Is it normal procedure to mix Botox with .9% alcohol water?

It is standard practice for Botox to be mixed with a 0.9% saline solution. This solution quite often contains benzyl alcohol as a preservative. It is up to your doctor whether they want to use a saline solution with no preservative or with benzyl alcohol. There are no reported negative side effects when using a saline solution with a preservative, and in fact there can be benefits such as a slight anesthetic effect and a longer shelf life. It is normal for Botox to sting a little when being injected, and those “bug bites” are normal too. They should disappear quickly.

Thank you for your question and I am sorry to hear of your botox injection side-effects.  Botox is mixed with 0.9% normal saline (salt-water) which can have an alcohol as a preservative.  Be sure you are being injected by a board certified plastic surgeon for the safest results.

Botox is meant to be reconstituted with 0.9% saline, NaCl. Saline comes preservative free or as the standard formulation with benzyl alcohol as a preservative, which is likely what you saw. You do have to be carful about who you are choosing to inject you and making sure they are using real Botox, but saline is cheapand even someone trying to cut corners wouldn't substitute here. Like the airlines say, if you see something, say something. Any reputable physician doing the right thing will be happy to educate you about the process from reconstitution to injection. 

Thank you for your question missmoo007. I am sorry to hear about your situation. Botox is a purified protein used to address wrinkles associated with facial expression. The manufacturer recommends reconstituting a 100 unit vial of Botox with normal saline. However many doctors use preserved saline, as we do in our office. Preserved saline is normal saline with a small amount of benzyl alcohol. This preserves the shelf life of the Botox, minimizes the risk of infection, and provides for a more comfortable experience for the patient. Please follow up with your doctor for specific recommendations. Good luck!

Thank you for your question. I am not familiar with alcohol water. Botox is
mixed/re-constituted with 0.9% Normal saline (salt water). On the bottle of
Normal saline it states "each ml contains sodium chloride, 9mg. May
contain HCL or NaOH of PH adjustment. Sterile, nonpyogenic". It best to
use an experienced injector that is a Board Certified Plastic Surgeon or
Dermatologist. Best of luck.
Benjamin J. Cousins MD
Board Certified Plastic Surgeon