I Think Ive Had an Allergic Reaction to Botox? (photo)

Question

This is my 3rd time getting botox, last time, in 2011, she used disport. I always go to the same place, nothing different. But this time, I had INTENSE pain immediately after being injected, for about 10 minutes. I had localized swelling and head pain all day. The swelling seems to be spreading. I'm in contact with her and I'll see my PP if I need to, but is there really anything that can be done. I mean, we can't un-inject it. Im taking 1000mg of advil every 6 hours now.

Sam Naficy, MD, FACS · Answer

From what you've posted, it looks like typical swelling after Botox injection in the first photo - and if you've not experienced this with prior treatments, I'd follow up with the provider and have them make the initial assessment.

Kenneth Hughes, MD · Answer

If there is a concern for an allergic reaction, then ask your doctor to treat it as one to help with the symptoms.

Kevin Brenner, MD, FACS · Answer

It is clear from your photos that you experienced some type of inflammary reaction; perhaps a true allergy. However, it is unlikely that the reaction was from the Botox itself. More likely is that either the product was injected incorrectly,or possibly that the injection was OK, but that somehow the product got contaminated.

Michael I. Echavez, MD · Answer

The pain and localized swelling that you had after your Botox treatment would not be indicative of an allergic reaction. With any injection, it is possible to get some pain and swelling, even if it did not occur previously. I would recommend waiting some more time, as the pain and swelling should resolve. You could also put some ice on the area, which may help.

Kenneth D. Steinsapir, MD · Answer

Sterile water as opposed to saline is hypotonic.  It is very uncomfortable to this injected.  It is also possible that you are in fact having some type of allergy either to the botox or to another ingredient.  If that is the case, oral prednisone might be helpful.  I would recommend that you do get seen by your doctor know rather than waiting to see if thing get better on their own.  If this is not feasible, please be seen in an emergency room.

	 

	By the way, I have been injecting BOTOX for 20 years and I have never seen a "bad vial" of sterile saline.

I Think Ive Had an Allergic Reaction to Botox? (photo)

Answers (5)