Are the toxins in Botox the cause of the anxiety/panic attacks, or is this a result from the blocked nerve?

It might be the botox, in which case, Xeomin, or Dysport would not be different.  On the other hand, the problem may be the emotional effects of the treatment your injector is doing.  We know that botox relaxes certain facial muscles and this has an effect on facial feedback and our emotional state.  It is thought that for this reason, people are "disproportionately" happy after a good botox service.  For this reason, Botox has been successfully used to treat people with clinical depression.  On the other hand certain treatment patterns, like dense forehead treatment might be the basis for your anxiety. I have an entirely different method of administering botox called the Microdroplet Lift. You might consider trying this type of service before throwing in the towel on cosmetic botulinum toxin.

I think there is something else going on unrelated to the Botox injections which is triggering your anxiety/panic attacks.  I am unfamiliar with glabellar frown relaxation which employ heat technology used in the skin-tightening treatment Thermage, to selectively weaken nerve function. I would recommend that you make an appointment with your PCP and discuss the possible causation of this behavior within 24 hours of a Botox injection.  If you have been using the same injector for the past six years, discuss your recent anxiety with him or her.  Perhaps a sedative can be prescribed prior to the treatment.  Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

It is unlikely that Botox is causing your anxiety. However, Xeomin/Dysport, fillers, lasers and microneedling/prp can be used as alternatives. See an expert. Best, Dr. Emer

I have treated 1000's of patients over more than 25 years with Botox.  I have never seen this type of reaction personally, nor have I heard of it from other doctors in millions and millions of doses.  Is it related?  Possibly, but highly unlikely.  There are many situations that could affect your mental state. Hold off on more Botox and get a good evaluation from a Psychiatrist regarding your anxiety and panic attachs. 

It is highly unlikely that Botox is causing your symptoms. There are other treatments you can do such as fillers, lasers, chemical peels, but nothing produces the results that Botox does. You should definitely discuss this with your primary care physician to figure our the cause of your anxiety

I do not believe your anxiety is related to the Botox treatment itself. That being said, Dysport and Xeomin are alternative "wrinkles relaxers" that work similar to Botox. I would discuss your anxiety with your primary care physician or injector prior to the next treatment.

Botox is not causing your anxiety. Dysport and Xeomin are also toxins that can be used but they are essentially the same.  If necessary you can have a prescription for a tranquilizer to take if you wish. i dont know what gfx is

Your anxiety is caused by your pre-existing conditions and definitely not Botox. I would speak to your treating physician and have them address that issue prior to your Botox treatments. Enjoy your Botox and good luck from New York City