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

Question

Hello. I had Botox injected directly into my lower lids last July. I developed swelling of the lower lids. The doctor who peformed the procedure indicated it would go away when the Botox effects wore off but the problem has persisted for 6 months though my crows feet are visible again. Does anyone have any thoughts on whether this swelling can last this long and can anyone offer a good treatment/solution? Thank you!

Michael A. Persky, MD · Answer

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

Camille Cash, MD · Answer

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.

Douglas Taranow, DO, FACOS · Answer

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)?

Kenneth R. Francis, MD, FACS · Answer

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!

Rita Rakus, MBBS - Account Suspended · Answer

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

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

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

Answers (6)

Answer: Botox or filler?

Answer: Botox or filler?

Answer: Under eye botox

Answer: Under eye botox

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.