5 weeks ago I had 75 units injected in forehead..50 the first week and 25 the following week. I had an "active forehead" and was an out of town patient. Immediately following the procedure I experienced muscle spasms that disappears over he next day or so. Yesterday they returned. My question is this .. Is the Botox wearing off? Is the muscle finally giving up ? Is this normal? Thank you
February 23, 2015
Answer: 75 units of Botox on forehead There are a couple of unusual aspects of your experience. First, 75 units of Botox is ALOT to treat the glabella and forehead. If you had Dysport treatment, instead of Botox, then 75 units is reasonable for those two areas. I suspect you were treated with Dysport but I am curious to know. Second, the muscle spasms are unusual. Personally, when I first started using Botox I had one treatment where I developed an annoying tic around my left eye as the Botox wore off. This has never occurred again. If you are not having any other neurological concerns then this should not be an issue. If you're having other symptoms let your injector know and followup with them and your internist. If you live in Denver, there's definitely no reason to need to leave town for Botox. There are many expert physician injectors in town.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
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February 23, 2015
Answer: 75 units of Botox on forehead There are a couple of unusual aspects of your experience. First, 75 units of Botox is ALOT to treat the glabella and forehead. If you had Dysport treatment, instead of Botox, then 75 units is reasonable for those two areas. I suspect you were treated with Dysport but I am curious to know. Second, the muscle spasms are unusual. Personally, when I first started using Botox I had one treatment where I developed an annoying tic around my left eye as the Botox wore off. This has never occurred again. If you are not having any other neurological concerns then this should not be an issue. If you're having other symptoms let your injector know and followup with them and your internist. If you live in Denver, there's definitely no reason to need to leave town for Botox. There are many expert physician injectors in town.Stephen Weber MD, FACSDenver Facial Plastic Surgeon
Helpful
February 24, 2015
Answer: 75 units of Botox on forehead. Now experiencing muscle spasms. Is the botox wearing off? (Photo) If you truly had 75 units in the upper third of your face, you should have no movement at all. You should verify the number of units and where placed.Dr. Malouf
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February 24, 2015
Answer: 75 units of Botox on forehead. Now experiencing muscle spasms. Is the botox wearing off? (Photo) If you truly had 75 units in the upper third of your face, you should have no movement at all. You should verify the number of units and where placed.Dr. Malouf
Helpful