Under eye bags worse after Botox. Would fillers help? (Photo)

Thank you for sharing your question and photos. In some cases, Botox can worsen pre-existing under eyes bags. An experienced injector is able to differentiate whether Botox will help the creasing caused by the muscle or worsen the appearance of under eye bags. In your case, I would not recommend adding filler to the under eye area while the Botox is in effect. The Botox will wear off in approximately 3-4 months, at which time you can discuss tear trough filler with your injector. In the future, you may want to consult with a board certified facial plastic, oculoplastic, or plastic surgeon to discuss a lower blepharoplasty with fat transposition to improve the appearance of the under eye bags. My patients have had excellent outcomes with this procedure and the results last much longer than filler/botox. Best of luck.

Botox placed under the eye can sometimes product this effect.  The result is temporary and will gradually fade over the next 3-4 months.  I encourage you to discuss your concerns with your injector.

Thank you for your question. In some cases depending on your anatomy, Botox may not be indicated around the eyes as it can make the under eye bags look worse. That being said, allow for 2 weeks for the Botox to settle. A light dose of Botox may be required to smooth the area. Speak with your injector after 2 weeks has passed to discuss your concerns. Best,