Why Did I Feel As if Cold Liquid Dripped on my Cheek when I Was Injected with Botox for Crows Feet?

The botox should not cause numbness.  It relaxes muscle contraction by blocking signal transmission between muscle and nerve.  There aren't sensory nerve pathways that are affected by Botox and there aren't sensory nerves near the crows feet. If there was nerve damage near the cheekbone with the Botox injections, then maybe there might be some feelings of unusual symptoms that might resolve over weeks to months. Please see a neurologist for evaluation.

As Dr. Baxt stated, botox does not cause numbness.  Any new symptoms should be evaluated by your PCP or a neurologist.  Good luck!

There are all sorts of subjective feelings that one experiences during a treatment.  Since you can't exactly see what is being done, the imagination can run wild.  It is likely that you are interpreting a subjective sensation as a cold drip.  Stay calm and enjoy your treatment!

Reconstituted Botox is stored in a refrigerated cabinet, and it's possible that a few drops of Botox dripped from the needle onto the surface of your cheek. I'm not sure why you're having cheek numbness after your treatment. You should make a follow up with your doctor to address your concerns.

Hope this helps.

Dr. Joseph

I believe that the sensations you are feeling are the result of the injection process itself rather than the Botox product. It is likely that the needle stimulated a facial nerve during the injection, and it sent your brain a signal that felt like cold water (our nerves can send all sorts of odd sensations that may not be representative of what we're actually feeling). The feelings you're sensing now are likely that nerve continuing to feel irritated and heal itself. Rest assured, the nerve will eventually heal itself and the sensations should resolve on their own.