Can Botox Help With Under Eye Bags? - Shens Clinic (2023)

Can Botox Help With Under Eye Bags? - Shens Clinic (1)

Botox injections are employed to reduce dynamic wrinkles that form as a result of repetitive muscle contractions. As you probably already know, they are often applied to the crow's feet area to treat crow's feet lines. But can you use Botox for under-eye bags and dark under-eye circles? If you want to know the truth, keep reading.

Can Botox Treatments be Used to Treat Under Eye Bags?

The active ingredient of Botox is botulinum toxin A, and it can be injected under the eyes to minimise dynamic wrinkles caused by laughing, squinting, and frowning. In some people, it may reduce the appearance of dark circles as an added bonus. But this is rarely the case. In fact, if you have dark circles, it is not likely that you are offered Botox as the first line of treatment.

Now, in terms of puffy eyelids, there are no peer-reviewed studies to prove that Botox is effective. If you have extra fat pads under the eyes, Botox will not be able to get rid of them because it works by relaxing the facial muscles in the surrounding skin rather than melting fat cells. Therefore, it cannot reduce puffiness.

It's worth noting the injectable is not FDA-cleared for cosmetic uses in the lower eyelids. That being said, every country has different rules and requirements regarding aesthetic treatments. Some technicians recommend Botox cosmetics for eye bags, although that is not an approved practice.

Other off-label uses of Botox cover scarring, eyebrow lift, acne, and lip flip.

What are Botox Injections Used for?

Can Botox Help With Under Eye Bags? - Shens Clinic (2)

You can have Botox injected in the forehead area, in the corners of the mouth, at the back of the head, and in the corners of the eyes to treat:

  • Frown lines
  • Forehead lines
  • Crow's feet
  • Neck spasms
  • Excessive sweating

It is vital to remember that the effects of botulinum toxin fade away over time. Thus, you need to go in for a touch-up once every 6-8 months in order to maintain results.

Are You a Good Candidate for Botox Under the Eyes?

The ideal candidate for under-eye Botox, or botulinum toxin type A, is someone who has horizontal wrinkles in the eye area (dynamic wrinkles) and no extra skin or bulging fats. If you have puffy eyes, you will not get any positive results from the procedure.

Older patients with thin eye muscles are not suitable for Botox. You will not qualify for the treatment if you have some serious health conditions, such as neuromuscular problems.

How to Prepare for Under-Eye Botox

The procedure requires the same kind of preparation as you would do for other injectables. A week before your appointment, you should stop taking supplements and medication that slow down blood clottings such as aspirin, Motrin, Advil, turmeric, fish oil, green tea, garlic supplements, and ibuprofen.

It's also recommended that you avoid alcohol about 24 hours prior to the Botox injections.

Day of the Injections

The appointment will start with your board-certified doctor inspecting your eye muscle to ensure you fit the criteria for the treatment. Your skin should be able to snap back to its normal position relatively quickly when pinched. If it doesn't, you may be unsuitable for Botox injections.

But if you are cleared for the procedure, a nurse will prep the skin with a numbing agent and the healthcare professional will go forward and do several injections in the pre-marked areas. Experienced board-certified plastic surgeons prefer starting with a very low dose and then letting the lower eyelid rest for a couple of weeks to overdoing it.


You do not have to do anything special after you get a Botox injection. Many patients go back to work on the same day.

It is important to not apply pressure to the lower lid for several days post-treatment. Do not massage the skin. To help minimise bruising, apply cold compresses to the injection site. It's okay to wear makeup after the procedure is over.

Last but not least, you ought to avoid sun exposure. Wear sunscreen, sunglasses, and hats at all times.

(Video) Women With Dark Circles Get Under-Eye Injections For The First Time

Side Effects of Using Botox Injections in the Under-eye Area

There are various potential side effects of Botox in the under-eye area. For starters, swelling and bruising are to be expected with any injectable treatment, and Botox is no exception. They should go away after a few days.

Another complication is forming wrinkles in other parts of the face. As preposterous as this sounds, it's actually possible. As you know, when you smile, the skin in the under-eye area folds due to the pressure that the cheeks exert on it.

But when you use Botox to relax the muscles underneath, the contraction will not be possible anymore, and new folds may appear in unpredictable places.

Among the risks you run with applying the injectable to the under-eye area is using too much product. This can lead to continuous swelling that will linger on for as long as the effects of the treatment persist.

Moreover, when the under-eye muscle is relaxed, the fats in that area will lose part of their natural support. Without good eyelid support, they can bulge out, causing eye bags to appear around the injection site. This is the opposite of what you want.And lastly, there is a risk of dry eyes and blurry vision.

These mistakes can be avoided if you see a board-certified specialist who can ensure that Botox is indeed the right treatment for you, whether you want to reduce the appearance of wrinkles or remove eye puffiness and circles under the eyes. If you are a better fit for another procedure, you should not get Botox.

Botox Injections Vs Dermal Fillers for Eye Bags and Dark Circles

Can Botox Help With Under Eye Bags? - Shens Clinic (3)

As mentioned before, Botox cosmetic works by reducing tension in the facial muscles. On the other hand, fillers can fill in hollow spaces and battle volume loss, but the underlying muscle is left intact. This helps to reduce the appearance of wrinkles, but it doesn't stop you from forming more wrinkles over time.

So, the two treatments can be complementary, but they cannot be used interchangeably.

The truth is, when it comes to treating eye bags and dark circles, dermal fillers create better, more sustainable results. They can restore volume loss in eye hollows in the lower eyelid. Most patients who once received injections with hyaluronic acid or collagen significantly improved the transition between the lower eyelid and the cheeks.

What are Home Remedies for Eye Bags?

  • Get enough sleep - it is generally estimated that you need around 7-8 hours per night
  • Cut out salt from your diet
  • Use anti-puff eye cream products
  • Treat your allergies if you have any - allergies can increase the appearance of eye bags
  • Use cold compresses - if you have dilated blood vessels under the eyes, this could cause dark circles and puffiness; a cold compress can help with the issue

You may be interested in reading more about how to get rid of and remove eye bags with home remedies here.

What Cosmetic Options are There for Eye Bags?

  • Eye cream - look for products with caffeine, hyaluronic acid, or nicotinamide
  • Laser resurfacing - multiple visits may be needed to get the desired outcome
  • Chemical peel - peels can lighten the skin tone and reduce the appearance of puffiness; the results vary depending on the strength of the agent and the number of sessions you undergo
  • Lower blepharoplasty for cosmetic purposes (lower eyelid lift) - it can eliminate loose skin and extra fat from the under-eye area, which also improves wrinkles
  • Dermal filler - a dermal filler can create a smooth surface between the cheeks and the eyes

Frequently asked questions

How many units of Botox do you need for under-eye bags?

It is estimated that 1-2 units of Botox are the maximum amount you can use under the eyes without creating a baggy appearance.

(Video) Is Botox Safe Around Your Eyes?

How long does Botox last?

The effects of Botox begin to fade after three to six months. Without follow-up sessions, your face will return to its pre-treatment state over time.

Can laser resurfacing get rid of bags under eyes and tighten skin?

Laser treatment works great for puffy eyes, especially when there are contraindications for surgery or the results of such surgery are not guaranteed. The procedure acts on wrinkles and hyperpigmentation as well.

(Video) Eye Doctor Explains How to Get Rid of Under EYE BAGS

Do laser treatments help with facial wrinkles?

Laser treatments are effective in reducing wrinkles because it resurfaces the skin, revealing a fresh layer of skin cells. They also stimulate collagen production.

Bottom Line

The bottom line is that Botox injections are not used for under-eye bags, but they can help with under-eye wrinkles. As with any treatment, you should consider the potential side effects it brings and weigh down the pros and cons carefully before you take the plunge.

If you are interested in getting your hands-on treatment for puffiness and dark circles, your best bet would be to discuss your goals with our plastic surgeon. We recommend that you look into the various options we provide, such as fractional Co2 laser, fillers, and our scarless eyebag removal that can give you a completely natural look without the risk of scars.

    (Video) Laser Resurfacing - Madonna Eye Lift - Fractional CO2 Laser

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    Can you get Botox to remove bags under eyes? ›

    Botox injections in the crow's feet can help address under-eye bags as well, but similarly to laser treatments, they will only address the surrounding skin and won't get rid of the bags themselves.

    How many units of Botox do you need for under-eye bags? ›

    It's generally recommended that your professional inject 1-2 units of Botox in the undereye area. This can help provide a smoothing appearance, without running the risk of baggy and droopy results.

    How do you permanently get rid of bags under your eyes? ›

    A lower eyelid lift (blepharoplasty) is an outpatient procedure where the surgeon readjusts the fat in the lower eye area and tightens the muscle and skin to create a smooth appearance. In most cases, a lower eyelid lift gets rid of under-eye bags for life — it's rare for people to need future touch-ups.

    Can a dermatologist fix under-eye bags? ›

    Yes! Dermatologists not only treat many kinds of skin conditions ranging from acne to pre-cancerous skin lesions but they can also apply a variety of non-invasive procedures designed to eliminate dark circles under the eyes quickly and painlessly.

    How much does Botox Under eye for bags cost? ›

    Costs for Botox can range between $200 and $800 per session, sometimes more. These costs aren't covered by insurance.

    Is Botox or filler better for under eye bags? ›

    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.

    What are the side effects of Botox around the eyes? ›

    Possible side effects and complications include:
    • Pain, swelling or bruising at the injection site.
    • Headache or flu-like symptoms.
    • Droopy eyelid or cockeyed eyebrows.
    • Crooked smile or drooling.
    • Eye dryness or excessive tearing.
    2 Feb 2021

    Where should you not inject Botox? ›

    A good injector should know where to never inject.

    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.

    What does it cost to have under eye bags removed? ›

    Surgery for eye bags can range from between $2,000 and $5,000, depending on the doctor, the type of surgery being performed, and what exactly is required. Talk to your doctor ahead of time to discuss all potential costs and fees that may be associated with a blepharoplasty.

    What injections are used for under eye bags? ›

    Since they're transparent, easy to smooth, and less likely to clump, hyaluronic acid fillers are the most common filler type used in the under-eye area. Hyaluronic acid provides the shortest result of all the fillers but is considered by some practitioners to provide the most natural look.

    What causes excessive bags under eyes? ›

    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.

    Can you get rid of under eye bags without surgery? ›

    Facial fillers (also called 'dermal fillers' or simply 'fillers') can also be used to reduce the appearance of under eye bags by adding volume to areas that may appear deflated. Dermal fillers such as Restylane or Juvederm, are made of a material known as hyaluronic acid.

    How long does Botox Under eye last? ›

    When you get a Botox injection under your eyes, you stop the whole muscle from producing wrinkles and make crow's feet Botox last more time. This process consists of injecting Botox into your lower eyelid with an insulin needle. The effects of this injection may last from three to four months.

    Does Botox around eyes make you look younger? ›

    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.

    Where can you put Botox around eyes? ›

    A commonly asked question about Botox is whether it can be effectively used near the eyes. The US Food and Drug Administration (FDA) has approved Botox for cosmetic purposes around the crow's feet area (sides of the eyes) and frown line area (in between the eyes – also known as glabellar lines).

    At what age should you start getting Botox? ›

    If you want to prevent the earliest fine lines from becoming full-blown wrinkles, preventative Botox can be the solution. Botox is approved for patients who are 18 years and older and most experts agree that patients in their mid to late 20s and early 30s are at a good age for preventative Botox treatment.

    What are the 3 areas for Botox? ›

    Botox injections are commonly injected into three main sites – forehead lines, crow's feet lines around the eyes and the vertical '11' frown lines between the eyebrows.

    Can Botox damage your eyes? ›

    Injections near the eyes pose the most risk, and these areas are commonly used to combat crow's feet and brow lines. After the Botox is injected, the eyes can become very irritated and dry, and can go quite bloodshot and red. This irritation can then increase into blurred vision and the inability to see correctly.

    Can laser get rid of eye bags? ›

    There are two types of laser treatments for eye bags. They are called ablative and non ablative. Ablative laser treatments treats the outer surface of the skin directly. It involves rejuvenation by removing the top off layer of skin.

    How long does under eye bag surgery last? ›

    The results will typically last from anywhere between 5-7 years. Lower lid blepharoplasty rarely needs to be repeated. If you notice your eyelids begin to sag again over time, you may benefit from a brow lift rather than another eyelid surgery.

    Are bags under eyes permanent? ›

    Bagginess under the eyes may also be due to genetics, and in these cases, are difficult to resolve and may be more permanent. They may appear almost overnight, may develop over time, and may stay for as long as the underlying cause is unresolved.

    Does Preparation H Work on eye bags? ›

    Yes, you read that correctly. "Preparation H is a vasoconstrictor," explained Dr. Sejal Shah, founder of Smarter Skin Dermatology in New York City. "By narrowing the vessels, it helps reduce puffiness.

    Will 2 units of Botox do anything? ›

    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.

    How far does 20 units of Botox go? ›

    Right above the eyebrows and in between the eyes is called the frown lines. According to the recommendations, this requires 20 units. And finally, for the lines further up the forehead, which we just refer to as forehead lines, it takes 20 units of Botox.

    What will 15 units of Botox do? ›

    Injecting 10-15 units of Botox into the crow's feet on the side of the eyes helps lift the brow. A lot of people think that injecting Botox in the forehead lifts the brow, but that is incorrect. Botox in the forehead temporarily paralyzes forehead muscles.

    Is 15 units of Botox enough for 11 lines? ›

    On average 25 units of Botox will give your skin by your glabellar a full correction and will remove the 11 lines. The '11 lines' are the glabellar lines in between your eyes and eyebrows.

    What does Botox under the eyes do? ›

    When you get a Botox injection under your eyes, you stop the whole muscle from producing wrinkles and make crow's feet Botox last more time. This process consists of injecting Botox into your lower eyelid with an insulin needle. The effects of this injection may last from three to four months.

    How can you tell if someone had Botox? ›

    4 Tell-Tale Signs You've Had BOTOX® (and How to Avoid Them)
    • Overarched Eyebrows. Brows that resemble Mr. ...
    • Immobile Forehead. The secret to keeping your face looking as natural and refreshed as possible is using just the right amount of BOTOX®. ...
    • Bunny Nose. ...
    • Bruising.

    Does Botox make you look older after it wears off? ›

    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.

    What is the best age to start Botox? ›

    If you want to prevent the earliest fine lines from becoming full-blown wrinkles, preventative Botox can be the solution. Botox is approved for patients who are 18 years and older and most experts agree that patients in their mid to late 20s and early 30s are at a good age for preventative Botox treatment.

    How do you make Botox last longer? ›

    6 Tips for Prolonging Your Botox Injections
    1. Avoid Sun Damage. ...
    2. Consider Low-Intensity Workouts. ...
    3. Reduce Your Stress Levels. ...
    4. Moisturize Your Skin. ...
    5. Don't Use Nicotine. ...
    6. Take a Zinc Supplement.

    Do you tip your Botox lady? ›

    The only person you never need to tip is a doctor, even for aesthetic treatments like Botox (another reason to only get injections from a dermatologist or plastic surgeon). At the end of the day, all of these stylists, aestheticians, and technicians live off their tips, so be sure to help them after they've helped you.

    How much does 50 units of Botox cost? ›

    The average price is about $20 per unit, and a single treatment might use anywhere from 20 to 60 units per area. Expect to pay about $500 to $800 per session on average. That said, if you use our site, you could find deals on Botox near you for as low as $7 per unit, and between $120 to $600 per session.

    How many units is normal for first time Botox? ›

    Here are what the average units of Botox for the different areas of the face are, so you have a baseline of what to expect when doing your first treatment: Chin: 2-6 units. Corners of the mouth: 3-6 units. Crow's feet (outer canthal lines): 5-15 units.

    How many days does it take Botox to work? ›

    When injected properly by a medical doctor, you can expect to see results after your first treatment. It can take two to four days before the weakening of the muscle begins and movement is stalled. You can see the maximum results of your treatment anywhere from ten to fourteen days after treatment.

    How much is a 100 units of Botox? ›

    The cost for Botox injectable powder for injection 100 units is around $677 for a supply of 1 powder for injection, depending on the pharmacy you visit.

    What is the crunch sound when getting Botox? ›

    When the doctor injects Botox into your forehead, you may hear a crunching sound. This noise occurs because the needle goes through the galea — a fibrous sheet of connective tissue that forms the middle layer of the scalp.

    Is Botox or fillers better for 11 lines? ›

    Answer: Fillers on eleven lines

    However, a dermal filler does not address the dynamic muscle which is the reason that botox is the preferred treatment in the 11s. Consult in person with an experienced and expert physician injector to understand your options.


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