Why is puffiness under my eyes getting worse after Botox injections 3 months ago?

Thank you for sharing your question and I am sorry to hear of your pufffiness issues.  At times if the crows feet and undereye areas are treated with botox it weakens the muscle that is minimizing your lower eye bags.  This should resolve as your Botox resolves.  As you have seen little improvement, best to see your injector for an in-person evaluation.  

Botox lasts around 3 to 4 months so this should be resolving if it is from Botox. You should look into getting fillers and avoiding getting Botox under eyes which weakens under eye muscles so under eye bags become more prominent. Good luck!

Botox lasts around 3 to 4 months so this should be resolving if it is from Botox. You should look into getting fillers and avoiding getting Botox under eyes which weakens under eye muscles so under eye bags become more prominent. Good luck! 

Thanks for your question and as you know, Botox lasts approximately 3-4 months in most people so if there is a Botox effect, this will improve over the next month and revert back to your baseline soon.  If not, then I would return to your provider and see what is going on by having an appropriate physical exam.  But I do think this will resolve soon.

It is unusual to have the problem continuing to get worse. I expect that it will get better soon. The problem that cause this is that there is too much Botox given and the pumping mechanism of the lower eyelid has been lost. Lymphatic drainage is now impaired. If the lower eyelid is lax, Botox shouldn't be injected. A "bow string" test is normally used to see if the lower lid has enough tension for an injection.