What is the most common complication of Botox?

Author: Ewald Sawayn IV  |  Last update: Monday, July 28, 2025

Headache and migraine were the most frequently reported adverse event and were recorded in 269 (6.3%) injection sessions, followed by local skin reactions such as bruising or hematoma at the injection site, reported in 163 (3.8%) patients, and facial neuromuscular symptoms in 141 (3.3%) injections.

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].

What are the worst side effects of Botox?

Call your health care provider right away if you have any of these symptoms hours or weeks after your procedure:
  • Muscle weakness.
  • Vision problems.
  • Trouble talking or swallowing.
  • Breathing problems.
  • Allergic reaction.
  • Loss of bladder control.

Who should not 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 does Botox do to your body over time?

A 2022 review study found that people who regularly received Botox injections showed changes in their muscle composition, function, and appearance up to four years after their last injection. "If you didn't use your abs [abdominal muscles] for 10 years, they would waste away," says Mosahebi.

Most Common BOTOX® Complications

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.

How many years does Botox take off of you?

The effects of Botox injections are temporary, lasting only about three to four months.

Why is Botox not recommended for people over 65?

There's no set age limit, but those over 65 should think carefully. Side effects like bruising, pain, headaches, and dry skin might happen, and they need to be weighed against the treatment's benefits. Older patients should talk to a licensed expert before getting Botox.

Where should you never get 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 medication can you not have Botox with?

Examples of muscle relaxant drugs: Here are some muscle relaxers that may interact with Botox:
  • cyclobenzaprine (Fexmid)
  • metaxalone (Skelaxin)
  • carisoprodol (Soma)
  • tizanidine (Zanaflex)
  • methocarbamol (Robaxin)
  • baclofen (Lioresal)

What is the best alternative to Botox?

Below are 10 alternatives to BOTOX® that might help if you're seeking smoother or firmer skin on your face.
  • Cosmetic Acupuncture. ...
  • Microneedling. ...
  • Chemical Peels. ...
  • Laser Therapy. ...
  • Cryotherapy. ...
  • Facial Creams. ...
  • Neuropeptides. ...
  • Face Patches.

What are the negatives of getting Botox?

Unwanted side effects

In most cases, Botox administered by a skilled and experienced technician won't cause many side effects beyond occasional redness and bruising which resolves quickly. However, improper use of Botox can cause headaches, drooping eyes, a sagging smile, or even infection at the injection site.

What is the price of Botox treatment?

Botox injection 100 units price in India will range anywhere between Rs. 5000-Rs. 20,000 depending on the brand and type.

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.

Why not get Botox on forehead?

The potential side effects of the Botox procedure in the forehead include pain in the injected area, bruising, swelling, and inflammation.

What is the danger zone for Botox?

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. Think of these zones like a “no-go zone” on a map—trespassing can lead to hazardous results.

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.

At what age should you not get Botox?

While it's true that the FDA only recommends the use of Botox for those under the age of 65, the organization doesn't prohibit those in the aging population from receiving Botox injections, nor does it speak to the relative safety or efficacy of doing so.

Does Botox age you over time?

Can Botox make you look older over time? Commencing extensive Botox treatments at a young age can potentially accelerate the aging process, resulting in an older appearance over time. Adopting a premature and overly aggressive approach to Botox injections may lead to a frozen and over-treated facial expression.

How to lift jowls with Botox?

Botox injections to improve jawline definition

This minimally invasive procedure yields dramatic results without requiring a lengthy recovery period. Injections work by relaxing the muscles in the jaw area, pulling them upward to create a more pronounced and attractive definition.

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 are the negative effects of Botox?

Most people tolerate Botox well, but side effects are still possible. Pain and bruising at the injection site, droopy eyelids and eyebrows, and headaches are some of the most common Botox side effects. But more serious side effects, such as difficulty breathing and swallowing, can also happen.

What makes Botox wear off quicker?

Identifying Factors That Shorten Botox Longevity

Metabolism, muscle activity, and lifestyle choices are key factors that can shorten Botox longevity.

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