What happens if Botox is injected too deep?

Author: Dr. Marquis Gorczany DDS  |  Last update: Tuesday, February 14, 2023

If the injection is done too fast or too deep, excessive swelling and bruising can occur. Bruising is especially common if the injector hits a vein or pushes to hard. While this is a temporary side effect, the patient will be forced to live with an unsightly bruise for days if not weeks.

What happens if a Botox injection hits a nerve?

Answer: Botox hit a nerve

Just as you have described, a nerve was hit along the hairline and feels like an electric sensation when touched. Though very uncommon this can happen with any kind of injection done. While it is painful for a bit, it will resolve on its own in the next week or two and stop hurting.

How deep should Botox be injected in forehead?

The frontalis is injected either intramuscularly or superficially just under the subcutaneous tissues. In general, injection is performed at least 1.5 cm above the superior orbital rim to prevent ptosis.

Does Botox have to be injected deep?

Botox must be injected into the superficial layers of the skin in some areas, while in others, it needs to be injected deeply. One example is the masseter muscle near the mouth. If a practitioner doesn't inject this muscle deeply enough, patients can end up with an uneven or unbalanced smile.

What happens when Botox hits a vein?

Even the best physicians can cause a patient to bruise after administering BOTOX. It often occurs when the needle knicks a blood vessel, allowing blood to leak below the skin's surface and causing the surface to appear reddish and/or purple.

How deep should you inject Botulinum Toxin

Can Botox be injected incorrectly?

However, when it is not performed properly, Botox can result in a "frozen" or fake look. The most common causes of botched Botox are: Improper injection techniques. Many unskilled injectors make the mistake of injecting Botox too deeply or too superficially into the skin.

How do you know if Botox is wrong?

Here are six telltale signs that your patient has had bad Botox and what you can do to fix the problem:
  1. Spock Eyebrows. If your patient has overly arched eyebrows—sort of like Mr. ...
  2. Upper Eyelid Hooding. ...
  3. Brow Ptosis. ...
  4. Facial Asymmetry. ...
  5. Frozen Expression. ...
  6. There's No Difference.

Where should Botox not be injected?

A good injector should know where to never inject.

A qualified, experienced injector should never inject the area near the orbital bone right above the pupil. If Botox is injected here, it can drift down toward the upper eyelid and cause an eyelid droop. This can last from weeks to even months.

What is the crunch sound when getting Botox?

When the doctor injects Botox into your forehead, you may hear a crunching sound. This noise occurs because the needle goes through the galea — a fibrous sheet of connective tissue that forms the middle layer of the scalp.

Should you aspirate when injecting Botox?

Cannulas have proven to be more effective in decreasing the number of complications, but we do recommend aspirating, considering that with cannulas the injuries can be more severe and harder to treat if the injection was made in a blood vessel.

Can you mess up Botox in forehead?

Too much Botox in the forehead muscles can cause the eyebrows to droop, making the upper eyelids look very heavy and hooded. The face may look angry or sad all the time. Too much Botox around the eyes can dramatically affect facial expression. The face is simply frozen.

How do you fix too much Botox in your forehead?

If too much Botox was injected and your face doesn't move, you'll just have to wait for it to wear off. Unfortunately, there's no quick fix for this.

Can wrinkles be too deep for Botox?

Botox can not fill out very deep wrinkles, and will likely not smooth them out completely. In order to completely eradicate deeper lines, you may want to look into filler, or other facial treatments, such as non surgical facelifts, face lifts, thread lifts, and other treatments available.

What does it feel like when an injection hits a nerve?

Other injection site events

If a nerve is hit, the patient will feel an immediate burning pain, which can result in paralysis or neuropathy that does not always resolve.

Can Botox cause permanent damage?

There are no long-term or life-threatening adverse effects related to botulinum toxin treatment for any cosmetic indications. Moreover, the risk of possible complications can be reduced by means of a thorough analysis of the patient's medical history and the use of the appropriate dose and technique for the injection.

Can you get permanent nerve damage from Botox?

Answer: Botox and nerve symptoms

These cosmetic doses are not associated with nerve symptoms spread throughout the body.

How do you know if Botox migrates?

Drooping eyelids

When Botox migrates to either the forehead or the area between the eyes, this can result in a droopy eyelid. One reason people choose Botox may be to reduce the appearance of forehead or vertical frown lines.

Do Botox dents go away?

This is highly unlikely to be permanent and will likely resolve when the botulinum toxin effect dissapates between 3-5 months.

Why can I still scrunch my forehead after Botox?

Some of the lines that you have in the forehead are very deep. Remember, the botox can soften the lines but if someone has a very deep line, it wont completely efface it. 2. It sounds like you didn't have any botox on your forehead and thus should be able to move your forehead up and down.

Can Botox cause sunken temples?

Botox does have long-term side effects

This can cause indentation in the temple and indentation in the forehead furrow line, which creates a shelf-like droop of wasted muscle.

Where not to put Botox in forehead?

Botox Injection Mistakes: Where Not to Inject Botox

Injecting the frontalis muscles (the two main forehead muscles above the eyebrows) instead of the corrugator supercilii muscle (smaller muscles around the eyebrows) can cause a “Mephisto Effect” or “Spock brows” — comically arched eyebrows.

What happens if you put too much Botox in glabella?

The use of high Botox dose usually results in loss of expressions. In some articles and textbooks, the recommended dose of botulinum toxin type A injections is 20-40 Units for the glabella region, 15-30 units for the forehead and 12-30 units for the crow's feet.

Why does Botox make your eyebrows higher?

When Botox is applied to problem areas around the eyebrows, the muscles relax and the skin on top of them becomes smoother. The muscles around the eyebrows are pulled upwards, elevating the eyebrows and making a patient's eyes appear more open.

What day does Botox peak?

Botox onset is 5 to 7 days. Botox peaks at 10 to 14 days.

Can Botox move from injection site?

Botox stays only where injected, it does not roam through the body. "If I inject it in your face, it's not going to work [or show up in] your toe," says Rowe. "It does not have a systemic effect." However, it may migrate up to 3 cm from where it was injected.

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