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,

Sometimes botox can make the under eye wrinkles and bags worse, I avoid treating this area unless truly needed.  It will improve over the next 3 months.  Venus legacy or fillers/lasers can help at this point.  Best, Dr. Emer.

Because the Botox relaxes the muscles, then your muscle in the lower eyelids (orbicularis oculi) is not contracting as before and there is some relaxation on the lower eyelid that makes the fat around the eyes to look more prominent. This is a temporal effect and as you just got 1 unit, the effect it does not last as long and maybe 3 or 4 weeks, the muscle will regain strength and then those rolls will be much better. Do not use any fillers, it will just get worst, as you will have more swelling on that area. Contact your injector, so she knows about this side effect, so next time can be avoided.