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

botox wears off in 3-4 months and doesn't cause fat pad bulging in the first place.  Is it possible that you had a filler placed under your eyes?  Wishing you the best.

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.