"Botox in the crow's feet can help reduce the tension around the eyes and relax the wrinkles, which can help improve the appearance but will not remove the eye bag," Dr. Shafer says. Like filler, Botox is only temporary and will need to be injected every three to six months to maintain results.
Does Botox tighten the skin around your eyes? Botox tightens sagging skin wherever it is injected, including around the eyes. It relaxes the nearby muscles, which helps to reduce and prevent wrinkles. The overall effect is to create the appearance of tighter, younger skin.
Answer: Botox Does Not Cause Bags
Sometimes more toxin is required to lessen the affect – and skilled injectors can usually handle this situation without much difficulty.
Botox and dermal fillers work differently which is why they're best used in specific parts of the face. A filler is great for restoring facial volume under the eyes, while Botox is effective for smoothening the dynamic wrinkles like glabellar lines and crow's feet.
1) Under-Eye Area
Results from these procedures suggest about 8 Botox units will be enough to reduce the appearance of under-eye wrinkles and even bagginess.
Common side effects include bruising and swelling, and nodules and bumps under the eye can occur. “Blindness is a rare side effect if the filler enters a blood vessel of the eye and occludes it,” she says, hence the importance of seeing a well-trained injector.
While Botox may help with bags and wrinkles under your eyes, the injections aren't without risks. Temporary effects such as droopy eyelids and fat bulges near the injection site are possible. You may also experience mild pain shortly after the injections.
A qualified, experienced injector should never inject the area near the orbital bone right above the pupil. If Botox is injected here, it can drift down toward the upper eyelid and cause an eyelid droop. This can last from weeks to even months.
The results from Botox last anywhere between 2-6 months; the average result lasts about 3-4 months.
There are many treatments that can eliminate the appearance of under eye bags without the need for surgery including dermal fillers, microneedling, chemical peels, laser resurfacing, and a variety of topical skin care products.
Bags under eyes are caused when the tissue structures and muscles supporting your eyelids weaken. The skin may start to sag, and fat that's usually around the eye can move into the area below your eyes. Also, the space below your eyes can gather fluid, making the area look puffy or swollen.
There are a number of skin treatments to reduce under-eye puffiness. These include laser resurfacing, chemical peels and fillers. These treatments are designed to tighten skin, improve its tone, and reduce the appearance of bags under the eyes.
While it's not always possible to eliminate under-eye bags, the Mayo Clinic1 and WebMD2 have some suggestions: Sleep well—Get the proper amount of sleep for your age. Your entire body may feel better as a result. Adding an extra pillow may help fluid drain away from your eyes.
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.
That being said, most patients typically start using Botox in their early 30s, some even in their mid-20s. The best time is usually when lines begin to stick around, but not too deeply. When you smile or frown, lines may develop during the expression, but they generally go away when the face is relaxed.
Get more rest. Use creams with caffeine, which work as a vasoconstrictor to tighten blood vessels under the eyes. Lay a cool compress or chilled tea bag under the eyes for a few minutes each morning while sitting upright. Avoid drinking fluids before bedtime and cut down on the salt in your diet to lessen fluid ...
In some cases, facial filler injections that are placed underneath the eyes can lead to additional swelling, and can make a festoon pocket appear more evident or larger. At times, the festoon pocket may persist for a longer period even after an unwanted facial filler product is dissolved with hyaluronidase.
A very common problem that we see in our clinic is the worsening of malar bags as a result of previous tear trough filler treatment. As fillers tend to cause swelling, any patient with malar bags or festoons should avoid filler treatment, as this will only exacerbate the problem.
While the FDA has not approved of any facial fillers for under the eyes, but the safest and most effective off-label treatment option available for patients who are keen to avoid eyelid surgery is Restylane dermal filler.
So how much Botox do you actually need when dealing with areas around the eyes? In cases of treating eye problems, the average dose is 12 to 24 total Botox units, with forehead lines requiring 20 units and crow's feet requiring 24 units.
The amount of Botox needed to improve crow's feet depends on each individual. An optimal dose should last 3 to 4 months. Two units per side is a very low dose and typically would last about 2 to 3 months. You will need to wait and see what dosage will work for you and give longevity.
Your Guide to Botox Injections
According to Allergan's guidelines, the following units should be given: Crow's Feet – 10 to 12 Botox Units per eye (2 eyes would mean 20 to 24 units) Frown Lines – 20 Botox Units. Forehead lines – 20 Botox Units.
“Preparation H can hypothetically be helpful for under-eye bags because it constricts blood vessels, which can reduce puffiness,” says King. “It contains 1% hydrocortisone, an anti-inflammatory that, in theory, might temporarily reduce puffiness if inflammation was contributing to the fluid retention under your eyes.”