Is normal to feel tightness/heaviness in areas that were not injected with Botox? (In upper eyelids/cheeks after brow/forehead)

Question

I received 20 units of Botox for the first time in my forehead and between the brows 24 hours ago. I remained upright for 4 hours and followed all aftercare instructions. An hour or so after the injection, it felt like the Botox was spreading throughout my face and down into my cheeks. Today, I feel the most tightness/heaviness in my forehead and upper eyelids right beneath my brows but have a little tightness in my cheeks, also. I am wondering if these are normal sensations? Thanks.

Jason Emer, MD · Answer

It is not typical to have sensations of this type after botox injections.  I suggest speaking to your treating physician.  Best, Dr. Emer.

David C. Yao, MD, FACS · Answer

Thank you for asking. You should discuss this with your physician (plastic surgeon or dermatologist). This is not a typical sensation but differing techniques may have different sensation reactions. The volume of Botox injected is variable (based on the injector's preference) despite a particular number of units (20 in your case). Call your doctor's office. Best wishes.

Anita Saluja, MD · Answer

It takes 7-10 days to see Botox's full effects. I would monitor and, if sensations persist, see your injecting doctor.  Relaxation sensation is most commonly reported, but some patients have headaches or heaviness/tightness.

Alfonso Gonzalez Cepeda, MD · Answer

Hello! This is not a normal sensation after a botox application. It is important to have a followup visit with the doctor who applied the botox. You need to explain the sensation that you are experiencing and the doctor will evaluate your face to give you the best indications. WIthout a proper `post treatment evaluation, it is difficult to give you the proper information and followup. Please keep us posted. Good luck

Ben Talei, MD · Answer

24 hours after botox many people can sense tension, heaviness or headaches.  this does not mean something bad is happening; rather, it is typically a normal reaction to an injection. If there's any concern for brow drooping or anything like that you should go see your physician, but remember that botox typically doesn't show any significant effect at 24 hours.  3 days is when most people start to see results which maximize at about 10 days.

Somyos Kunachak, MD - Account Suspended · Answer

Hi JennyPandy,The heaviness you feel around your forehead (around the injected area) is possible, and normal, but the one you feel on the cheek is usually unlikely. However, this should resolve within a few weeks.

Is normal to feel tightness/heaviness in areas that were not injected with Botox? (In upper eyelids/cheeks after brow/forehead)

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