Botox EXTREMELY Painful Injection?

While I am sure this is a great way to check it out, the thought of injecting himself seems over the top!  Botox pain can be due to the way it is reconstituted (how the powder that Botox comes as is made into a liquid).  It is possible that his office staff changed their fluid and there is a possibility that the wrong fluid was used this time.  Generally, this won't cause major issues, but it is somewhat concerning if major pain is noted.

I have also noted that women who are premenstrual tend to have more pain, so that may be a reason.  Good luck with it!

The Botox injections that you had could have been reconstituted with bacteriostatic water instead of bacterostatic normal saline. There is no harm, it just stings when injected.

I agree with the other doctors that the problem is almost definitely with the saline used to reconstitute the Botox and not the Botox itself. Botox is manufactured under stringent, controlled conditions. As long as the product was purchased directly from the manufacturer (Allergan) and not through a third-party distributor, there is very little to be concerned about. As with any injections, definitely call your doctor if you notice anything unusual.

I suspect you wrote this question because you are scared that there might be a risk to your health. Hopefully the reassuring comments here from mutliple doctors will help you feel better.

Botox comes as a sterile freeze-dreid powder that must be reconstituted with saline solution to prepare it for injection, and there are different types of saline that can be used. Your experience sounds very unusual and more likely related to the solution used rather than injection technique.

I agree with what others have said.  There may have been some different substance, ie sterile water, used to hydrate the Botox.  Preservative free saline does not usually cause extreme pain like you describe, so it may have been water.  Since you have had Botox before with no significant pain, it certainly sounds like there was something different about the injection that day.  I wonder if other patients that day had the same experience?

Another reason for the injections to be soo painful it that instead of saline solution for the Botox dilution, sterile water was used. Sterile water is very painful when is injected, check with your doctor.