What is the danger zone for Botox?

Author: Dr. Brandyn Quigley  |  Last update: Saturday, July 12, 2025

It's vital to be aware of these injection sites to avoid complications like ocular ischemia or a crooked smile. The key danger zones of botox include the areas around the eyes and mouth, specifically involving the orbicularis oculi muscle, the facial artery, and the temporal artery.

What are the riskiest areas for Botox?

Let's dive in below on some of the areas that are considered danger zones for getting Botox injections.
  • Chin or Around the Mouth: Precision is Key. ...
  • Orbicularis Oculi Muscle: Avoid The Wrong Spots.
  • Frontalis Muscle: Correct Placement is Vital. ...
  • Upper Skin Layer: A Pointless Place for Injections.

What is the 4-hour rule for Botox?

This one is a classic. But here's the deal: while you should avoid lying down for about four hours post-treatment to prevent pressure on treated areas, bending over briefly is generally fine. It's more about avoiding excessive physical activity immediately after your session. Myth #2: Botox Is Addictive.

Is Botox in the danger zone forehead?

Botox Injection Danger Zones

Avoid injecting botulinum toxin into these frontalis muscles, which is the muscle that raises your eyebrows and arches your forehead. You should also try to not inject botox into several other facial muscles, such as those that allow you to smile or chew.

What is the biggest risk of Botox?

Serious adverse effects after cosmetic use of botulinum toxin include dysphagia, muscle weakness, and allergic reactions [22, 23].

The Dangers of Botox & Filler | Peaches Skin Care

Who shouldn't get Botox?

Botox injections are relatively safe. Still, you shouldn't get this treatment if you're pregnant, breastfeeding or have: Neuromuscular disease. Drooping eyelids (ptosis).

What happens after 10 years of Botox?

Muscle Atrophy and Adaptation: After long-term Botox use, some facial muscles may experience mild atrophy due to limited activity. This can actually benefit patients who prefer a smoother look, as muscle activity that causes wrinkles is minimized.

Where should you avoid Botox?

A Deep Dive Into Botox Danger Zones
  • Zone 1: The Glabella Region. The glabella, located between the eyebrows, is a common area for treating frown lines. ...
  • Zone 2: Orbicularis Oculi Muscle Region. ...
  • Zone 3: The Nose Area. ...
  • Zone 4: Perioral Region (Around the Mouth) ...
  • Zone 5: The Jawline and Platysma Muscle. ...
  • Zone 6: Temporal Region.

Can Botox injections go wrong?

Botox injections are usually safe when you're under the care of a licensed and skilled health care provider. The procedure can result in unwanted results or even cause harm if it's given incorrectly. Possible side effects and unwanted results include: Pain, swelling or bruising at the injection site.

What is a safer alternative to Botox?

10 BOTOX® Alternatives for Smoother, Firmer Skin
  • Cosmetic Acupuncture. ...
  • Microneedling. ...
  • Chemical Peels. ...
  • Laser Therapy. ...
  • Cryotherapy. ...
  • Facial Creams. ...
  • Neuropeptides. ...
  • Face Patches.

What not to do the night before Botox?

Here's what not to do before Botox:
  • Drink Alcohol. Doctors often advise that patients should avoid eating or drinking anything 12 to 24 hours before a surgical procedure. ...
  • Drink Coffee. You should also avoid coffee before Botox. ...
  • Use Topical Products. ...
  • Waxing, Bleaching, or Tweezing. ...
  • Take Aspirin or Blood-Thinning Medications.

What are the neurological side effects of Botox?

FDA has reported adverse events after BoNT injection affecting nervous system far from initial site of injection such as speech disorder, nystagmus, restless leg syndrome, and even coma. Central nervous system involvement included 23.5% of serious and 24.9% of non-serious events (1).

Where should you not put Botox?

3 Botox Danger Zones
  • Brow Droop. If a Botox provider injects too much above the brow, they can paralyze the frontalis muscle. ...
  • Eyelid Droop. Another danger-zone problem gained attention in 2021 when a lifestyle blogger and influencer from Chicago shared her story of Botox gone wrong. ...
  • Raised Brow.

What are the long-term side effects of Botox?

Here are some of the long-term effects to be aware of.
  • It can weaken your muscles. ...
  • You may start frowning less. ...
  • Your injections may last longer. ...
  • As you age, Botox doesn't work as well. ...
  • Treatments can put a dent in your wallet. ...
  • Will Botox make your skin thinner over time?

What can ruin Botox?

7 Things Not to Do After Botox
  • Rubbing Your Face. ...
  • Sun and Heat Exposure. ...
  • Intense Exercise. ...
  • Taking Blood Thinners. ...
  • Alcohol Consumption. ...
  • Washing Your Face With Soap. ...
  • Applying Topical Products.

What are the signs of bad Botox?

Common indicators that Botox may have gone bad include drooping eyelids, uneven results, excessive bruising, or prolonged swelling beyond the expected recovery period. Difficulty swallowing or breathing could also signal that the toxin has spread to unintended areas.

What does your face look like after years of Botox?

The question of whether Botox changes your face over time is nuanced. While Botox can indeed alter facial appearance temporarily by reducing wrinkles and lines, prolonged and excessive use may lead to more permanent changes such as muscle weakness or a mask-like appearance.

Is there a danger zone for Botox on the forehead?

The glabella region is located between the eyebrows and is a danger zone for Botox. Because this area is so close to the eyes, it can cause vision problems if the injection is not performed correctly. The glabella region is a critical area for Botox injections due to its proximity to the eyes.

Who is not a good candidate for Botox?

People with existing medical conditions like allergies or autoimmune diseases. People with existing medical conditions, such as allergies or autoimmune diseases, should avoid getting Botox injections.

What 3 areas are best for Botox?

Botox injections are commonly injected into three main sites – forehead lines, crow's feet lines around the eyes and the vertical '11' frown lines between the eyebrows.

Does Botox eventually age you?

Normally, it doesn't. However, if you take more of the recommended dosage or start applying too much Botox too early in your life, the toxin used as the active ingredient can strain your skin and make you more prone to the signs of aging.

What do celebrities use instead of Botox?

Celebrities often pick alternatives like Dysport, Xeomin, and Juvederm. These fillers add volume or reduce wrinkles differently than Botox. They're popular for their varying effects and durations.

What is a pillow face?

“Pillow face” occurs when too much filler is injected into areas like the cheeks, nasolabial folds (the lines from your nose to the corners of your mouth), lips, and under-eye area. This repeated overfilling can result in a bloated, round appearance that looks far from natural.

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