Facial rash after Botox

It is unlikely that your rash is related to Botox. People can have allergies to the preservatives as well as to the topical anesthetic agents or skin preps used immediately prior to injection. If it persists, I recommend following up with your injector. Best, Dr. Emer

Great question- 
A picture of the rash would be really great in helping you. Next time I would forego the topical anesthesia and see what the results are. I've never seen botox cause a rash- it's a natural occuring substance and thus shouldn't be an allergen. Also, asking how it's mixed- it should be mixed with preservative free saline. 
Consulting with your injector is always a good idea. Lastly, try to change too many factors at once to identify what the problem is... ie. just don't do the the topical anesthesia next time and keeping all other factors equal see if you have the reaction. 
Hope this helps and God Bless!
Dr. Robb

Thank you for your question. It is very unusual to have a rash due to Botox. It can be very possible to have an allergic reaction to the topical analgesic. However, your rash can also be caused by other negligible additives in the Botox injection. Also, some injectors use preserved saline to dilute the Botox, and this may cause an allergic reaction. If this persist, I recommend having a follow up with your injector so a treatment plan can be determined for you. Best of Luck!

Yes, it is possible. A reaction like this can occur after a Botox injection. Having a small amount of the Botox injected to the volar(smooth surface of your) forearm could rule this in or out.

Having a rash from Botox would be very unusual and I have never seen it. I would look into the topical, the gloves, or the preservative in the saline used to mix the Botox. I would do the Botox next time without topical and with latex free gloves. If still a problem, use non preserved saline in the Botox. You can also test the forearm with the preserved saline, latex, and the topical.

The rash is not due to Botox. there are many possible causes but the first thing I would check is whether or not the doctor is wearing latex gloves.  His hand would be resting on your cheek when injecting the crow's feet

Thank you for your question. Rashes after botox injections are extremely rare. It is more likely that you are reacting to the analgesic cream or the cleaning solution. I recommend following up with your injector. Best of luck, 

Hello, erin123daisy!
Rashes due to Botox are highly unusual, if not unheard of. It’s possible that it’s an allergic reaction to the topical analgesic used, but it might also be caused by other negligible additives in the Botox injection. Some plastic surgeons use preserved saline to dilute the Botox, and this might cause some allergic reaction to the preservative. The Botulinum toxin itself isn’t known to cause rashes.
If the irritation persists, better consult a dermatologist.
Best of luck!

It is possible that you are allergic to this form of Botulinum toxin though of course it could be also coming from anesthetic application (even at places where the anesthetic was not applied). My advice try a different anesthetic application or maybe none at all while using ice pack immediately prior to injections. If you still get the rash then switch to a different form of Botulinum toxin. Proceed with caution to avoid a precipitation of a major allergic reaction. Your doctor should be able to help you with this. Good luck !!

If you are allergic to Botox you will have more than just redness in the area treated and nearby. It would be systemic. Which it is not. So there is something else you are allergic to - something contact. A numbing cream, an alcohol wipe used pretreatment, a latex glove, something like that. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."