Is it normal to still feel eye twitching after 3 days after Botox?

Question

I just had 4 units of botox in my upper eyelid 3 days ago, yet I still feel all the same spasm sensations. Is this normal to still feel it? I was told it may take up to 2 weeks to feel the full effect.

Anil R. Shah, MD · Answer

It may takes up to two weeks for the Botox to reach full effect.  Most patients will begin to notice some changes around 5-7 days after treatment while others may notice a difference faster.  If you have not noticed any changes by day 14, return to your injector. Without knowledge of your physicians technique, It is difficult to evaluate your concern, I strongly advise you to seek a consultation with your prior injector.
Dr. Anil Shah MD FACS

Jeffrey R. Raval, MD, FACS, MBA · Answer

Hello, thank you for the question. You were told correctly. It will take up to two weeks to feel the full effects of the injections. Good luck!

Jason Emer, MD · Answer

botox shouldn't cause twitching or problems after injections. if concerned see your physician.
A combination approach would give the most improvement. Movement lines and superficial wrinkles improve best with botox, dysport or xeomin.  Fine wrinkles need lasers like clear and brilliant, fraxel or erbium or co2; radiofrequency like venus viva or intensife microneedling RF; microneedling with PRP and stem cells; aquagold treatment; or soft fillers like belotero, restylane silk or refyne, revanesse versa, or juvederm volbella.  Deep wrinkles can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building.  Agressive deep peeling like phenol/TCA and J plasma can be used for deeper scarring or wrinkles.  Ultherapy is great for lifting of this are and thermage is great for tightening and improving overall texture.  Montly facialis like silk peel, dermalinfusion, salt facial, and microneedling with retinol masks can really help fine wrinkles and pore size. You really need a combinaation apporach and proper daily skin care and sun protection for the best results.  Please consult with an expert.  Best, Dr. Emer.

Camille Cash, MD · Answer

It takes up to two weeks for the Botox to reach full effect.  Most patients will begin to notice some changes around 5-7 days after treatment.  If you have not noticed any changes by day 14, return to your injector for an evaluation.

Monika Soni, MD · Answer

Thank you for your question! A combination approach would give the most improvement. Movement lines and superficial wrinkles improve best with botox, dysport or xeomin.  Fine wrinkles need lasers like clear and brilliant, fraxel or erbium or co2; radiofrequency like venus viva or intensife microneedling RF; microneedling with PRP and stem cells; aquagold treatment; or soft fillers like belotero, restylane silk or refyne, revanesse versa, or juvederm volbella.  Deep wrinkles can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building.  Agressive deep peeling like phenol/TCA and J plasma can be used for deeper scarring or wrinkles.  Ultherapy is great for lifting of this are and thermage is great for tightening and improving overall texture.  Montly facialis like silk peel, dermalinfusion, salt facial, and microneedling with retinol masks can really help fine wrinkles and pore size. You really need a combinaation apporach and proper daily skin care and sun protection for the best results.

Mohammed F. Ahmad, MD · Answer

Hello. Thank you for your questions. Yes, it is still normal to feel it. It takes two weeks to see the full effects of Botox.

Jyoti Gupta, MD · Answer

3 days is too early to comment about the results. You start noticing effect in 5-7 days and full results are evident by 10-14 days. any touch up can only be done after 2 weeks period.

Jo Herzog, MD · Answer

Some people start to see the effects of Botox in a few days but you need to really give it 10-14 days before being sure of whether it will or will not do the job. So, be patient.

Is it normal to still feel eye twitching after 3 days after Botox?

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