Friday, March 16, 2012

Lower Eye Lid Aesthetics : Part 2 – Botox for Eye “Bag” Caused by Muscle Bulk

Some young patients in their twenties complain of having eye bags “all their lives” despite religiously applying eye creams and getting eight hours of sleep every night. But not known to many people, what is perceived as eye “bags” can actually be due to an enlarged muscle (orbicularis occuli) at the lower eye rim. 

Photo source : Medline Plus
Diagram showing the Orbicularis Occuli muscle

The function of orbicularis occuli muscle is to close the eyelids. When the muscle is enlarged (or in medical terms – muscle hypertrophy), a bulge is seen immediately under the lower eye rim, especially when the person smiles. This condition can start from a very early age and is not caused by aging.

Angelina Jolie, who has been voted as the most beautiful woman in the world by Vanity Fair magazine also has mild muscular bulges on her lower eye lids.

The treatment for eye “bags” caused by muscle hypertrophy is simple – the procedure involves injection of a tiny drop of Botox to each affected muscle. Results are visible after 4 to 7 days when the muscle relaxes and the bulge disappears. The Botox effect usually last about 3 to 4 months.

Photo source : Pchome
Right photo : This young patient does not have true eye bags. She used to rely on Photoshop to erase the eye bulges that made her look tired on photographs.
Left photo : After Botox treatment, the eye bulges disappeared and her eyes look slightly bigger.

An added advantage of this procedure is to be able to give the appearance of bigger eyes especially when the patient smiles. There is subtle lowering of the lower eyelid margin (the patient may be able to see slightly more white below the iris).

A tiny drop of Botox under each eye can really make a difference. The best part is - it only takes a few minutes to relax and rejuvenate the eyes.


  1. Unfortunately the effect of botox last only 3-4 months because if it would last longer I'm sure more and more people would choose it instead of dermal fillers or other anti aging solutions.
    Luckily for eye bags botox is one of the few effective solutions....a friend had a botox Toronto session for this problem and she was very satisfied with the result.

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