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

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!