Botox EXTREMELY Painful Injection?

Botox injections might be a little uncomfortable but should not be PAINFUL. I agree with the others and think that the problem was with what the Botox was reconstituted with.  Bacteriostatic saline makes the injection the most comfortable. The worst scenario would be if someone used hypertonic saline by mistake. If this was the case you would already know as this could cause ulceration. It is most likely  that they used sterile water and that does hurt more. 

I agree with the other doctors that the problem is almost definitely with the saline used to reconstitute the Botox and not the Botox itself. Botox is manufactured under stringent, controlled conditions. As long as the product was purchased directly from the manufacturer (Allergan) and not through a third-party distributor, there is very little to be concerned about. As with any injections, definitely call your doctor if you notice anything unusual.

I suspect you wrote this question because you are scared that there might be a risk to your health. Hopefully the reassuring comments here from mutliple doctors will help you feel better.

Botox comes as a sterile freeze-dreid powder that must be reconstituted with saline solution to prepare it for injection, and there are different types of saline that can be used. Your experience sounds very unusual and more likely related to the solution used rather than injection technique.