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Can hitting a vessel cause a systemic reaction to Botox?

I recently received 28 units to forehead and crows feet. I never had a reaction the other 3 times of injections. This time I left the facility with a hematoma by my eye. In 4 days I was very ill with extreme muscle fatigue and pain to arms, legs, back and neck. Trip to ER r/o viruses. Now seeing neurologist 3 weeks later. Symptoms slowly improving. He is testing for many neuromuscular diseases. R/O’ ed many.

Answers (8)

From board-certified doctors and trusted medical professionals
Dr. Muhammad Mirza, MD (license suspended)
Physician
Answered on Jan 31, 2018
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Aldo Guerra, MD profile photo
Dr. Aldo Guerra, MD
Board Certified Plastic Surgeon
4.9 | 276 Reviews
Answered on Jan 24, 2018
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Douglas Taranow, DO, FACOS profile photo
Dr. Douglas Taranow, DO, FACOS
Board Certified Plastic Surgeon
4.9 | 199 Reviews
Answered on Jan 25, 2018
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Dr. Shaun Patel, MD
Physician
Answered on Jan 25, 2018
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Dr. Melvin Elson, MD
Board Certified Dermatologist
Answered on Jan 25, 2018
Answer
Dr. Steven Wallach, MD
Board Certified Plastic Surgeon
Answered on Jan 25, 2018
Answer
Dr. Satyen Undavia, MD
Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
Answered on Jan 25, 2018
Answer
Dr. Benjamin C. Paul, MD
Board Certified Facial Plastic Surgeon
Answered on Jan 25, 2018
Answer

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Hi Andy.  There are several different possibilities.  The first is that you are not getting enough units.  If the number of units is to small, then the product does not last as long.  If you are being sold the product by the "area" rather than by the "unit" this may be the case.It's also poss...

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P. Craig Hobar, MD(retired)

Absolutely. It is common to get injections prior to, or even during anesthesia. That should have no affect on your surgery whatsoever. To save yourself some minor discomfort, I would recommend talking to your plastic surgeon about receiving your botox while you are asleep.

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Melvin Elson, MD

There are 2 methods of injecting the masseter and the medial injections if done may affect the smile. Once this wears off and you want it done again talk with your doctor about not injecting the medial sites

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