The risks are very small with Botox, but as with any other medical or cosmetic treatment, things can go wrong. The short answer is that, similar to any invasive treatment or procedure, there may be side effects or complications. You may experience redness, bruising, bleeding, or swelling. If the bad injection of Botox resulted in an uneven (asymmetrical) appearance, you can do something to correct it sooner.
Consult a doctor who can inject more Botox on the stronger side. This may seem contradictory, but since Botox stops or limits muscle contractions, it doesn't tighten muscles. Some patients have bags under the eyes as a result of fat herniation or fluid retention. In any case, injection of botulinum toxin can aggravate these bags if the lower fibers of the orbicular muscle of the eye are excessively relaxed.
Therefore, in patients with a tendency to develop bags under the eyes, injection into the lower part of the crow's feet should be avoided in order to preserve the tone of the corresponding region of the ocular orbicular muscle. This action leads to ptosis of the eyebrows or eyelids. It has been observed in many patients older than 65 years of age or older who use the frontal muscle to keep their eyes open. Relaxation of the frontal muscle in these patients can lead to ptosis of the eyebrows or eyelids.
Therefore, while injections of botulinum toxin are injected into these patients, the doctor must carefully examine whether the patient uses the frontal muscle to open his eyes or not. If yes, injection should be avoided in that case. Like any other medical or cosmetic treatment, Botox injections can go wrong. Physicians should be familiar with the basic contraction patterns of the glabella13—15, forehead,16, and crow's feet17 in order to customize the injection pattern for each patient, thus achieving more natural results and using a smaller amount of botulinum toxin.
Asymmetrical features, drooping eyelids or even a “Spock eyebrow” are signs that your Botox has been spoiled, as it should look as natural as possible. Doctors who try to inject the superciliary corrugator muscle often inject the lower part of the frontal muscle, causing the medial part of the forehead to descend and the lateral part of the forehead to arch upward unnaturally, generating a Mephisto effect. The effect is temporary in the sense that after a few months, the relaxed muscles retain their tension and a new injection is required. During the administration of botulinum toxin injections, the effect of injections on the entire face of the patient should be considered with the aim of relaxing the main depressor muscle in the upper and lower third of the face.
Botulinum toxin injections offer outstanding results in reducing certain expressions, lines and wrinkles; however, combining botulinum toxin with other cosmetic treatments provides excellent overall results and doctors should explain this to patients. Using generic values to make the necessary calculations can provoke a case of questionable eyebrows, therefore, Botox went wrong. According to the American Society of Plastic Surgeons, botulinum toxin injection is currently the most common cosmetic procedure in the United States. This tactic will not work for someone who has simply received too much Botox, which, again, often results in a “frozen” appearance, but it can help if the injections are asymmetrical, in which case, a little more can be added to the other side of the face to even things out.
We talked to Dr. Joshua Zeichner, Director of Cosmetic and Clinical Research in Dermatology at Mount Sinai Hospital in New York City, and Dr. Annie Chiu, certified dermatologist and founder of The Derm Institute, to find out what exactly is Botox, why some people may not be satisfied with the results. and how to fix a “bad Botox session”.
Each injection is painful, even if minimal, and the injections used for Botox treatments are very small, so the pain itself is minimized as much as possible. When your face is involved, you need an expert and professional provider who uses authentic Botox to ensure the best and most natural results. If you think your Botox appointment didn't give you the results you were looking for, make sure you first wait 10 to 14 days for treatment to begin fully. Even if the masseter muscle is reached, the lack of deep enough injection can cause the lower parts of the muscle to move normally while the upper part is relaxed, creating a “squirrel” appearance.