Why did Botox worsen the appearance of my dark circles? (photos)

The answer depends on whether you had Botox or fillers, which are very different treatments and should be carefully considered for different issues. We typically would not recommend Botox for treating dark circles around the eyes, however there are several other options that can be very effective. The Restylane-L dermal filler formula is specifically designed to treat sensitive skin, like that under the eyes, while also subtly restoring lost volume, making it an ideal option for a natural, nuanced look.
Another great option is the Vampire facial which combines microneedling with PRP—which is sourced from your own blood and contains an incredibly high concentration of healing platelets and growth factors—to together promote the rapid growth of collagen. This collagen growth creates fullness under the eyes to reduce the appearance of dark shadows. Depending on your previous treatment and your particular skin type, any of these could be a good option for you—and you may also benefit from a tailored treatment combining multiple therapies.

Botox and fillers are different. Botox is a neuromodulator that helps to soften the appearance of wrinkles by affecting the ability of the injected muscle to contract. HA fillers are products used to volumize and contour. It is important when considering either of these treatments to visit with an experienced injector in order to optimize your results. If the treatment you had is HA fillers, these can be dissolved using hyaluronidasse if you choose.