Swollen/puffy inner eyes 3 days after Botox. (photos)

Incorrect placement of the Botox, too many units, or too deep injections can cause this problem.  You will need to wait until the Botox effect wears off.  Sleep with your head elevated and avoid salt and alcohol which will lead to more puffiness.  Cold brewed green tea bags in the morning can help reduce puffiness.

Thank you for your question gabourkiel. I understand your concern. Botox
is a purified protein used to address wrinkles associated with facial
expression. It can be used to address the crow's feet seen around the eyes when one smiles. When used for this purpose, the orbicularis oculi muscle is relaxed. This is the muscle the goes circumferentially around the eyes. Some people have a loss of volume in the tear trough under the eye. In some of these cases this muscle is used to hold up the upper cheek fat pad. When relaxed with Botox, the muscle is incapable of performing this function. In these cases hollowing or bags can be seen. This goes away on its own as the Botox wears off after 3-4 months. Some have proposed that radiofrequency treatments may lead to wearing off faster. Fillers can also be placed in the tear trough to address the deficit. In these patients future treatments should avoid placement of Botox in the lower portion of the muscle. Swelling can occur after any injection. I recommend that my patients apply cold compresses such as ice packs to reduce swelling. Please consult with a doctor for specific recommendations. Good luck!