How to avoid puffy cheeks and eye hollows with Botox?
Thank you for your question. What you may be describing is the puffiness under the eyes with treatment to your crows feet? It can happen when the rest of the eye is smoothed with Botox. Have a lighter dose, or have the injector only inject the upper portion of the muscle around your eye.
All the best,
I agree with my fellow specialist here. Botox does not lead to the puffy cheeks. It is a tiny volume of a neuromodulator so there isn't anything that would lift up any part of your cheek. Hollows under the eyes happen as we "climb the ladder of life!"
Beverly Johnson MD
Puffy cheeks and eye hollows after botox
botox really should be injected conservatively around the eye and shouldnt lead to these complications. I suggest going to an expert injector to see what you are a candidate for which may mean less dose and in a different injection pattern. Best, Dr. Emer.
How to avoid puffy cheeks and eye hollows with botox?
Hello Lisa Cates,
Botox really shouldn't lead to either of those when injected properly. Your injector should be experienced to decrease the risk of causing any problems from the Botox injection. If you have to inform your injector about the units and locations recommended on here because he or she did not know it beforehand I would recommend you find another injector.
I hope this helps and good luck.
I often inject 3-4 small aliquots just lateral to the lateral orbital rim. I also place a bit underneath he lateral eyebrow for those who need a little lift.
For prescriptive cosmetic medical treatments such as Botox treatments, for best results seek treatment from an experienced board certified dermatologist, occuloplastic, facial plastic or general plastic surgeon. Your doctor will decide on location and quantity of Botox injection.
Thank you for your question. It is hard to say what could be causing your puffy cheeks and eye hollows from Botox injections. Botox can be used very effectively to reduce or entirely get rid of crows feet wrinkles. It is usually injected in small amounts (1-2.5 units per injection) over the bony area at the lateral aspect of your eye. It is important not to inject to close to the eye in order to avoid Botox spreading to the muscle that supplies the upper eyelid and helps to keep it elevated. This could cause drooping of the eyelid, or ptosis. The amount of Botox used varies per patient because everyone's anatomy and muscle strength is different. Best of luck, and make sure you look for a board eligible/certified plastic surgeon, dermatologist, or facial plastic surgeon to do your injections because expertise in anatomy and injection technique is important for the best outcome!
It is not the units but rather the injection technique. If you already had negative results I suggest you consulting a board certified dermatologist who is an expert in Botox.