Botox in orbicularis Oculi: bags!! What can I do? (photos)

Question

I got 2-3 units of Botox in my left under eye area to correct the asymmetry in my eyes when smiling. It's been 7 days and now I have a massive bag under that eye whenever I smile, but only on that side! Can I do anything about this?

Stephen Weber MD, FACS · Answer

You could have some swelling there but most likely Botox was placed too close to the middle of the eye and weakened the muscle that retains that fat. This is absolutely temporary and will resolve in 3-4 weeks but occasionally can last up to three months. In the meantime, there isn't any way to remedy this until the Botox wears off. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Jason Emer, MD · Answer

Botox will resolve in 2-4 months. I suggest you see an expert for future treatments.  When the muscle stops working in the area you can get swelling built up called lymphedema.  fingertip massages and venus legacy will help improve this area until the botox wears off. Best, Dr. Emer.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your problem. Injecting the area of the lower eyelids is particularly risky. Poor blink, dry eyes and puffiness are known complications. Careful patient selection is essential to avoid problems. Unfortunately, you cannot do anything to reverse he results, but you will return to normal in a few months. See an experienced Oculoplastic Surgeon for treatments in this sensitive area. Good luck,

Michele S. Green, MD · Answer

Botox injected directly under the eyes can cause bags and I would advice against it in the future. Belotero or Restylane is a much better solution.  Best, Dr. Green

Shaun Patel, MD · Answer

I would be interested in seeing both eyes next to each other. Over injection of Botox into the undereye area can weaken the orbicularis muscle which can cause difficultly in closing the eye and theoretically herniation of the orbital fat although this 2nd complication I have not ever seen. 2-3 units under the eyes is a relatively high dose (I usually use 1 unit or less). Nonetheless, I would definitely discuss with your treating physician. Either way, the Botox will wear off with time. Did you have excess fat in the undereyes prior to your Botox injection? If this is the case, I wouldn't get Botox again in this area because it will just make the fat more pronounced.

Botox in orbicularis Oculi: bags!! What can I do? (photos)

Answers (9)

Answer: Botox Under Eyes and Bags

Answer: Botox Under Eyes and Bags

Answer: Botox complication from undereye injection.

Answer: Botox complication from undereye injection.

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.

Botox in orbicularis Oculi: bags!! What can I do? (photos)

Answers (9)

Answer: Botox Under Eyes and Bags

Answer: Botox Under Eyes and Bags

Answer: Botox complication from undereye injection.

Answer: Botox complication from undereye injection.

Browse related questions

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.