Botox, like any other cosmetic treatment is associated with risk and complications. However, Botox has not been shown to cause "hollowing" under the eyes. Patients may complain of "hollowness underneath the eyes caused by Botox".
Your eyes can sink because of changes in the contents of your eye socket. These may include: Fat tissue reduction and muscle weakening due to aging. Two examples related to age-related changes have their own names: giant fornix syndrome (GFS) and senile sunken eye syndrome.
Botox does have long-term side effects
This can cause indentation in the temple and indentation in the forehead furrow line, which creates a shelf-like droop of wasted muscle.
Botox is a great facial injection and can "open up" the eyes and make you look more refreshed. However, if Botox is injected too low in your forehead it can make the eyes appear smaller and cause lid "heaviness". The results will last about three months and get much better over time and will not be permanent.
When Botox is used by itself, it can cause muscles to atrophy. Because the muscle injected with Botox can no longer move, it shrinks over time. However, with the help of dermal fillers, you can address the loss of volume and continue enjoying a wrinkle-free complexion.
Too much Botox in the forehead muscles can cause the eyebrows to droop, making the upper eyelids look very heavy and hooded. The face may look angry or sad all the time. Too much Botox around the eyes can dramatically affect facial expression. The face is simply frozen.
Most of the time, this condition will get better after 3 or 4 weeks, or once the neurotoxin wears off. (The effects wear off in about 3-4 months or longer.) In the meantime, at-home treatments could help your eye to get back to normal faster: Muscle massage.
Answer: Botox and puffiness
Botox can be injected into the forehead to treat the wrinkles but the risk in an inexperienced injector is lowering the eyes and creating puffiness and the shape that you describe. Please do not add additional Botox to the area.
If the Botox is placed too low or if it migrates down, the Botox can affect the lower part of the muscle and cause a droopy eyebrow. Sometimes when your eyebrow goes down, it can make your upper eyelid heavy too, making it look like droopy eyelids.
Specifically, injections on the forehead or between the eyes may spread into the eyebrows and cause the brow to lower, causing a droopy eyelid. In most cases, droopy eyelid occurs between one and three weeks after treatment, and patients typically experience this adverse effect for just a few weeks.
Answer: BOTOX itself will not cause an indentation
However, if certain muscles relax and other muscles are not injected, those active muscles may be working harder and become more pronounced looking. You may have what appears to be a hole but is a depression area between a weakened muscle and a more active muscle.
"If you do too much Botox on your forehead for many, many years, the muscles will get weaker and flatter," cautions Wexler, adding that the skin can also appear thinner and looser. Moreover, as your muscles become weaker, they can start to recruit surrounding muscles when you make facial expressions.
Cosmetic surgery, including brow lifts, blepharoplasty (eyelid surgery), and facelifts, can lessen the appearance of sunken eyes. These techniques are more invasive and involve a longer recovery time. However, they can offer a more long-term solution to sunken eyes.
The most common treatment for under eye hollowness is the use of a cosmetic hyaluronic acid filler such as Restylane or Juvederm to restore volume under the eyes. Hyaluronic acid occurs naturally in the body, so these fillers are generally hypoallergenic.
Usually, people who have sunken eyes experience improvement by increasing water intake and limiting diuretic beverages. Drinking 8 to 10 glasses of water per day can help people avoid sunken eyes.
Under Eye Botox
Botox relaxes muscles wherever it is injected, which helps reduce the appearance of wrinkles. However, Botox doesn't do much to help puffy under eyes or hollowness. If either of those issues is your main concern, you will most likely be better off with fillers or surgery.
Iopidine (apraclonidine) or oxymetazoline hydrochloride
If your patient has a botulinum toxin side effect, or a mild congenital ptosis, you can use medication (in the form of drops) that stimulates the smooth muscle in the eye – the tarsal muscle or Müller's muscle – which responds to sympathetic stimulation.
Yes, Botox can cause droopy eyelids if it is injected in the wrong place or if too much is used. Because Botox is a muscle relaxing toxin, if it is injected into the muscles that hold the eyelids or eyebrows up, then this can cause the muscles that pull the eyelids down to be more emphasised.
If you stop BOTOX treatments after many years of regular injections, the only effect will be that your wrinkles will return, albeit a bit more slowly than if you had not been using BOTOX. It's true: Even after you stop, you will still look younger than you would have if you had never been injected.
Heating pads: DON'T apply heating pads until 2 weeks after treatment. After 2 weeks, apply heating pads can help increase the blood supply to the affected areas, allowing Botox to wear off faster!
Vision Changes
Spread of Botox can cause changes in vision. This can include double vision, blurred vision, dry eyes, excessive tearing and drooping of the eyelid. If experiencing these symptoms, consult your doctor.
There's a common misconception that Botox makes you look older when it wears off. On the contrary, regular Botox treatments make you look younger even after the neurotoxin wears off.
There are no long-term or life-threatening adverse effects related to botulinum toxin treatment for any cosmetic indications. Moreover, the risk of possible complications can be reduced by means of a thorough analysis of the patient's medical history and the use of the appropriate dose and technique for the injection.
You should share your prescriptions with your BOTOX surgeon since BOTOX side effects can occur in those taking certain antibiotics, Alzheimer's drugs, anticoagulants, or medications for autoimmune disorders or irregular heartbeat. BOTOX is not recommended for women who are pregnant or breastfeeding.