34 years old. Botox first time about 30 hrs ago and started with puffy left eye 2 hrs ago. (Photos)

Question

34 yrs old and got Botox for first time 30 hrs ago. Forehead and "11" lines. 2 hrs ago woke up with very itchy eyes and swollen left outer eyelid. scared, took benedryl. Is this from Botox? If I ice it will it go down? Extensive medical history. Severe asthmatic (5 prior intubations) IgA immune deficiency. Severe eczema and allergies. On prednisone approx 6 x annually also I still have complete range of movement

Martin Jugenburg, MD · Answer

I would keep on icing it and take a benedryl and to make an appointment with your injector as soon as possible.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. I would see your injector for an in-person examination to determine what may have irritated your left eye.  This is not a common outcome after Botox administration and other possible reasons need to be investigated.  Hope this helps.

Sean Doherty, MD, FACS · Answer

I am sorry that you are experiencing this. Take an anti-histamine such as Benadryl. Continue icing it and get in to see your injector as soon as you can to be examined in person. Best of luck.

Mohammad Almohideb, MD · Answer

It more likely to be an allergic reaction that usually gets ameliorated with antihistamines (like benadryl). I agree, icing will likely help. If it worsens or you get shortness of breath then please go to the nearest emergency room. Another course of prednisone might be needed if antihistamines and icing are not helpful! 
If this still persists then this also might be due to muscle denervation causing accumulation of fluids. The upper eyelid muscles are thought to act as fluid pumps and the fluid accumulation will reverse after the muscle retains it is full effect in 3-6 months.  
Good luck!

Melvin Elson, MD · Answer

Allergic reaction to Botox is extremely rare and most likely you are reacting to something applied to cleanse or gloves check with your doctor

34 years old. Botox first time about 30 hrs ago and started with puffy left eye 2 hrs ago. (Photos)

Answers (7)

Answer: 34 years old. Botox first time about 30 hrs ago and started with puffy left eye 2 hrs ago.

Answer: 34 years old. Botox first time about 30 hrs ago and started with puffy left eye 2 hrs ago.

Answer: Allergic reaction?

Answer: Allergic reaction?

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34 years old. Botox first time about 30 hrs ago and started with puffy left eye 2 hrs ago. (Photos)

Answers (7)

Answer: 34 years old. Botox first time about 30 hrs ago and started with puffy left eye 2 hrs ago.

Answer: 34 years old. Botox first time about 30 hrs ago and started with puffy left eye 2 hrs ago.

Answer: Allergic reaction?

Answer: Allergic reaction?

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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.