I had 5 units of Botox on each side of eye for crows feet. 2 days later horrible vertigo. Will the vertigo settle?

Dear cocoacocoa,Vertigo after Botox has been reported but is extremely rare and the mechanism is not clear. I would see an ENT doctor for possible pharmaceutical treatment until the effect wears off, and to also assess for other causes of vertigo.Good luck,Nirmal R. Nathan, M.D.Certified, American Board of Plastic SurgeryMember, American Society of Plastic Surgeons

I am not aware of botox causing vertigo. It is not listed as one of the side effects of botox by the company that makes botox. Either way you need to see your doctor for an evaluation

Thanks for your question.  Although I understand why you would concerned about the botox injections causing your vertigo since it occurred just a few days after the injection, there almost certainly is no connection.  Vertigo can be an awful experience, with dizziness lasting for quite a while after the vertigo (spinning) resolves.  I would recommend f/u with a local ENT or neurologist for further evaluation.  Vertigo isn't a diagnosis in and of itself, but it is a symptom which can be caused by a variety of different problems, some of which can be easily treated.  Best wishes!

Hello Cocoacoca,Botox would not cause vertigo.  Now if your treatment led to you having one of your vestibular migraines then it is the migraine causing your symptoms.  Botox cannot describe the symptoms you had.  I would also recommend you follow up with your neurologist.I hope that helps and good luck.  

As an Ear, Nose and Throat specialist with a large experience in treating patients with Botox as well as 25 years practicing ENT with a large dizzy and vertigo focus to my practice for many of those years I can certainly state that Botox simply would not have caused vertigo. Vertigo in fact being a type of dizziness and not necessarily a diagnosis. The poster below mentioned that as you have been diagnosed with vestibular migraine (actually the commonest cause of dizziness and vertigo) , the only connection might have been that the stress of the injection could have been a trigger. Migraine in its various forms is actually a hereditary disorder however most if not all patients will have triggers to their events. Common ones are stress, dehydration, chocolate, red wine (although for some it is white), barometric pressure change, too much or conversely too little sleep, and the list goes on. I suffer from migraine, both the headache form, vestibular migraine as well as visual migraine (aura without the headache). My first botox treatment was a trigger for a headache migraine, although it has not happened since (connected with Botox treatment that is). 
If you are having true severe vertigo lasting many weeks, this would be more suggestive of vestibular neuronitis and would be an entirely different problem and once again unrelated to your Botox treatment. 
If your symptoms are continuing, you should speak to you neurologist and if necessary, see an ENT with a practice focused on vestibular disorders.

I hope this helps!

It seems like you answered your own question . If you suffer vestibular migraines and the injections somehow triggered an event , this is the underlying cause of your vertigo. My suggestion would be to visit your neurologist who diagnosed you with the vestibular migraine condition and /or use the medication that have been used to treat your previous migraines 

The side effect that you are describing would be extremely rare but I would definitely consult an ENT for examination of other possible causes and treatment until the Botox wears off.  Please keep us posted.  Best, Dr. Green