Botox aftercare and sensations

Trevor M. Born, MD answers: Cheek and forehead tingling after brow line Botox

I live in Korea and went to have Botox for my brow line. The doctor did not advice or told me after procedure care, so I massaged it 9 hours after the injection. The next morning, my brow looks as if the Botox is working, but my whole forehead and cheeks are tingling too! Would I have paralysis? I'm scared!


Trevor M. Born, MD
4 months ago

 Dear Korea

The general routine for my patients after a Botox injection- is to mobilize the muscles treated ( for most not wearing sunglasses is sufficient) for a few hours. Massage is not required. the protein binds very quickly and thus does not travel far from the injection site.

if this is your first treatment then you may have some odd sensations- usually these start 3 to 5 days post injection- and more commonly around the lips. The tingling you are describing is not what I would expect but you did massage your forehead for 9 hours- most likely the reason- not the Botox or injection of the nerves.

Make sure you return to your MD for a 2 week follow up to see that you are having the desired results and that your physician is happy as well.

With Warm Regards,

Trevor M Born MD

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