How long will the anxiety last after Botox 4 days ago? 24 units in frown lines.

Thank you for your question.Botox does not cause anxiety. You may be experiencing anxiety overall because you are worried about your result, but the Botox is not causing it.

Hi and thanks for your question. Botox should not cause anxiety at all, in fact it has been shown to improve the symptoms of depression. I don't think that your anxiety is a chemical reaction to Botox or anything like that. Anxiety can be triggered by a variety of events, so, if this is not your first episode of anxiety, my recommendation would be to see the doctor who treated you for it before. If it is your first episode, talking through it with a professional could really help. Hope that helps!

You should be starting to see the effects of botox soon. The window is 4 days to 2 weeks but in my experience most people will start to show the effect in a week. if you don't see any effect by day 10 time to discuss with injector. 

I have never heard of anxiety being caused by botox. You may be anxious for a number of reasons but I don't think that botox is one of them. If it is bothersome and not going on its own, get it checked out at your doctor.

Thank you for your question Jamielynnmo. I am sorry to hear about your situation and I understand your concern. Botox is a purified protein
used to address wrinkles associated with facial expression. When injected into
the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The
most common areas of treatment are in the upper face. These include the
horizontal lines seen on the upper forehead when one raises the brows, the
vertical lines seen between the brows when one frowns (frown lines), and the
crow's feet seen around the eyes when one smiles.It is difficult to make an assessment without a
formal exam in the office where I can view the skin in multiple angles and observe
wrinkles formed with facial expression. However, I hope the information provided here is useful.The appearance of frown lines is variable from
person to person. Usually they are in a vertical orientation but sometimes they
can be oblique and sometimes a horizontal line is seen across the upper portion
of the nasal bridge. The most common variation is to have two parallel lines,
hence the common term "11's" to describe them. But some people have
one, three, or more lines. Some people also will see a bulge in the area when
contracting the muscle. This bulge is smoothened out after a Botox treatment.The pivotal studies used 20 units of Botox in
the glabella area between the brow to address the frown lines. These studies
demonstrated that the peak results are seen 14 days after the treatment and
most people enjoy their results for 3-4 months. At that point, a maintenance
treatment is recommended. While some people start to see results as early as
the next day, it can take two weeks for full results so patience is
important. We have our patients return two weeks after their treatment to
assess their results via photographs. At that time additional units may be
added if necessary.The safety record of Botox is well established.
The product has been used for over 20 years for a variety of treatments with
minimal side effects. Botox is amongst the safest treatments for treating
facial wrinkles.With any injection, there are risks such as
pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take
special precautions to minimize these risks such as using a painless technique.
We also treat bruises with a laser as early as the next day. Bruises usually
resolve within two weeks if untreated. After a laser treatment bruises usually
resolve in 1-3 days, but may still take two weeks for full resolution. In
addition to these risks, with Botox there is also a risk that the product spreads
or diffuses to nearby structures. Spread to nearby muscles can lead to side
effects such as the temporary appearance of droopy eyelids or a temporary
asymmetric smile. Anxiety is not a known side effect of Botox. However, those with a baseline level of anxiety may have increased anxiety after any cosmetic treatment. Anxiety should be addressed by a general physician or a specialist such as a psychiatrist.After a Botox treatment, I recommend that my
patients avoid heat exposure, alcohol consumption, and strenuous exercise for
24 hours and not lie down flat for four hours. This is because all of these
activities may possibly lead to the movement of the product and consequent side
effects such as droopy eyelids as described above. Although there have been no
definitive studies shown that these actually occur and some physicians do not
provide such aftercare instructions, in the absence of data I err on the side
of caution and recommend that my patients avoid such activities.
Please consult
with a doctor for specific recommendations. Good luck!

Thank you for your question, and you should start to see the results of your Botox pretty soon. Botox will typically begin to "kick in" after 4-7 days, but some may see results earlier. The full effect is usually seen after 7-10 days so two weeks after your injections is a great time for a follow-up with your injector if you are not getting the results you desire. Additional injections may be given at 2 weeks if more correction is desired/needed. Botox typically lasts ~ 3 months for most, but for some maybe a bit longer or shorter, and after that it begins to slowly wear off.

Dr. Benjamin J. Cousins MD Board Certified Plastic Surgeon Miami/Miami Beach

Botox injections is like any other surgical or invasive medical procedure. Should be explained fully to the patient and discuss all the pros and cons and the alternatives and the expected result.Botox will start working on the muscle starting the 5th day.If you are so anxious about the Botox injections then you were not fully informed and you are not a candidate for the procedure