Dr. Put 60 Units Botox in my Forehead. I Have Never Been So Sick in my Life?

Sixty units in the glabella region, which is the area between your brows/eyes sounds excessive, however it's very difficult to know for sure if there wasn't any placed in the eye area or if it was all concentrated to one spot. What you are describing sound like flu symptoms - it might be time to visit your PCP or return to the provider for further assessment.

If it is just the area between the eyebrows, 60 units of Botox Cosmetic brand of botulinum toxin is excessive but if it is 60 units distributed among different forehead areas and crows feet, then that can be reasonable.  If it was 60 units of Dysport brand of botulinum toxin, then that's normal as that is roughly equivalent to 20 units of Botox Cosmetic.

Regardless, you should notify your doctor about your symptoms and should be checked out. There may be a coincidence with other issues being present, whether disease or electrolyte imbalances that are unrelated. Please see your primary care provider.

The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Hello, and sorry to hear about the issues you are experiencing. 60 units of Botox is not an excessive amount if you had multiple problem areas that needed to be addressed. The dizziness and fatigue you are experiencing are not typical side effects of Botox and may be coincidental. Botox may potentially cause temporary drooping of the eyelid, headache, bruising, minor swelling, and an expressionless appearance (if too much is injected or if poor technique is used). I would recommend an exam by your physician immediately, as these symptoms may be caused by something else. Thank you, and I hope this helps answer your questions.