Facial nerve palsy improved completely after 24 weeks. Facial nerve palsy is a common disease and could occur as a coincidence.
The most feared adverse effect is temporary unwanted weakness/paralysis of nearby musculature caused by the action of the toxin. It usually resolves in several months and in some patients in a few weeks, depending on the site, strength of the injections, and the muscles made excessively weak.
If BOTOX is not administered correctly, it can cause facial paralysis. But this is very rare and usually transient.
It can take up to one year. Even with treatment, some people don't fully recover. If you don't see improvement 6-12 months after your paralysis started, make an appointment to see a specialist.
Don't lay down for the first 4 hours after having Botox
You might be sore or a little tired after having Botox injected, but you should avoid laying down for the first four hours after the injections. Both bending and laying down could spread the toxin and lead to bruising at the injection site.
Avoid heat exposure for 24 to 48 hours, which includes hot showers, tanning beds, hot tubs, and saunas. While alcohol consumption after Botox is not usually a risk, it is recommended you not drink alcohol for 24 hours as a precautionary measure. Alcohol is a blood-thinner, so it could potentially exacerbate bruising.
The reason that keeping your head above your heart is so crucial right after undergoing your Botox treatment is that bending forward may increase blood circulation to your face and increase the risk that the injected material will move from the targeted areas before it is absorbed.
Facial reanimation microsurgery -- sometimes referred to as "smile surgery" -- can restore your ability to smile spontaneously after a damaged facial nerve has caused facial paralysis. It can take two forms: muscle transfer or nerve transfer.
Facial paralysis surgery is also called facial reanimation surgery. A facial plastic surgeon can use all or parts of muscles, nerves or both from other parts of the body to restore motion to the lower half of the face.
Long-term facial paralysis is most frequently associated with damage to the frontal nerve branch, but extensive damage to any of the facial nerve branches may lead to permanent facial paralysis. Permanent facial paralysis has also been linked to tumor removal.
When botulinum toxin is injected into a muscle, it can sometimes travel backward up nerves and cause unintended paralysis of nearby or distant muscles. In those cases, a drug called pyridostigmine can reverse the paralysis by encouraging muscles to contract.
Answer: Botox and Nerve Damage
Headaches can occur after Botox and normally resolve within a couple of weeks. Most people enjoy the results of their Botox treatments for three to four months.
The most common negative reaction to injections to your face is a droopy eyelid, also called ptosis or blepharoptosis. Most people don't have this problem. Around 5% of people who get Botox will have problems with eyelid droop. This number falls to less than 1% if a skilled doctor does the injection.
The botulinum toxins cancel nerve signals to the muscles, creating paralysis that can last for months.
Sobel says that "if you inject [the needle with Botox] too deep, very often you can hit a blood vessel and bruise." What you do after the injection can also make a difference: Take care not to rub or massage the treated areas, as this can cause the toxin to migrate.
In most cases, droopy eyelid occurs between one and three weeks after treatment, and patients typically experience this adverse effect for just a few weeks. According to Dr. Holman, “It's important to remember that, like Botox treatments, a drooping eyelid is usually temporary. The effect will wear off after a while.
If activity continues to increase, the nerve is recovering and a person can regain control of facial muscles without surgical intervention. Complete recovery may take three to six months.
Generally, Bell's palsy affects only one side of the face; however, in rare cases, it can affect both sides. Symptoms appear suddenly over a 48 - 72-hour period and generally start to improve with or without treatment after a few weeks, with recovery of some or all facial function within six months.
Bell's palsy affects the facial nerve, which controls the muscles responsible for closing the eyelids. Therefore, if you have Bell's palsy you will not be able to blink, or close the affected eye— not even partially.
Botox injections can be used to treat synkinesis and hypertonic movement by weakening specific muscles and thus restore facial symmetry. Brow ptosis, or a drooping brow, can be treated with botox injections or a brow lift.
Forehead: Massaging the upper portion of the face sometimes helps a Bell's palsy patient reduce muscle weakness in the forehead. Cheeks: Using the fingertips to perform a circular motion around the cheeks may help a Bell's palsy patient increase muscle movement in the cheeks.
Drink Coffee
You should also avoid coffee before Botox. This is because coffee contains caffeine, which may trigger your blood pressure and increase the likelihood of bruising during the procedure. For this reason, you should avoid coffee and other beverages containing caffeine at least 24 hours before the treatment.
After Botox, you'll still be able to smile and laugh as usual, but your skin will look smoother and more youthful while doing so.
Answer: Botox migration
The botox can migrate either at the time of injection or for a little while afterwards. The effect may only come on after days to 2 weeks later as the botox starts to work. The greater the volume injected the greater the risk of migration.