Doc Put 50 Units of Botox In my Face is This Too Much I Got Saggy Eyes, and Migraines

Question

i had botox on july 7th, the doc used 50 units between my forehead and crows feet. I've never had that much botox before, and now my upper eyelids are saggy, and i have had a massive headache for 5 days solid. When will this go away????

Jeff Angobaldo, MD · Answer

Thank you for your question.  50 units is reasonable.  Dropped eyebrows can occur when the injection is to close to the eyebrows.  Headaches may occur and can last up to a week.   Best wishes.

Ron Shelton, MD · Answer

To treat a forehead with glabella and crows feet this easily can take more than 50 units. Headache may be related to technique an dother factors.  If the periosteum, lining of the bone of the skull, is irritated, then headaches are more prevalent. Headaches, however, may occur from other factors that are not known.

Mike Majmundar, MD · Answer

Fifty units of botox is not too much and is frequently used to treat the forehad, brow, and crow's feet regions at the same time.  The treatment location is very important as too much botox in the wrong part of the brow can cause some lid droop.  Headaches are common in some patients after Botox injection and can last for up to a week but these are rare and temporary.  Frequently, patients with Botox who get headaches don't get them with Dysport so trying another relaxing agent may be helpful.

Harold J. Kaplan, MD · Answer

It is not possible to agree or disagree with whether or not 50 units of Botox was appropriate for your treatment without assessing your need prior.  However, generally speaking, 50 units for a female forehead and dosing around the eyes seems a little excessive especially with the negative outcomes that you are describing.

	We disagree that headaches are categorically related to poor technique in all cases.  Rather, it's more likely that in your case, dosing (the amount used) caused too much relaxation of the forehead (hence the drooping brows/eyelids) and the forehead muscle is trying to compensate by working harder to animate or lift the brows.  This reaction is avoided by a more conservative dosing to the forehead.

	We encourage you to return to your practitioner to be evaluated and to have your concerns adressed.  Most likely, you will find these negative side effects improve with time.

	You may find the below link/article helpfull.

Kenneth D. Steinsapir, MD · Answer

There is no substitute for seeing someone who knows what they are doing.  I personally believe that the headaches are the result of an unbalanced BOTOX treatment.  This causes compensatory muscle recruitment accounting for the muscular strain and headaches.  I would recommend letting this wear off and then either avoiding BOTOX altogether or finding an injecting physician who actually knows what they are doing.

Doc Put 50 Units of Botox In my Face is This Too Much I Got Saggy Eyes, and Migraines

Answers (8)

Answer: How much Botox is too much

Answer: How much Botox is too much

Answer: This may go away in a few days or be present for many weeks.

Answer: This may go away in a few days or be present for many weeks.

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Doc Put 50 Units of Botox In my Face is This Too Much I Got Saggy Eyes, and Migraines

Answers (8)

Answer: How much Botox is too much

Answer: How much Botox is too much

Answer: This may go away in a few days or be present for many weeks.

Answer: This may go away in a few days or be present for many weeks.

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Recommended reading

Everything you need to know about Botox

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