I got 200 units of Botox in my face 2 weeks ago for muscle spasms. That side is now completely paralyzed (Photo)

Question

My face on that side feels dead...like cement if i try to move i to chew or talk it feel tight...

Jason Emer, MD · Answer

This is a large amount of botox for the face and would cause muscle paralysis.  it would stop the spasm but will affect the cosmetic results.  I suggest you speak to your injector.  Best, Dr. Emer.

James M. Ridgway, MD, FACS · Answer

Dear Lee,Thank you very much for your question and also for your photo.  I am very sorry to hear that you have such severe muscle spasms that you require Botox.  This is an excellent medication for treatment of muscle spasm, but unfortunately too much Botox has been placed to treat your muscle spasms and you are now left with the results of muscle weakness.  Fortunately this will all resolve in approximately 3-4 months.  You shouldn't see improvements over the next 2 months as well.  It is important that you make certain that your eye closes all the way and that you do not have any eye irritation or eye problems.  Further, I recommend that you contact your provider to review the treatment that was given.  I would also recommend using a lower dosage in the future.  Hopefully this is helpful to you.Be healthy and
be well, James M.
Ridgway, MD, FACS

Larry S. Nichter, MD, MS, FACS · Answer

This is a normal result of 200 units of Botox. Please notify and make an appointment with your injector. If you are having trouble swallowing, you'll need to be on a precautionary watch. The good news is, this is temporary, you will start to notice improvement every month, and should be back to normal at 4 months.  I hope this finds you well.#musclespasm   #botox   #facialparalysis

Allen Gabriel, MD, FACS · Answer

Thank you for your question and pic.  Please contact your doctor's office regarding your concerns.  It you had direct injection into the facial muscles which appears that you did, it will take about three months to improve.

Nelson Castillo, MD · Answer

Thank you for your question and for sharing your photograph.  I am not sure how significant your spasms were but 200 Units is a significant amount of Botox to have administered.  It has completely paralyzed all of the muscles on that side of your face and may take 3-4 months to recover.  Talk to your injector about eye drops to improve the opening on your right side.  Hang in there.

I got 200 units of Botox in my face 2 weeks ago for muscle spasms. That side is now completely paralyzed (Photo)

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Answer: 200 units of Botox

Answer: 200 units of Botox

Answer: I got 200 units of Botox in one side of my face, now that side is completely paralyzed.

Answer: I got 200 units of Botox in one side of my face, now that side is completely paralyzed.

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I got 200 units of Botox in my face 2 weeks ago for muscle spasms. That side is now completely paralyzed (Photo)

Answers (10)

Answer: 200 units of Botox

Answer: 200 units of Botox

Answer: I got 200 units of Botox in one side of my face, now that side is completely paralyzed.

Answer: I got 200 units of Botox in one side of my face, now that side is completely paralyzed.

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Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.