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Unable to sleep and have increased anxiety post Botox. Is this normal?

amycc87Jun 22, 2017
Hello I just first got 36 units of botox I'm my forehead the past two night I couldn't sleep and have bad anxiety I do have pre-existing anxiety and I take celexa is there anything I can do to keep calm I'm worried about everything at this point why is this happening

Answers (5)

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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
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Answered on Jun 23, 2017
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Dr. Jessica H. Kim, MD, FAAD
Dermatologic Surgeon, Board Certified in Dermatology
Answered on Jun 26, 2017
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Dr. Faiyaaz Kalimullah, MD, FAAD
Dermatologic Surgeon, Board Certified in Dermatology
Answered on Jun 23, 2017
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Dr. Melvin Elson, MD
Board Certified Dermatologist
Answered on Jun 23, 2017
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Dr. Leonard Grossman, MD
Physician
Answered on Jun 23, 2017
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Sean R. Weiss, MD, FACS

It sounds like you are having the middle part of the brow droop.  This can happen when the botox injections are placed too high and the forehead muscle is weak.  You should discuss this concern with your injector and adjustments may be needed with future treatments.  Botox will last for 3-4 mo...

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Botox and Dysport can be extremely effective for treating myofascial pain associated with TMJ dysfunction.This is typically not covered by medical insurance.  You can call your insurance company to verify -- we all know how easy of a phone call that is ;)Usually a copy of your insurance plan b...

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I instruct my patients to resume normal activities following Botox injections; yoga, weight training, bicycling etc. Enjoy your swim!

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Douglas Wu, MD

I'm not sure which lines are troubling you. If they are the small wrinkles that surround the lips and are often called “smoker's lines,” then Juvederm Volbella – a very thin hyaluronic-acid based filler – would probably be the best choice. If you are talking about the nasolabial folds, then a ...

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Richard Baxter, MD

Botox relaxes muscles of expression. In the forehead the affected muscle elevates the brow, so relaxing it can make it more droopy. The same applies if the skin is loose. Ultherapy and browlifting surgery might be better options, depending on your individual condition.

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Unless you have some drooping of the brow after botox, I do not see any problem in taking muscle relaxants after your injection.  Christian Drehsen, MD

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