Question

Can Botox cause eyelid puffiness?

I had Botox done to reduce my "stress wrinkle" between my eyebrows and my forehead lines about two weeks ago. The results for me were far beyond typical and I am thrilled - the wrinkles are GONE - except now, my eyelids have seemed more "puffy" than normal. It is not swelling or a "droop"- yet the area just over the brow bone seems thicker and heavier. Is this normal? Will it lessen or can I expect the same result each time?


Asked by: HeatherW
Sav, GA

Answers (2)

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1
December 1, 2008

Could be something else...

As the area where you got your Botox injected is quite close to the eyebrow/eyelid region, some minimal swelling from the injection could have tracked to your eyebrow.  If your eyelids have not drooped down significantly or you are not having trouble raising your eyelids, it does not sound like the Botox itself is affecting your eyelids.  The weather can also play a part in the puffy/heavy appearance or sensation you might be experiencing.  During the fall season when it gets quite dry, our eyelid glands that produce oil to coat our tears can produce an excess of oil that sometimes gets stuck in the eyelid and not secreted out.  This can backup and cause your eyelid/eyebrow region to feel heavy and puffy.  It is not related to Botox at all, more of just a coincidence.  A good way to help resolve (or figure out if this is it) this sensation is to get a warm compress and place it over your eyelids/eyebrow area and gently massage that area with circular motions for 10-15 minutes 2 or 3 times a day.  Not only will that help break up any excessive oil production, that will also help reduce any residual swelling quicker.  Best of luck!

2
October 10, 2008

Some swelling, or puffiness, can develop after the injections.

S. Pasquale Maggi, MD
S. Pasquale Maggi, MD
Board Certified
Plastic Surgeon

Dear Heather W from Sav, GA,

 It appears from your question that you have recently had your Botox treatment, and that this is your initial experience.  I am glad you are "thrilled" with the result.  As you found out it typically takes 5 to 7 days to see the effect on the area from the Botox.

Without seeing the area the "puffiness" you describe just below the area treated sounds as some mild/residual swelling from the injections to the area. 

Depending on the number of injections, the size of the needle, and the amount of bruising you had after the treatment some degree of swelling is common.  As the swelling resolves the final stages appear as residual 'puffiness' in the area below, or dependent, from the treatment.  This also should resolve. 

But if the area is red, and/or tender, or not improving, you may want to have your physician evaluate the area for an infection or other complication from the procedure.

I hope this helped answer your question.

Best wishes,

S.P. Maggi, M.D., FACS

Comments (1)
Mary Harris
Mary Harris
12/12/08

I had botox done in forehead,frown line between eye's also to raise eyebrows. About a week later my eyes swelled lasted just a few days. Results were worth the few days of swelling although I feel my Dr. charged to much 300 per area total 900.00.thinking of going to diff dr next time. done in august and still see good results and its mid december.
Anyone have any input on Botox priceing?

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