Hypertension with mid-face filler and/or wrinkle relaxer?

Question

A few months ago, i was injected with Botox in my masseter. I immediately felt sick. My blood pressure was taken and was 142/92. A few weeks later i was injected with a second round of Voluma and had the same symptoms. Today, when getting my TB test, I quickly got hypertensive. I am an esthetic nurse and have asked around with no one having any knowledge of this. I'm heavily tattooed, not afraid of needles and in great health. I really don't want to stop getting injections because of this.

Anteneh Roba, MD · Answer

The BP elevation you are exhibiting suggests that you may be developing labile hypertension which is the initial stage of the condition.  BP elevation during stressful  situations, being seen by a Dr (white coat syndrome) are early signs of hypertension. You should not have to stop cosmetic work because of your BP elevation.However you need to see your provider to be evaluated for hypertension.

Anna Avaliani, MD · Answer

Your response is not typical but also not unusual. All of your episodes were around some kind of event, which is easily trackable. Your tattoos are on your body, but when needles are used on the face, then anxiety gets increased for many if not most people.  I suspect you just have anxiety when it comes to your face but suggest you have ambulatory BP readings done few times a day over a few weeks. Hope this helps. Best, Dr.Avaliani

Jason Emer, MD · Answer

This isn't typical. I recommend following up with your Doctor for a formal evaluation. Best, Dr. Emer

Richard E. Moore, MD · Answer

Thank you for your question. I would begin by recommending that you begin taking ambulatory BP readings on a frequent basis to see if you have some underlying hypertension. It would be good to take your BP in stressful situations and after exercise. The level of elevation in your BP that you reported is usually asymptomatic so I wonder if you might be having a vaso-vagal response with a drop in your heart rate. I have some patients who we have to inject in a supine position because they have a vaso-vagal response and either have a syncopal spell or near syncope. This is usually accompanied by a drop in BP but not always and by the time they took your BP it may have rebounded.I hope this was helpful - Dr. Moore.

Hypertension with mid-face filler and/or wrinkle relaxer?

Answers (4)

Answer: Elevated BP and feeling sick with injections

Answer: Elevated BP and feeling sick with injections

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Hypertension with mid-face filler and/or wrinkle relaxer?

Answers (4)

Answer: Elevated BP and feeling sick with injections

Answer: Elevated BP and feeling sick with injections

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.