Facial Injections: Info, Prices, Photos, Reviews, Q&A

No, Botox will not help with under eyelid bags. Botox is an injection that placed into the muscles of the forehead that are hyperdynamic and causing wrinkles. The best uses for Botox include the vertical corrugator lines between the eyebrows, the horizontal lines of the forehead and crows feet.

A lower blepharoplasty performed through a trans-conjunctival approach inside the eyelids will address removal of the bags( three fatty compartments) in the lower lids. For many examples of eyelid surgery, please see the link below. (William Portuese, MD, Seattle Facial Plastic Surgeon)

Botox can help under eye wrinkles and bunching, but does not flatten true under eye bags.

Botox works only by weakening muscles. Around the eyes this can help, or this can cause a problem. When used in the right amount, in the right locations, Botox can reduce the pulling and wrinkling around and underneath the eyes, which can prevent under eye bags from protruding further.

But if used excessively or in the wrong spots, Botox can make the lower lid sag, change the shape of the visible portion of the eye, and generally be a disaster. True bags caused by outpouching of fat pads can only be camouflaged by filling in hollow spaces around them with filler, or by surgically tightening or removing them.

It’s best to see your local dermatologist for a careful evaluation of the anatomy and function around your eye to see what’s going on and make a comprehensive plan. (Jessica J. Krant, MD, MPH, New York Dermatologic Surgeon)

Botox for eyes

Botox works great for the wrinkles around the eyes, especially those dynamic wrinkles that you get from smiling. The bags, however, are from deposits of fat. If the deposits are not too bad, you can have Restylane injected into the area to smooth it out and make it look much better.

Either way, there is definitely something cosmetic that can be done to help you. (Michele S. Green, MD, New York Dermatologist)

in fact, Botox could make it worse. Whereby relaxing the muscle and allowing more of the fat pads to herniate forward. Botox should be avoided in this area of the eye. (Ronald Shelton, MD, Manhattan Dermatologic Surgeon)

When bags of fat begin to form one option is to add a little juvderm or restylane into the tear trough and orbital rim areas. For small bags it can camouflage them nicely. Once they become prominent though they may be best treated by removal through a small incision made on the lining side of your eyelid (transconjunctival blepharoplasty).

I often inject very small amounts of botulinum into the lower portion of the eyelid and perhaps half the time patients feel that the prominence of the eyelid smile wrinkles is improved. Too much and you risk weakening the eyelid support. (Jon A. Perlman, MD, Beverly Hills Plastic Surgeon)

Botox may actually it may make eye bags worse

Botox is great for relaxing the muscles in the crow’s feet area. For the bags under the eyes you need to see an Ophthalmoplastic surgeon to see if you are a candidate for surgery to remove or reposition the fat that is causing the bags. (Nissan Pilest, MD, Irvine Dermatologic Surgeon)

Botox Does Not Work For Bags Under Eyes

Botox will make the bags under the eyes worst. It can help with wrinkles on the side of the eyes called ‘Crows Feet’ and some wrinkles under the eyelid. The solution to those bags is Blepharoplasty (surgery on the eyelid to remove excess fat and skin) (Tanveer Janjua, MD, Bedminster Facial Plastic Surgeon)

Under Eye Bags: Botox Vs. Blepahroplasty

It’s not unusual for patients to develop loose lower eyelid skin with prominent fat pads and eyelid wrinkles during the aging process. When this situation arises, botox treatments are rarely indicated. Although botox may help fine eyelid wrinkles, it probably won’t help eyelid bags and may possibly make them worse.

Under these circumstances, blepharoplasty surgery is probably indicated. This procedure would address loose eyelid skin, eyelid wrinkles and fat pads. Blepharoplasty is associated with excellent clinical results and high levels of patient satisfaction. When patients have complex eyelid problems, it’s important to consult a board-certified plastic surgeon.

This surgeon should be able to make an appropriate recommendation to address your eyelid concerns. (Richard J. Bruneteau, MD, Omaha Plastic Surgeon)

Botox will not help with under eye bags and periodically, we actually see patients in our practice that complain of Botox creating under eye bags. If you have the traditional dark circles or bags under the eyes then a dermal filler like Restylane or Juvederm is the proper product.

The only disclaimer is that some patients have too much excess (or saggy) skin under the eye and are not candidates for the procedure. In this case, surgery is the best option. (Harold J. Kaplan, MD, Los Angeles Facial Plastic Surgeon)

Botox works for wrinkles around the eyes, but not for eye bags

Botox will not work to lessen the bags that form under your eyes with age. Depending on the causes of these bags, it can actually make them worse. On the other hand, the fine lines and wrinkles that appear around the outer corners of your eyes can be improved with Botox.

I recommend that you see a facial plastic surgeon regarding this topic, as he or she can then help you decide what is best for you. (Jen Yuan Chow, MD, Pasadena Facial Plastic Surgeon)

Botox and eyelid wrinkles

Botox is fantastic for eyelid wrinkles on the sides of your eyes, aka the crow’s feet. You also have a new choice called Dysport. Both do the same thing, and the cost may be lower for Dysport.

I would avoid Botox for the bags underneath the eyes as this is most likely caused by excess skin or fat and this wouldn’t be helped by Botox alone. (Jeffrey E. Schreiber, MD, FACS, Baltimore Plastic Surgeon)

Typically the bags under the eyes are caused by fat around the eye pushing out against the structures of the lower lid. These structures are weakened by age, time etc. In addition because this is an age related process other aging phenomenon are occurring such as wrinkles around the eyes.

So Botox will definitely improve these wrinkles but will do little for the bags. The only way to improve the bags is surgery. (Christopher L. Hess, MD, Fairfax Plastic Surgeon)

gingerly administered, the muscle induced crow’s feet may be helped. However the bags under the eyes will not be helped by Botox. Surgery or fillers may be more helpful. (Scott E. Kasden, MD, FACS, Dallas Plastic Surgeon)

Botox is usually more effectve for crows feet. Chemical peels or fillers may also be of some benefit however, are not likely to adequately address the problem.

I would make an appointment with a plastic surgeon so he/she can evaluate your concerns and make appropriate recommendations. (David A. Robinson, MD, Munster Plastic Surgeon)

The best treatment for bags under the eyes is usually a blepharoplasty ( eye lid lift). Fillers can camouflage the depression underneath the eyes. Botox will do nothing for this. (Steven Wallach, MD, New York Plastic Surgeon)

I would strongly recommend a consultation with the plastic surgeon for the evaluation and suggestions what is needed to be corrected. Every patient has different expectations. The botox injection around the eye area definitely could address the wrinkles you are concerned about.

In many cases is not going to help with bags and dark circles under the eyes The surgical procedure called blepharoplasty is often required to remove the bags. Or you may have filler injections or peels.

There are many options for under eye bags. (Gregory Turowski, MD, PhD, FACS, Chicago Plastic Surgeon)

Botox and bags under eyes

Botox will be helpful for the wrinkles you see around your eyes (crow’s feet) when you smile. The “bags” you are starting to see under your eyes will need close evaluation by an experienced facial cosmetic surgeon, to see how best to improve them.

You may need skin tightening by laser or other means, surgery or possibly a dermal filler depending on the cause of the “bags” and your facial contour! (Anifat Balogun, MD, Seattle Otolaryngologist)

Botox for Crows Feet Wrinkles, Restylane for Lower Eye Lid “Bags”

Best to be evaluated by a physician who is experienced with Botox and facial fillers. After carefully evaluating the areas of your concern, appropriately placed Botox will help reduce the wrinkles that are bothering you when you smile.

If you are a candidate, properly placed Restylane in the lower eye lid hollows will smooth the transition between the “bags” and the cheek, giving you a natural and youthful appearance. (Michael A. Persky, MD, Encino Facial Plastic Surgeon)

Botox is helpful for crow’s feet around the eyes.

Botox will not help the bags you are starting to see. I have not had great success eliminating wrinkling of the lower eyelid skin with Botox either. The crow’s feet respond well to Botox, and lower eyelid bags can usually be treated non-surgically with Injectable Fillers.

By filling in the groove that develops between your lower lid bag and cheek, a natural un-operated appearance can be restored. (Eric M. Joseph, MD, West Orange Facial Plastic Surgeon)

Botox will not treat bags under the eyes

Botox is useful for treating wrinkles caused by contracting muscles. The wrinkles “around” your eyes may be treatable this way. Typically, the “bags” under your eyes would be best treated with lower eyelid surgery called blepharoplasty.

This can be adressed with different techniques that would vary based upon the surgeon and your anatomy. (Jeremy Waldman, MD, Manchester Plastic Surgeon)

Botox would be good for the “active” wrinkles around the eyes you experience with smiling or different facial expressions, but it will not do anything for the “bags”. (Theodore Katz, MD, FACS, Philadelphia Plastic Surgeon)

To correct the bags under the eyes, nothing works better than Restylane to fill in the valleys and disguise the bags. This will help some of the lines but the better choice for lines is Botox or Dysport.

This is a very delicate area because of the thin eyelid skin. At the outer corners the crows feet are easily treated. Under the eyes a tiny amount of Botox can relax things and sometimes even make the eye open wider if desired.

Some will respond to Botox under the eyes in the lower eyelid with swelling under the eyes making the bags look worse. These are advanced techniques. (Janet M. Neigel, MD, Florham Park Oculoplastic Surgeon)