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There are no long-term risks that have been associated with Botox. When performed properly by a skilled physician, Botox injections are safe and can yield fantastic results for the patient. When considering Botox treatment, I would recommend choosing a physician who is experienced and knows the do's and don'ts of Botox. I hope this helps, and I wish you the best of luck!
Botox underwent extensive testing to achieve fda clearance. It is extremely safe. Long term side effects are not found. Even before its fda clearance for cosmetic use, botox was used for years treating eye muscle spasm and esophageal spasm. So use Botox with confidence!
Cosmetic Botox use long-term hasn't been proven unsafe. "Bad" meaning could you suffer any negative long term systemic issues? As we age, our muscles change and they will with continued use (in the face for cosmetic purposes) - altering the amount of units will likely be necessary.
The typical amount of Botox that is used for cosmetic purposes is very small and the effects are temporary, so I would say that it is safe to use in the long term.
Botox has been used safely for over 25 years for both medical and cosmetic treatment. If you are considering Botox treatment, please consult a board certified dermatologist or plastic surgeon for the best possible results.