I have swelling under my eyes and on my cheeks(cheekbones). How do I know if it is from Botox or from laser treatment? (Photo)

 This is definitely due to swelling from the laser treatment. You do not have herniation of the orbital fat pads.  Although you may have read about pseudo-herniation of the orbital fat pads due to Botox, after nearly 20 years of experience with Botox, I have never seen this complication.  

It appears that you are having swelling from the laser procedure.  You can take an antihistamine or ice the area and it should help the swelling resolve.  The V-Beam usually works best for facial rosacea and does not cause this swelling. Best, Dr. Green