Can anyone tell my why Botox couldn’t cause anxiety?

I am not aware of any studies that show that Botox causes anxiety, but it is possible that the process of the injection could cause anxiety. I would think that if this occurred, it would be a relatively short term issue though.

In the thousands of patients who I have injected with Botox over my many years in practice, I don't know of anyone, in particular, who developed anxiety attributed to the Botox injection.

Hello and thank you for your question, To my knowledge Botox does not cause anxiety. Perhaps the procedure itself caused anxiety for some. Best wishes.
Dr. T

Botox has now been used in millions of people worldwide with no credible reports of it causing anxiety. That said, there is some reasonable evidence suggesting it improves depression and mood. Botox is still the preferred treatment for the 11s/frown lines, and has been extensively studied for over 20 years.

Botox does not cause anxiety. In fact, there are studies supporting the use of Botox to treat depression. It can elevate mood levels.

Botox injections typically do not cause anxiety. The treatment does not take long, causes minimal discomfort, and patients traditionally tolerate it very well. Some patients may experience anxiety in anticipation of the treatment. Distraction and cool compresses as well as breathing exercises may help.

Most people have no problems receiving Botox. The injections cause very little discomfort, and there is nothing in the actual Botox that would cause anxiety. Occasionally, a patient may get anxious about a needle coming near them. These people do better to just close their eyes. I haven't yet had a patient who was unable to receive Botox due to anxiety.

Hello, and thank you for your question!

I have been a plastic surgeon for over 30 years and I have not received any complaints about anxiety after botox. I'm assuming that people may feel anxiety before the botox because of the pain, which is normal. The botox should not give you anxiety afterwards, and if it does, let your doctor know and do not get botox again. The botox will dissolve after 3-4 months so it will be out of your system by then and you shouldn't have anxiety after that time. If you do have general anxiety, I recommend seeing a psychologist, psychiatrist, or psychiatric nurse practitioner in order to ease your thoughts and feelings. However, if you want botox, try it out and if you hate it then you don't have to get it again and it will be out of your system in a few months!

Please be sure to see a board-certified plastic surgeon you feel comfortable with. Best of luck!

Please see my attached link which includes more information on Botox.

James L. Fernau, MD
Board Certified Plastic Surgeon
American Society of Plastic Surgeons (ASPS)
The American Society for Aesthetic Plastic Surgery (ASAPS)
International Society of Aesthetic Plastic Surgery (ISAPS)
American Society for Laser Medicine and Surgery (ACLMS)
Fellow American College of Surgeons (FACS)
American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS)
American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)