Botox injections are relatively safe when performed by an experienced doctor. The most common side effects include swelling or bruising at the injection site, headache or flu-like symptoms. If the injections aren't placed correctly, the medication may spread into adjacent tissues and cause problems such as:
- Eyelid droop
- Cockeyed eyebrows
- Crooked smile
- Dry eye or excessive tearing
Although very unlikely, there is a possibility that the effect of botulinum toxin may spread to other parts of the body and cause botulism-like signs and symptoms. Call your doctor right away if you notice any of these effects hours to weeks after receiving Botox:
- Muscle weakness all over the body
- Vision problems
- Trouble speaking or swallowing
- Trouble breathing
- Loss of bladder control
How you Prepare?
Your doctor will need to know if you've received any type of botulinum toxin injections within the past four months. If you take blood thinners, you may need to forgo these medications for several days before your injection, to reduce your risk of bleeding or bruising. Your doctor also needs to know if you take muscle relaxants, sleeping aids or allergy medications.
What can you expect ?
Before the procedure
Although most people tolerate the injection discomfort well, you may want your skin to be numb beforehand. Several options are available, including:
- Injections: Your doctor can inject a numbing medication into your skin.
- Cream: A prescription cream can be applied 60 to 90 minutes before the procedure.
- Cold spray: A blast of very cold air is directed at the skin for about 10 seconds. The numbness only lasts a few seconds.
During the procedure
Your doctor uses a thin needle to inject tiny amounts of botulinum toxin into your skin or muscles. The number of injections needed depends on many factors, including the extent of the area being treated. Botox injections are usually done in a doctor's office.
After the procedure
Expect to resume your normal daily activities right after the procedure. Take care, though, not to rub or massage the treated areas. This can cause the toxin to migrate to a different area.
Botulinum toxin injections usually begin working a few days after treatment. Depending on the problem being treated, the effect may last for three to 12 months. To maintain the effect, you'll need regular follow-up injections.