How to Get Rid of Under-Eye Bags with Botox

While cold compresses and caffeine-enriched eye creams provide quick and simple fixes for puffy eyes, cosmetic treatments like Botox® offer more prominent results by relaxing wrinkles around the eyes and improving the overall appearance of eyebags without removing them.

While we don’t directly target under-eye bags with Botox, our board-certified dermatologists at Spring Street Dermatology use this cosmetic injectable to address eye concerns that can amplify their appearances, such as crow’s feet and droopy brows. We also utilize lasers, energy devices, and dermal fillers to help rejuvenate the eye area and provide our New York patients with a more alert and well-rested appearance.

Below, we explain how Botox can help refresh your eyes and list other effective treatments in Soho and Uptown to help you get rid of under-eye bags.

What Causes Under-Eye Bags

Aging causes the tissues around the eyes to gradually lose elasticity and sag. Fat may also shift forward into the lower eyelids where fluid can accumulate, resulting in a puffy and swollen-looking appearance.

Other factors that may contribute to under-eye bags are:

  • Lack of sleep
  • Smoking
  • Allergies
  • Water retention due to a high-salt diet
  • Thyroid problems
  • Genetics
  • Excessive sun exposure

Is Botox Good for Under-Eye Bags?

When dermatologists inject a neuromodulator like Botox or Dysport® into facial muscles, signals from the nerves to muscles are blocked. The injected muscle no longer contracts, forcing the wrinkles above to soften and relax.

Wrinkle smoothers like Botox cannot treat under-eye bags, but they can rejuvenate the eyes for smoother, younger-looking skin. When used for treating crow’s feet, Botox can help reduce the tension around the eyes and smooth wrinkles, helping improve the appearance of eye bags.

How to Get Rid of Eye Bags 

The following tips and procedures can help you reduce or eliminate bags under your eyes:

  • Cold compresses help minimize inflammation and swelling.
  • Hemorrhoid creams help narrow blood vessels and reduce swelling.
  • Caffeine in eye creams or chilled tea bags causes blood vessels to constrict, reducing under-eye puffiness.
  • Agnes RF microneedling treatment boosts collagen levels to thicken and tighten the delicate skin around the eyes. It can also be used to melt the fat pads that actually cause the eye bags.
  • Excel V targets veins and skin discoloration around the eyes.

Tear trough fillers like Juvederm® Volbella restore subtle volume and reduce discoloration and hollowing under the eyes.

spring street dermatology botox injection for under eye bags on patient new york city ny

Botox vs. Fillers for Under-Eye Bags

Crow’s feet, droopy eyelids, and sunken eyes are some of the most common signs of aging that appear around the eyes. Botox and dermal filler injections are two of the most popular treatments that can address these concerns, taking years off a patient’s face for a  fresh and rejuvenated aesthetic.

Which injectable works best for bags under the eyes? Botox and fillers work differently, which is why dermatologists inject them in specific areas of the face. Knowing how each injectable works can help you determine the best treatment option for you.

Fillers such as Juvederm® and Restylane® can dramatically improve the appearance of deep tear troughs by plumping up under-eye hollows, smoothing fine lines, and camouflaging darkness. These fillers are made of hyaluronic acid, a substance that is naturally produced in the human body. It helps the skin maintain moisture to create a plumping effect and supports the tissue regeneration process. When injected into the tear troughs, hyaluronic acid provides volume and lift to the skin, smoothing out the visible groove under the eyes.

Botox and Dysport are most often used to treat crow’s feet around the corners of the eyes, the deeper wrinkles between the eyebrows, or on the forehead. Botox relaxes the muscles to smooth lines and wrinkles beside and above the eyes rather than filling in under-eye creases as fillers do.

Oftentimes, using a combination of Botox and fillers is the ideal option to treat under-eye bags and rejuvenate the appearance of the entire eye area. Our board-certified dermatologists can customize the best procedure plan during your consultation. 

Treat Your Under-Eye Bags at Our New York City Office 

Spring Street Dermatology offers a state-of-the-art facility with personalized skin care services to help patients achieve smooth, clear, and healthy skin. As a premier Manhattan medical and cosmetic dermatology practice with two convenient locations in Soho, NYC, and Uptown, NYC, our board-certified physicians strive to build a life-long relationship with every patient. All are highly trained and experienced while staying current on the latest dermatology treatment options and procedures.

We help patients achieve beautiful and natural-looking results using the simplest and least invasive techniques possible, including injectable wrinkle-smoothers like Botox Cosmetic. 

Contact us to schedule a consultation in Soho or Uptown and learn more about how you can get rid of bags under your eyes.

Contact Us


75 Spring Street, Floor 2
New York, NY 10012
Monday - Friday: 8:00 am - 7:00 pm
Saturdays: 10:00 am - 4:00 pm

Same-Day Appointments Now Available


4 West 58th Street, 13th Floor
New York, NY 10019

Monday - Friday: 8am6pm

Same-Day Appointments Now Available

Title Address Description
75 Spring Street, Floor 2 New York, NY 10012

75 Spring Street, Floor 2
New York, NY 10012

Monday – Friday: 9am – 8pm

4 West 58th street, 13th Floor New York, NY 10019

4 West 58th street, 13th Floor

New York, NY 10019

Sun & Sat: 10am-3pm

Mon-Fri: 8am-6pm

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