Muscles blown out from Botox?

Question

Hi! Good results from Btx for 2 years. A nurse injector at derm office recommended I receive3 units under my eyes for wrinkles. Massive swelling and wrinkling followed. I’m over 6 months out with sig swelling under one eye. 3 derms and one ophthalmologist have no explanation. A plas surgeon said the eye muscles might have been ‘blown out’ from too much btx for me. However, second opinion at derm said no way bc the muscles are too deep to be affected this way. Does the blown out make sense?

Anna Chacon, MD, FAAD · Answer

Hello,

I'm sorry to hear about your experience. The term "blown out" when used in the context of Botox (Botulinum toxin) injections is not a standard medical term. However, it sounds like the plastic surgeon might be referring to over-relaxation or weakening of the muscles due to the Botox injection.

Botox works by temporarily paralyzing muscles, which can reduce the appearance of wrinkles. The muscles around the eyes, although delicate, are typically not deeply situated. However, an excessive dose or incorrect placement of Botox could potentially lead to unintended effects, such as prolonged swelling or changes in muscle function.

Given that you've seen multiple specialists with differing opinions, it's challenging to provide a definitive answer without a thorough examination. Persistent swelling and other symptoms should be evaluated comprehensively. It might be helpful to seek out a specialist with extensive experience in Botox complications, such as a dermatologist or plastic surgeon who specializes in cosmetic procedures.

In the meantime, ensure you are following all aftercare instructions provided by your healthcare providers, and consider seeking a third opinion if your symptoms persist.

Muscles blown out from Botox?

Answers (1)