How to Manage Itchy Puffy Eyes after Botox

Botox is one of the most sought after cosmetic procedures that treat the aging signs. In fact, it has become one of the most common treatment options for puffy itchy under eyes. Just like any cosmetic procedure, Botox has some moderate to severe side effects. The place where Botox is injected, quantity of Botox, quality of the filler, etc determines how effective the Botox is. Itchy eyes, puffy eyes, redness, rashes, blurred vision, nausea, stiffness of eye muscles, bruising, etc. are common side effects of Botox when injected near the eyes.

While the side effects subside in few hours to 3 or 4 days, there are few instances where you may develop more severe side effects. One of the unavoidable side effects of injecting Botox near the eyes is puffy itchy under eyes. Yes, Botox is one of the frequent causes of puffy itchy under eyes.

Managing Botox is not an easy thing, especially when you notice the inflammation, bruising, etc.

Why Botox causes Puffy Itchy Under Eyes?

Botox causes puffy itchy under eyes under many circumstances. You can call them side effects of Botox under eyes treatment.

The neuro-toxin paralyzes your muscle

The Botox filler injected is a form of neuro-toxin, which cannot blend with your blood, cells and tissues quickly. When the Botox is injected, it paralyzes the muscles near the place where it is injected. You may be aware that the skin, tissues and muscles in and around the eyes are very delicate. These soft tissues cannot receive the filler instantaneously. The physician who injects the Botox may adjust and manipulate the filler to set it under the eyes at the right place.

Weaker muscles unable to shrink and expand

When Botox is injected, the muscular structure around the eyes shrinks to pump out the fluids from inside the eye bags and gradually receive it back. So, if the eye muscles are weak, the muscles won’t push out the fluid and receive it back quickly. It may take some time to drain and refill the fluids. So, puffiness from Botox in the under eyes is very common, which accompanies itchiness too! In rare cases, it may also swell the upper eyelids.

Botox is an extra element to your skin

Botox is not an instant magic that reduces your aging sings within few minutes. When the fluid is injected under the eyes, the extra fluid may accumulate under the eye bags and lead to inflammation. Puffy itchy under eyes is caused by the fluid injected. However, it will resolve by itself in a few days.

Volume of Botox

The volume of the Botox may be wrong. Too much Botox end up creating inflammation of the eyes. The right dosage is best decided only by a certified cosmetologist or dermatologist who has good experience and expertise.

Your body doesn’t accept Botox

Undoubtedly, injecting Botox around the eyes is quite tricky. Sometimes, your body doesn’t accept Botox. It obviously provides the less desirable result. While the physician who injected Botox tries the best to disperse the Botox to get the desired result, in a few cases, the outcome of this cosmetic procedure is not effective. Especially, when the Botox doesn’t show off the right result, you may end up with puffy itchy under eyes.

Inflammation of Lymph nodes due to Botox

Lymph edema is another condition triggered by Botox. It refers to accumulation of fluids by the lymph nodes. Botox may alter the pumping action of the muscles and affect the functions of the tiny vessels of the eyes. When the muscles don’t work effectively, you develop under eye bags, which gradually increase eye itchiness. The good thing about lymph edema is it will gradually evade when the Botox wear off. You need to wait for months or even more than a year. Besides, you may also get the lymphatic drainage massage performed by a professional aesthetician. In addition, you may also apply vitamin eye creams.

Drooping Eyelid

Drooping of the eye lids (both under eyes and upper eyes) are very common with Botox even if a skilled injector infuse the Botox. It happens almost in everyone who has sagged skin. When the eyelid droops due to Botox, you cannot prevent under eye bags.

In a majority of cases, the unwarranted and undesirable side effects of Botox will go off in a few days. Your body needs some time to get settled with Botox.

itchy puffy eyes after botox

Tips to Manage Itchy Puffy Eyes after Botox

How to manage puffy itchy under eyes caused by Botox? Managing these side effects is all about doing nothing for a few days until the swelling and itchiness subside. Don’t worry, it will settle on its own. You should know about dos and don’ts after getting Botox to avoid aggravating the symptoms.


All you need is patience. You had the desire to get rid of the aging signs. No miracle can make it happen overnight with Botox. You should wait for a few days to see the results. Side effects of Botox are unavoidable. Some of the side effects of Botox include,

  • Puffy eyes
  • Itchiness
  • Discomfort of eyes
  • Eye irritation
  • Blurred vision
  • Redness of eyes
  • Light sensitivity
  • Watery eyes etc.

Most of these side effects need no medication or treatment until 2 days after Botox. If the symptoms persists or if the puffy itchy under eyes is more likely to aggravate, you need proper medication. So wait for around 2 or 3 days before you try anything to get rid of puffy eye bags or irritation under eyes. However, don’t wait for too long. If any of the side effects doesn’t reduce, make sure to visit the physician who injected Botox to avoid further complications.

Keep your hands off the eyes

The first thing you should do, rather should not do is touching your eyes. Keep your hands off the eyes at least for 24 hours. Don’t try to rub the eyes even if it itches. Rubbing or scratching worsens the symptoms. Besides, the filler will disperse to other parts and causes undesirable effects.

Keep your head elevated

This is mandatory to avoid the filler getting dispersed. You should not lie down until 4 hours after getting Botox. For two or three days, until the filler settles completely under the eyes, keep your head elevated. It also prevents the extra fluid storing into the eyes.

How should you sleep after Botox treatment  under eyes?

  • Don’t lie on your stomach
  • Don’t lie down flat on your back
  • Add extra pillow to increase the height of your head when you sleep

Following these reduces the risk of accidentally moving the Botox all over place.

Stay still or just sit back doing nothing

The risk of Botox getting dispersed is more when you move. Say, bending down to pick something, tilting your head, lying flat  etc. may move the Botox filler. You should stay still doing nothing until a few hours after Botox.

Don’t be like, ‘I got the Botox! I’m looking young. I’m gonna move around, drive, dance, etc.’ at least for a day or two.

Use Vitamin K cream to treat the bruise

After consulting your dermatologist, buy vitamin K cream and gently apply on the baggy eyes. Vitamin K cream treats the bruise and reduces the itchiness.

Reduce the risk of eye allergy

You should brace yourself from exposure to any allergens. An eye allergy may trigger the symptoms and you may not be able to control the itchiness. There are many triggers to eye allergy. If you develop an eye allergy, you cannot take any medicine or apply any eye drops considering the Botox injection. If you get treatment for eye allergy, it may affect the Botox fillers, causing serious side effects. The outcome would be worse.

How to reduce the risk of eye allergy after Botox under eyes?

  • Wear protective glasses even when you stay inside until the puffiness reduce.
  • Just make sure your house is clean and free from dust mites
  • Wear sunglasses to avoid exposure to outdoor allergens.
  • Stay away from pets
  • Don’t wear any perfume or deodorants
  • Stay at home and take rest for at least two days after Botox
  • Don’t spend long hours before computer or television

Make sure that you do nothing that could irritate your eyes.

If it is not Botox but an allergy driven puffy itchy eyes, read this, Puffy Itchy Eyes Allergies- What to do?

Don’t take any medicine

Remember, puffy itchy under eyes caused by Botox is not a symptom of any allergy or eye infection. It is just a short term side-effect. In most cases, you can manage the moderate itchiness. Simply avoid taking any medicine or putting any eye drops without consulting your dermatologist.

If you take analgesics, NSAIDs or other medicine to combat the itchiness, there is a risk of bleeding beneath the eyes. Similarly, putting eye drops may affect the Botox filler and cause undesirable side effects. Just avoid taking any medicine without the knowledge of your doctor.

No cosmetics or makeup or manipulation

As mentioned above, stay away from anything that leads to allergy or worsen the symptoms. Also make sure you get no skin treatment or even massage (until it is prescribed or recommended by your dermatologist to drain the under eyes) for few days until your follow up visit to the doctor.

What you should not do to reduce as well as not worsen the puffiness and itchiness of the eyes?

  • Don’t touch or press puffiness of the eyes
  • A big and strict no to makeup at least for 2 or 3 days immediately after Botox
  • Postpone all your appointments to get any kind of beauty or skin treatment – It is not only you, but no one should touch your skin other than the Botox injector.
  • Avoid trying to adjust the filling. Even if you find any crease or uneven filling, get it fixed by your dermatologist in the next visit.

Cut intake of salt and caffeine

The effects of Botox and puffy itchy under eyes has no direct relation with salt or caffeine intake. Yet, cutting down the salt intake and temporarily avoiding caffeine (your very own cup of coffee in the morning) for a few days prevents exasperation of itchy eyes and swelling.

No smoking and alcohol

Smoking or alcohol consumption may increase the bruising and subsequently it leads to inflammation of the eyes. You shouldn’t even get exposed to smoking as it could turn a potential irritant.

Go easy on stomach – Eat Cooling Food

This is very important to avoid further aggravation. Eat cooling and easily digestible food. When you eat cooling foods, it reduces the itchiness and irritation of the eyes.

What are the foods you can eat?

  • Water vegetables and fruits
  • Avoid eating meat
  • Don’t eat anything that comes in packaging. It means, eat nothing but home cooked foods at least for a few days
  • Say a big no to hot and spicy foods
  • If you have the history of food allergy, make sure you completely avoid the triggers
  • Don’t think about processed foods
  • Drink a lot of fresh juices of fruits and vegetables

Do simple eye and facial exercises

Since Botox affect the muscles, you can try some simple eye exercises and facial movements to activate the muscles. Just do some natural face expressions and mild eye exercises.

  • Look up, look down and look sideways
  • Rotate your eyes – clock wise and anti-clock wise
  • Shrink and expand your eyes. Don’t make your eyes too wide, it may irritate you.
  • Open and close your mouth
  • Say Cheese
  • Laugh loud (make sure no one notices you laughing alone)
  • Blow a kiss (imaginary kiss)

This is only something you can do to stimulate your muscles to give desired results. But ask your doctor who injected the Botox whether you can still do some eye exercises or not.

Besides all these, you may apply a little ice pack over the swollen eyes. Make sure to apply it very gently and do it no more than a minute and not more than three times a day.

Follow up visit after Botox Treatment Under Eyes

A follow up visit after a couple of weeks of treatment is mandatory. Talk to your dermatologist and make sure that everything is fine.

In a few people, a single injection may not be sufficient to get the desired effect. At the same time, overdose Botox may do more harm than good. So, it is always recommended to get the lesser dosage and correct the creases in the subsequent visit.

Are you in trouble besides puffy itchy under eyes after Botox?

In addition to some eye related symptoms or side effects of Botox, you may also develop a few more symptoms, which may be apparent that something went wrong.

  • Difficulty in breathing / heavy breathing
  • Hives, rashes and severe intolerable itching of the eyes
  • Chest pain followed by neck, shoulder and arm pain
  • Difficulty in swallowing and hoarse voice
  • Vision problems (persists after 3 or 4 hours of the treatment)

Developing puffy itchy under eyes after a week of getting Botox – What it implies?

Sometimes, you may develop puffy itchy under eyes with or without additional symptoms after a week or 10 days after getting Botox. In most cases, bruising appears immediately after Botox injection. The bruising generally shows off within 24 hours of treatment. If the eyes become itchy, swollen and bruised after a week or so, you may need to contact your physician who injected the Botox.

The inflammation may be due to exposure to allergens or an eye infection. Visit your doctor immediately. Don’t try any home remedies or self medications.

Key to avoid puffy itchy under eyes and other side effects of Botox

The most important part of getting Botox is finding a certified dermatologist. Don’t afraid to ask any questions to your dermatologist to identify whether you really need Botox and learn about the possible complications. Only an expert dermatologist can suggest you whether you need Botox or not. Besides, you need the Botox injected only by a skilled injector.

If you haven’t had a Botox shot and still suffer from a puffy itchy under eyes, here are some remedies for puffy itchy under eyes that you might want to apply.

Disclaimer: This information is for general purpose. Talk to your doctor regarding any problem in your eyes after Botox treatment.

One Response

  1. Parul February 10, 2016

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