Swelling of lower lids 6 moths after Botox - what is a good treatment option? (photo)

Hello and Happy New Year,
The effects of the Botox injections should have long worn off by now. I would recommend an in person evaluation by an expert injecting physician to determine your best course moving forward. Feel free to contact our office to schedule a complimentary consultation. Good luck and be well.
Michael Persky, MD
Encino, CA

Botox does not usually cause welling. The areas under your eyes look more like fat pads that everyone has, or it may a residual effect of the Botox causing a folding of the skin in a different location.

Botox generally wears off in 3-4 months, however, there are some patients who have prolonged "neuromodulator" (paralyzing) effects for 6+ months. Give it a couple of months then re-assess. My feeling is you will require a filler to camouflage the crease.
Lastly, does the under eye crease only appear with animation (smiling)?

Dear RSProfile,

Very few practitioners inject Botox into the lower eyelids. I would check with your injector and be sure they didn't inject a filler material, which is much more consistent with the complaint that you have. If it was filler, it can be dissolved. Good luck!

Swelling lasting six months is not a typical reaction from Botox. I encourage you to return to your injector for an evaluation and further guidance. Botox effects typically last 3-4 months and wear off gradually.

Hello and thank you for your question. A face to face consult and examination is always best however in this scenario if the case of the under eye swelling will settle as the botox wears off. This may be a little over 6months depending on the dose that was injected. Please always seek treatment from a trained medical professional for any cosmetic treatment. Best wishes

Hi there,

Botox does not generally last this long usually 3 months. Have a follow up with your injector and see if there is another issue. Crows feet last about 8 to 10 weeks and injecting again should not be an issue.
Make sure you always see a Board Certified Dermatologist or Plastic Surgeon.

Best of luck!