Under eye Botox side effects. Is this permanent?

I'm sorry to hear of the issues you've been having since your under eye Botox treatment. Typically Botox wears off gradually over three to four months, but it may be longer for some people. For under eye wrinkles fillers, laser treatments or RF treatments such as Morpheus8 are more commonly used to get desired results.

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. This is a great question. I recommend treating the area of concern with a laser resurfacing treatment to help minimize the appearance of fine lines and wrinkles, and to tighten the skin. I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

Hi!
Typically, any edema or laxity under the eyes is not permanent and resolves once the neuromodulator/botox wears off. This looks like laxity and not edema. I would also try to find another photo before you had botox where you are not squinting because that will definitely affect the before and after comparison. Or you could take another now, squinting, that more closely resembles the first.
Another option is to give this a bit more time. It may take a few more months for the muscles under the eye to "bulk back up" so to speak.
I hope this is helpful!
Vanessa Bennington FNP-BCThe Aesthetic Edit ATXCedar Park, Tx