I had Botox two weeks ago around the eyes, and went in for a touch up last Thursday, January 10th. On Saturday, January 12th, I woke up with a puffy, blue bump, making me look like I had a black eye. It is now 5 days later and the blue bump has not gone away. When I smile, the bump pushes up into a bumpy wrinkle, and makes me have very crepey skin. Any idea why this would happen and have suggestions or advice? It looks horrible and I’m very upset....
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Botox results last up to 3-4 months and can be softened with venus legacy and thermage treatments. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer
Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
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Hello RM. Sorry to hear about your situation. Botox injected under the eyes is very tricky. When it does work well only tiny amounts can be used and it doesn’t last that long. It appears that too much was injected. When this is the case, the muscle around the eye weakens and that is what caused the puffy pouch below the right eye. Rest assured this will resolve but the time frame depends on how much was injected. For future reference, dermal fillers, surgery and/or laser resurfacing are much better options to improve the appearance of the area under the eyes. Botox is rarely a good option and results are limited.
Dr. Harold J. Kaplan, MD
Board Certified Facial Plastic Surgeon
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Thank you for your question! Unfortunately, it is likely the botox that caused your situation. When the muscle under the eyelid is weakened, this type of "pooch" can occur. In time, it will wear off and you should return to your pre-botox appearance. I hope you returned to your injector to show him/her, they should know about your unpleasant outcome.
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That's very unfortunate! It will eventually wear off, but it appears your fat pad has become visible under the right eye due to lack of support from the orbital muscles. We don't traditionally inject directly under the eye - the muscular movement in the lower eyelid is important to allow you to close your eyes properly and protect the eyes, and you would not want to have any safety risks in that delicate area. Be careful when getting injections and make sure the injector is a board certified physician in one of the core cosmetic specialties such as dermatology or plastic surgery. Best of luck!
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Thank you for your question! Sorry to hear about your situation. Botox injected under the eyes is very tricky. When it does work well only tiny amounts can be used and it doesn’t last that long. It appears that too much was injected. When this is the case, the muscle around the eye weakens and that is what caused the puffy pouch below the right eye. Rest assured this will resolve but the time frame depends on how much was injected. For future reference, dermal fillers, surgery and/or laser resurfacing are much better options to improve the appearance of the area under the eyes. Botox is rarely a good option and results are limited.
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When the muscle under the eye (and around the eye) is weakened by either too much BOTOX or misplaced BOTOX the fat pad can push forwards and give a puffy look. It looks like this is what has happened to your right eye.
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If any amount of Botox was injected into the lower eyelid muscles, a bag of your own fat will pop out since the muscle becomes weaker and cannot hold this orbital fat in place. It may also be that you have a small amount of swelling that is secondary to the trauma of the needle piercing the skin. Both conditions will improve with time. Good luck from New York City
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It is difficult to tell from the photos but a blue bump usually means a bruise which will go away on its own but to speed its demise apply warm compresses and apply vitamin K cream
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Patients notice other concerns easier after neurotoxin injections. It's right time to make some under eye procedures. Could be good to see your photo before the procedure.
