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.