Muscle spasms post botox

Question

I got juveau for the first time on 11/9. I have received botox and dysport many times before and never had any issues as they wore off etc. This time i noticed initially asymmetry in my right eye being my eyelid was much more raised and that eye felt “dryer” post procedure. I got used to it. I am in desperate need of more and noticing when i make certain exaggerated expressions my muscles twitch in my cheeks when i scrunch my nose or lids when i raise brows. Is this them trying to work?

Camille Cash, MD · Answer

You may be noticing the counter muscle (vs. the treated muscle) reacting when you make exaggerated facial expressions.  As you have not had this issue with Botox or Dysport you may want to remain with those products instead of Juveau.

Stephen Matta, DO · Answer

The muscular system is made up of muscles that work together to help you move and perform various functions. When you want to make a facial expression, like smiling or frowning, your brain sends signals to specific muscles to contract or relax. For example, when you smile, the muscles around your mouth and eyes contract, pulling your lips up and your cheeks in. 
Antagonist muscles are pairs of muscles that work in opposition to each other to create movement. For facial expressions, there are muscles that pull in one direction (agonist) and muscles that pull in the opposite direction (antagonist). After neurotoxin, you will have muscle inhibition of the injected muscles but it won't stop contraction or relaxation of other muscles involved in that expression pattern. 
I would wait until the neurotoxin wears off completely before treating again, unfortunately. In the future, I would only use Dysport at a 1:1 ratio so it does not spread. 
Hope that helps!
Dr. Matta

Muscle spasms post botox

Answers (2)

Recommended reading

Everything you need to know about Botox

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

Muscle spasms post botox

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Botox

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