Is it normal to have a headache 2 weeks straight after Botox on forehead only?

Question

I had my second round of botox 2 Fridays ago and had a tension headache since the headache wore in. I had 20 units.

Jason Emer, MD · Answer

While headaches may occur after Botox, they generally don't last weeks after treatment. If it persists, I recommend following up with your Doctor. Botox results resolve in 3-4 months. Best, Dr. Emer

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  It is common for some patients to develop a headache after initial Botox injections but this may occur in the first 24 hours after treatment.  By two weeks your botox should have settled in, helping avoid headaches.  I would discuss your symptoms with your injector to make sure all is well.

Camille Cash, MD · Answer

I'm sorry to hear of your discomfort after your Botox treatment.  Some patients do complain of a headache after Botox but it typically resolves after a few days and is relieved with over the counter medications like Tylenol.  Since yours has lasted for two weeks it's best to visit with your injector for an evaluation.

Monika Soni, MD · Answer

Thank you for your question alvt88. I understand your concern. Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the upper face. These include the horizontal lines seen on the upper forehead when one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.

Michele S. Green, MD · Answer

A headache from Botox is possible but a persistent headache lasting two weeks from Botox would be highly unusual.  I would consult a neurologist to evaluate your headaches.  Please keep us posted.  Best, Dr. Green

Selena Lantry, MD · Answer

While patient’s sometimes may get a headache following a Botox injection, it is not normal that it would last two weeks.  For now, you can treat your headache with ibuprofen, Tylenol, or aspirin as well as with hot or cold compresses.  Next, I would recommend following up with your provider or doctor to discuss your persistent headache.

Paul Fondacaro, MD · Answer

Headaches may occur after administration of Botox in a small number of patients. When that happens I usually recommend extra strength Tylenol. However, if the headache persist i find that Alleve being an anti-inflammatory agent does the trick. A headache lasting more than two weeks is unusual and I would consult with your physician just to be on the safe side

Jean M. Casello, MD · Answer

Some patients have reported headaches after botox. Usually the headache will last 24-48 hours and responds well to tylenol and heat.  If you are still having a headache after 2 weeks I would suggest that you contact your provider and be evaluated.

Paul Blair, MD · Answer

Some people will have a headache after their initial Botox injection.   it's unusual for it to last two weeks, but possible.   Normally, subsequent injections of Botox , headaches are not a common complaint.  Please follow up with your injector.

Leonard Grossman, MD · Answer

Having a headache after the injection of Botox is not a very common condition but it does happen. On the other hand having a headache for 2 weeks after the treatment is even more uncommon. I would try applying warm compresses and take some anti-inflammatories and at the same time discuss this with the treating physician. Good luck from New York City.

Is it normal to have a headache 2 weeks straight after Botox on forehead only?

Answers (12)

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