Botox Injections - Experiencing Tightness in Forehead

Question

I had botox injections (I think 8) on my forehead approx 11 days ago and I just recently started experiencing extreme tightness in my forehead. It is not painful, just annoying and causing a bit of a headache. Is this normal and will it go away?

Otto Joseph Placik, MD · Answer

Botulinum Toxin (Dysport and Botox) will relax forehead muscles and not cause them to feel tight. However, the muscle imbalance caused by weakening one set of muscles may be interpreted as tightness.

Ali Sajjadian, MD, FACS · Answer

Hi,

	It is not uncommon to have a sensation of tight muscles after the Botox. This is commonly attributed to the compensatory effect of the surrounding muscles. Do not worry, this will go away very soon and it is your body's mechanism of adjusting.

Ron Shelton, MD · Answer

heaviness is often used to describe the unusual feeling of not being able to contract the muscles after the first treatment wtih botox or dysport. Possibly that's what the tightness is. Your body may become adjusted to this quickly. Possibly, other muscles in the nearby area are devleoping a greater resting tone to compensate for those muscles that are not moving. See your doctor to evaluate your condition.

Monika Soni, MD · Answer

Thank you for your question! It is not uncommon to experience tightness in the forehead after having Botox injections. Botox relaxes the forehead muscles and eventually helps in getting rid of this tightness. However, the muscle imbalance caused by weakening one set of muscles may be interpreted as tightness. Your body will soon be adapted to that and it will go away very soon. Do consult your injector if this persists after two weeks. Best of luck!

Steven Wallach, MD · Answer

Some patients experience heaviness after Botox injections. Tightness almost two weeks out is not common.

Purvisha Patel, MD · Answer

This tightness may be due to the surrounding (non injected) muscles tightening, or trying to compensate for the muscles injected with botox- you will likely get used to this. It would be wise to consult your injecting physician also regarding this.

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