Outer eyes area looking hollow. Also a little swollen on upper cheeks (Photo)

Question

Outer areas of my eyes look hollow, also the upper cheeks seem a little swollen? Not concerned about tear through, just outer eye areas. I'm a Botox patient, my doctor told me this is not related to Botox at all, but looks like SOOF Edema. I don't know what this is, or how to treat. Picture was taken >6 mo after botox treatment. I wanted to see if it wears off. Might this be caused by botox or is it just natural aging?

Mehryar (Ray) Taban, MD, FACS · Answer

I don't think this is botox related. You do have some relative hollowness around eyes and relative fullness of cheeks. You might benefit from strategic placement of filler to make the area more smooth with natural appearance.

Jason Emer, MD · Answer

After 6 months, Botox will have worn off. In treating eye hollows, a combination approach is best. I use a combination of lasers, microneedling/PRP, fillers and skin care/peels which can improve this area. See an expert. Best, Dr. Emer

Steven F. Weiner, MD · Answer

The swelling is related to development of malar festoons. This is a difficult problem to fix and is unrelated to Botox. Hollowing in the lateral orbital area is correctable with fillers. I prefer Restylane and blunt cannulas for this area. It is safer and less bruising is noted. The undereye/tear trough area can be corrected at the same time.

Richard Ort, MD · Answer

After six months, any Botox effect will have worn off. You could consider having filler placed in the tear trough area under your eyes to fill in hollows.  I prefer to inject this area gently with a cannula instead of a sharp needle.  Regards,Dr. Ort

Shaun Patel, MD · Answer

At this point 6 months after your Botox injection, the effects of the Botox have worn off and the swelling is probably unrelated. Actually, the photo itself does not really demonstrate much swelling. You do have a descent amount of undereye hollowing which could be corrected with placement of a filler such as Belotero or Restylane.

Outer eyes area looking hollow. Also a little swollen on upper cheeks (Photo)

Answers (5)

Answer: Hollowing under eyes

Answer: Hollowing under eyes

Answer: Botox results

Answer: Botox results

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Outer eyes area looking hollow. Also a little swollen on upper cheeks (Photo)

Answers (5)

Answer: Hollowing under eyes

Answer: Hollowing under eyes

Answer: Botox results

Answer: Botox results

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.