Botox Emergency Bad Reaction!!! Help! Will Botox Divots Go Away Around my Eye??

asked 11 months ago by suzette501 in Atlanta, GA
Latest answer by Ronald Shelton, MD
Question viewed 359 times
Tags: crows feet, 1 month post-op, divot, reaction

Botox Emergency Bad Reaction!!! Help! Will Botox divots go away around my eye?? I had botox on May 22, 2011 for crows feet. After two weeks, I began to get 3 divots where the injection took place on one side of my eye. Now they have sunken in even more as time has passed. I am so scared and unspet. Will this go away??? Please help me. I went back to the dr. and they said they had NEVER seen this before. That is is a freak reaction. Please help me. Has anyone seen this and what can I do?

9 answers to Botox Emergency Bad Reaction!!! Help! Will Botox Divots Go Away Around my Eye??

What went wrong with Botox treatment?

These photos are very concerning. Being that this occurred so soon after your Botox treatment, the logical question as panel members have suggested, is whether or not Botox from Allergan was administered. You took the first step in returning to your physicican to be examined, but the lack of further direction is concerning. You may want to consider requesting a copy of your medical records. If the records and your physician confirm that Botox was administered, then it... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Depressions after botox

I, as your doctor stated, have never seen depressions from botox, every during my almost 20 years of doing Botox injections nor read of this complication when researching the treatment before my book on Botox was published by Penguin Putnam. This appears more consistent with steroid injeciton atrophy than anything Botox would do. Your doctor should report this to Allergan, the manufacturer of Botox to check if they have had any other similar reactions to the lot number used by your... more

Ronald Shelton, MD
Manhattan Dermatologist

The effect of the BOTOX goes away

The effect of the BOTOX goes away. The divots on the side of the face may be a result of swelling or inflammation. This should go away. If it is hard or firm for some reason, that is a usual result from scarring. Sometimes that can be affected with 5-FU or a mild steroid, but I would give it time. The conservative thing to do is to massage the area to see if it is mild swelling. see video

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

BOTOX divots

Hey Suzette501 - I will agree with the others on panel - Botox in my hands has never in 18 years created such a problem - again ensure the injector is qualified and the product used was indeed BOTOX. Each vial used has a lot number and you should ask for the lot number to confirm for yourself. The longevity of the product as you know is 3-6 months - if you have not seen resolution of the divots I would at that time consider filling the area for better symmetry. Good... more

Paul E. Kelly, MD
Hamptons Facial Plastic Surgeon

Indentations after Botox injections

I have used Botox injections for over 20 years and I have to say, I've never seen or heard of Botox causing muscle, or tissue, indentations several days after having Botox injected to the Crow's feet area. Are you certain that you had Botox from Allergan and not some imitation? No matter, the cause of these indentations...it's best to wait and see if they fill in on their own. if they are still present after a couple of months, you might consider... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Botox Emergency?

Are you sure that it was Botox that was injected? Botox does not cause divots. Is it possible that something else was accidently injected such as Kenalog? In any case, you may be treated with a little HA fillers such as Juvederm Ultra which will help fill the areas. Please make sure that you are being injected by a board certified and qualified injector. Good Luck.

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Botox Emergency Bad Reaction!!! Help! Will Botox Divots Go Away Around my Eye??

First thanks for the posted detailed photos. I disagree with the initial expert poster, in that I have never seen muscle wasting with minimal Botox unit injections to the crow's feet. I say this after using Botox since 1994. My first inclination is was it truly Botox? or some mixture with or without Botox? Was the injector a licensed M.D.? These are question you need answered by the injector. As for possible therapy, yes try a filler to elevate the "divots". Ask the injector to... more

Darryl J. Blinski, MD
Miami Plastic Surgeon

Bad Reaction from Botox Around the Eyes

I agree that this is a very unusual and decidedly rare reaction from Botox injections around the eyes. While you are waiting for the muscle tone to return, I would recommend injection of a small amount of filler such as Juvederm or Restylane below each of the "divots" to give you immediate improvement.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

This is not a freak reaction.

It is likely these are temporary changes. However it does show the importance of muscle volume. The BOTOX has caused localized disuse muscle atrophy. Your options are to have a tiny amount of filler or alternatively just let the BOTOX wear off.