Can Botox cause or aggravate bags under the eyes?
There is definitely a group of people, a minority though, who develop under eye (malar) bags or whose bags worsen. This is because the action of the muscles around the eyes also help to keep lymphatic fluid moving. In some people, that extra lymph fluid accumulates in the form of that malar bag.
The only treatment for this is to use less or no Botox. To make sure this is the problem in your case, try just letting the Botox wear off completely and see if the bags improve – you’ll have your answer. Also, of course, keeping your salt, sugar, flour and alcohol intake low and hydrating with plenty of water also helps!!
See Dr. Irwin’s article on Eye Issues.