Botox in crows feet caused malar bags/festoons? (Photos)

Hi @Helpful773817! Botox is unlikely to cause the development of festoons. Festoons are usually caused by dermal fillers. A non-surgical approach would be a RF microneedling treatment like Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting. Best of luck to you!

I would highly recommend getting a formal evaluation with and treatment from a board-certified cosmetic dermatologist and expert in facial sculpting. An experienced physician will be able to determine which technique will give you the result you're looking for. See an expert. Best, Dr. Emer

Hello — thank you for your question and photos. Botox is unlikely to cause the development of festoons. This is a far more common consequence of poorly injected dermal fillers. If you’ve had fillers performed, you may want to consider having them dissolved. If you haven’t, it’s possible that your festoons aren’t connected to your Botox injections. There are steps you can take to minimize their appearance, including RF microneedling. I highly encourage you to schedule a consultation with a board-certified facial plastic surgeon to discuss your concerns and determine the appropriate treatment.

It would be unlikely that the Botox caused the formation of the festoons. The condition is difficult to treat but one option is Morpheus8 treatments. This combines microneedling with RF technology to remodel tissues, improving overall skin tone and texture.

Hello and thank you for your question. Botox usually temporarily immobilizes muscles in the area that were injected and is not likely to cause what looks like what you may call festoons. Those may usually be caused by dermal fillers when injected in the area. I am not able to determine if you had fillers at the same time as Botox by your question, but in the event that you did, perhaps getting the fillers dissolved may help the area.