Botox side effects - how can I avoid them?

I read that Botox has some side effects like droopy eyelids. Is Botox safe?  Any tips for making sure my Botox (first time!) has no bad side effects?

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18 answers to “Botox side effects - how can I avoid...”

A: Side effects result if Botox is not done properly

Daniel Reichner, MD

Botox injections can cause side effects if not done properly. A good plastic surgeon will start with a lower dose and adjust the dosage to get the desired results. The skill part of injecting Botox is understanding the anatomy of the facials muscle, especially around the eye.  It is also critical to... more

A: Botox side effects are typically minimal if they occur

Scott Trimas, MD

Botox side effects are typically minimal if they occur. One can avoid botox side effects by not asking or having excessive amounts placed at the initial or repeat injection time. Also, most of the side effects such as droopy eyelids can be avoided by going to experienced injectors; howevever, even in... more

A: Botox is safe as ever

Michael A. Persky, MD

The recent stir about the safety of Botox has nothing to do with the cosmetic use of the anti-wrinkle miracle drug. It is still as safe as ever to have a few of your wrinkles erased by Botox. We have used Botox over the past 30 years without any of these recent adverse effect reports. The FDA is reviewing... more

A: There are a lot of ways to make Botox safe and avoid complications

Philip Young, MD

Botox can be done in a safe way to avoid problems. First off, diluting the botox with less solution can go a long way. I typically use only 2cc of botox where some other physicians use up to 4 cc of saline. When you use more saline, you end up needing more volume for the same number of units. What this means... more

A: At this time, the manufacturer of Botox (Allergan) is...

Jennifer Walden, MD

At this time, the manufacturer of Botox (Allergan) is the only provider of Botox to doctors’ offices in the US (outside of a few other clinical trials). If you were to find someone that has bootlegged a Botox-like product, a copycat from another country, or bought it from a different manufacturer, that... more

A: Botox should be fresh and kept refrigerated from the...

Erik Austin, DO, MPH

Botox should be fresh and kept refrigerated from the instant it arrives at the dermatologist’s office. Botox does deteriorate over time. A provider who does not complete very many Botox treatments per week may have Botox on hand that has lost its potency due to aging and deterioration. So, select a... more

A: I would echo the sentiments of the other answers. There...

D.J. Verret, MD

I would echo the sentiments of the other answers. There has been a recent review by the FDA of the safety of Botox due to several adverse reactions. From the information provided by the FDA, the adverse events seem to have occurred in children less than 12 years of age and in adults where large quantities of... more

A: Seek the right Botox provider to avoid side effects

Randolph Capone, MD

To reduce the chances of a bad cosmetic Botox or Dysport outcome, make sure you are treated by a physician who is appropriately trained and appropriately board certified (for example, a plastic surgeon, facial plastic surgeon, or a dermatologist). These individuals will have the... more

A: I read that Botox has some complications like droopy eyelids. How can I avoid them?

Peter A. Aldea, MD

There is a LOT of BAD BOTOX out there. But it is so easy to avoid it. Easy answer - Be Smart. Just get your Botox from a REPUTABLE physician ; either Plastic surgeon, Dermatologist or a Facial Plastic surgeon.  Do NOT get it in a salon, a "Botox Party" or from another MD (such as a... more

A: Avoid massaging after Botox or Dysport injection

William Ting, MD

Ideally, Botox injections should be performed by a board-certified dermatologist or plastic surgeon. Besides the precision and experience of your physician injector, you should refrain massage the skin areas after Botox or Dysport injection for the rest of the day to minimize migration.... more

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