I Had Undereye Botox 5 Months Ago and Still Have Have Horrendous Fat Pouches Under my Eyes.

From your description, it sounds like the issue is fat pads which would not have been significantly improved by Botox, and the Botox effect is likely gone by now anyway. There are a number of possible solutions, about which we can only speculate without seeing you personally. Sometimes injection of a filler such as Restylane or Juvederm just below the eye bag, to fill in the area where a shadow is seen, can be a good nonsurgical fix. You may also benefit from a surgical blepharoplasty, in which the fat pads would be repositioned for the same effect.

Dear Fed up

Not much of a BOTOX treatment is left at 5 months.  It is therefore improbable that your issues are related to BOTOX.  It is more likely that BOTOX weakened the muscles overlying fullness in the lower eyelid, did not help your cosmetic concern and now that your BOTOX has worn off, you are aesthetically unimproved and worse off by 5 months.  It is important that you find other qualified help as it is clear that your don't have confidence in your prior injector.  Consider posting your images.