakage underneath the right eye. Did you also have fillers at the same time as Botox? The upper eyelid heaviness or "puffiness" is probably the result of excessive Botox injection of the frontalis (forehead) muscle which importantly is the only muscle tasked with raising the eyebrow. The lower eyelid swelling maybe due to excessive Botox injection of the orbicular oculi resulting in weakening of the muscle and prominence of the swelling/fat herniation that may have been kept at bay prior to Botox injection by the stronger muscle. The swelling may also be the result of filler placement if this was also done at the time of procedure, which would also explain the bruising. Again, I highly recommend you followup with your injector.