Can Botox/Dysport cause under eye bags? And…..who to choose to do your Botox?

I had Botox about a month-and-a-half ago. My dentist did it on my crow's feet and under my eyes and it created these layers of bags and sagging skin under my eyes that I never had before. It was the first time I did Botox in that area. I look about 10 years older and I'm pretty devastated. Do you think it will go away once the botox wears off?

I’m glad you asked this because I think it brings up two common issues. So thank you, and my heart goes out to you on this one. It’s really frustrating to try to do something to improve how you look, only to have it end up the opposite.

So to reassure you, this WILL wear off and the tissue will go back to normal; but it may take 2-6 months, depending on how much was used.

3 ways to help you improve this issue:

  1. Get a very cute pair or pairs of fashion glasses. There are great ones right now and they will help hide this.
  2. Consider just for a few months, the electrostimulation facials once every two weeks or so, they may help improve the lymph flow and the fluid accumulation in the bags.
  3. Consider investing in a Jenu, these can be helpful for some in your situation, just don’t over do it which could irritate the delicate eye tissue and make this worse.

Other info you may find helpful.

Why does this happen? 

There’s no science on this, but here’s the most likely explanation. The muscles around the eye go ALL the way around the eye. Those muscles contract as we talk, laugh, smile, squint, etc.  And that muscle action increases the lymphatic drainage around the eye. When too many of those muscles are not able to contract, the lymph fluid accumulates. If there’s loose skin under the eye at all, bags – sometimes big ones – occur. I hope that makes sense.

Who should you choose to do your Botox/Dysport? 

As with any procedure, the doctors and nurses who do the most and have the most experience are the best at it. Pick  a VERY experienced provider next time and this won’t happen. Dentists are focused on teeth and generally don’t do enough Botox/Dysport to be good at it, in my opinion.

Hope this helps,  Dr. I

Dr. Brandith Irwin, MD

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