C. Clarke RPA-c

As a New York City Licensed PA and an injector trainer, here is my 2 cents. I am responding to someone in the thread who specifically asked for my professional input: Botox or Dysport when injected in the correct anatomical muscle(s) in the correct concentration and correct quantity should not give any ill affects such as what is described above. Botulinum toxin A (BoNT-A) was first discovered in 1895 and since then have been thoroughly researched (tested on mammals in the 1960's then on humans in the 1970's and on to large clinical trials in the 1980's. First FDA approved in 1989 for treatment of irregular eye movement (Blepharospasm and strabismus). After another decade of treatment for cosmetic uses around the world BoNT-A (Botox)was then FDA approved in the USA in 2002 after additional clinical trials. Today this is relatively one of the safest drugs used for it's FDA purposes on the Glabella zone and is used by health care professionals (Surgeons, MD's, PA's, NP's, RNs)for a wide range of medical problems (off-label usage)from cerebral palsy in children, pain, overactive muscle disorders to enlarged prostates in adult males.
As with any drug, side effects are the inevitable and each individual should be monitored safely with any given side effect. The good news here is that since BoNT-A is temporary the side effects too are temporary, minor and points primarily to technician specifics rather than the drug itself. **The drug is a tool, and when used correctly should give great result, INJECTORS SHOULD NOT BLAME THEIR PATIENTS**.
Please don't despair, please don't develop nightmares from some of the comments above, please don't consider every non-medical personnel's advice under the sun but please DO your research, DO consult with as many treating professionals as possible on your side effects and confirm that there are temporary and please DO treat with a licensed provider( MD, PA, NP, RN-under MD watch) with known good results. I see many patients shopping around for cheaper prices and eventually if this is the only method of choosing an injector then anyone will get what they pay for(this statement does not pertain to anyone in this thread, obviously). Your cost for Botox / Dysport injections should always be within a reasonable range not too high and definitely not too low.
Back to the original thread: Some side effects such as additional wrinkling under the eye may not have been foreseen and this may not be a bad treatment by the injector but will tell you that the next time you are treated to stay away from the crow's feet region, this is temporary and will not remain aFter the effects of Botox/ Dysport has worn off. As for continued bags under the eyes and wrinkling, I personally do not inject directly under the eye for fear of this side effect. From my years of experience injecting individuals with weaker palpebral portion of ob oculi muscles will have a widening of the eye (some younger girls like this effect)in older individuals or individuals with weak PPOO muscles will sag if injected with BoNT in this region but if you have a good medical practitioner they will do a snap test first before injecting. Bottom line, BoNT (Botox/ Dysport) is temporary and after injecting and you do not like the effects either do not treat the region again or seek out another qualified injector. Botox/Dysport like all other drugs is just a chemical tool, use it wisely and stay beautiful for as long as earthly possible. PA C. Clarke

You did the right thing, go back and have the touch up. However if the second time did not work well, then lose the injector for being twice a failure. She/ he should have been extra careful to give an outstanding result this time around to keep a loyal patient as yourself. PA Clarke, NYC

Sorry to hear. Bruising is caused by many factors; the needle, hands that are not confident, eyes that are not too good or haste to inject without locating the superficial traveling vessels. But it can happen to the best of us and it has. Whether it was Botox or Dysport, it did not matter in your case. It was technician specific. PA Clarke, NYC

Sorry to hear. It does not seem likely that if the Botox/ Dysport starts to work it will suddenly stop in a few days. This part of you explanation of adverse effects does not sound possible. However what is possible is if too little product was used, then the effects may not start to occur at all or acessory/ adjacent muscles may compensate for correction. Increased lines around eyes are injector specific (poor technique by technician) Return and have the correct amount of Dysport injected if you feel confident in they service. PA Clarke, NYC

Do not do anything else to make the problem worse. Stop, Stop, relax, relax, allow the effects to occur in a couple of weeks and then remedy it if possible. The technique of the laser and the mechanism of the laser likely despersed the Botox/ Dysport beyond the area it was intended for. You'll be fine in due time. Botox/ Dysport and Laser should never be done on the same day. ALWAYS ALLOW 2 WEEKS BETWEEN TREATMENTS. It is a very poor practice to do both procedures. You may do well by avoiding that location since they concern seemed more with the profit than the person. And I am usually not this harsh. PA Clarke, NYC