Can Botox cause twitching?

I had cannthopexy done for both eyes 2 years ago... last year in December, I had Botox done for crow's feet, between eyebrows, forehead, and to raise eyebrows... now its been about 3 months. Just after the botox injection in December, I started feeling a twitch with my left eye.. the twitch is at the the line of my eyelash so its right on the eyelid. The twitch does not happen all the time. It happens sometimes and I can even move that part intentionally if I want to while looking at the mirror! i couldn't control those nerves before! I had a panic attack. I've just been to an eye doctor and he told me that the twitch can happen from the Botox. I didnt ever think it could be because of Botox. I'm so upset.!!! He told me I have to wait for it to wear off and to go back to see him again. My eye doctor said I just have to wait and see. You guys are smart, do you think this is happening because of botox? And if it is, will it ever wear off and stop twitching my eye?

5 answers to “Can Botox cause twitching?”

A: Eyelid twitching after Botox

Daniel Reichner, MD

Eyelid twitching happens frequently in some individuals even without Botox. This twitching is a non-voluntary contractions of the obicularis oculi muscle due to muscle or nerve irritation, or it is a reflex from irritation of the soft tissue around the eye. It is also possible that the... more

A: It's not the Botox

Christopher L. Hess, MD

As much as your doc wants to blame the Botox it's highly unlikely that a paralytic will cause the muscle to move. You're having what is called benign fasciculations. These twitchings are often the result of fatigue, sleepiness, allergies or any number of things.  They can be very annoying. Make sure all... more

A: Twitching unlikely caused by Botox

Wilfred Brown, MD

Botox itself is often used to treat muscle spasm and twitching with a high degree of success. It is unlikely that the Botox is causing the twitching that you are experiencing. Trauma to the muscle or it's innervating nerve may cause the twitching if the site of the trauma is remote from where the Botox was... more

A: Botox always goes away after three to six months

David Shafer, MD

There are no permanent side-effect of Botox. If you paralyze one group of muscle without paralyzing the other, you may throw the balance off. I am not sure if that is what is happening to you. In fact, Botox is commonly used to reduce twitching in the eye. Also, after you have any facial procedure, you are... more

A: Eyelid twitching may have different reasons

Stella Desyatnikova, MD

Occasionally, Botox injections can indeed cause the twitching around the area that it was injected. It is really rare, and it will stop when the Botox effect wears off, usually in about 3 months. Follow the advice of your doctor, and go to see him again as needed. If the twitch does not go away, it may be due... more

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