Sharp Shooting Pain During Botox Procedure. Is This Normal?

There are several small sensory nerves that travel up the forehead.  If the needle from the Botox treatment comes near these nerves, it is possible to get a sharp, shooting pain that goes up to the top of the head.  It is nothing worrisome, as there is no damage to the nerve.  You mention that you can still have a slight shooting sensation afterwards when you scratch the area, and this should resolve completely.  If it does not, I would consult with your treating physician.  

It sounds like the fine injection needle irritated the sensory nerves that go to the top of your forehead. This is not uncommon and should go away in several days.

What you are experiencing is the sensory nerve irritation from either the needle or the Botox. These small nerves travel and branch out from the eyebrow area all the way to the top of the scalp. Most of the time this sensation is temporary and goes away by itself. Because the nerves are not located at identical location for each person, it's quite possible to hit it or be very near it during the injection process. Discuss this with your plastic surgeon will help and maybe adjust or slightly alter the injection sites in the future.

Best Wishes,

Stewart Wang, MD FACS, Wang Plastic Surgery