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how Botox can cause a systemic effect such as feeling ill, is not well studied. Certainly quick uptake by the venous circulation might cause symptoms when normal injections in the dermis or subcutaneous tissues or muscles would allow for a slower uptake of the medicine and less peripheral symptoms. If there is a drop of blood or a bruise, it doesn't mean the Botox went in a vein though. The needle stick can disrupt the vein wall before or after the Botox is introduced to the surrounding tissue. Vague symptoms are rarely reported and when they are they tend to be self-limiting. The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice. The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. If you are experiencing a medical emergency proceed to your nearest emergency room.
One of the most common side effects of BOTOX is a mild flu like syndrome that is reported in about 3% of patients getting cosmetic BOTOX. This is regarded as a systemic effect. It is unlikely that injection into a vein is needed. The drug primarily is taken up by the muscles to be treated, but yes a small amount is distributed into the general circulation. This tiny amount of BOTOX seems to be the basis of not feeling well for a short period of time after a cosmetic treatment in a small percentage of patient.
The dose of Botox that will cause symptoms is 2500 units and the usual dose of Botox is 20units/area.
Mild headache or flu-like symptoms have been reported. Most Botox treatments are very well tolerated and I have been using Botox for well over 22 years. Go back and see the MD that did your Botox treatment if you're concerned.
An experienced dermatologist can treat you so that you reduce the muscles movement but remain natural. We call that 'actress doses' specifically because it maintains expression. Just be clear with your physician about your goals. Remember less is more -- your doctor can always add more. M...
I have never seen pimples or red bumps persist on my patients unless there is a bruise which is rare. Was there powder on the nurse's gloves that then got innoculated in the skin and caused the bumps? They should go away on their own, but see a dermatologist...
The disphoric feeling that you are aware of suggests that treatment has resulted in an adverse muscle balance. Unfortunately these types of effects can last weeks or months. Please feel free to add to this post if your symptoms get worse.
