Site Logotype
Dermal Fillers

What Can Go Wrong with Botox?

Botulinum toxin injections eliminate fine lines and wrinkles by temporarily relaxing the facial muscles. This article discusses what can go wrong with botulinum toxin injections, including; what are botulinum toxin treatments, factors to consider before injections, and side effects.

In the UK, botulinum toxin injection was made legal for cosmetic use in 2002. The anti-wrinkle treatment gets rid of fine lines and wrinkles on the face. They are caused by volume loss due to age, genetics, and external factors, such as excessive exposure to UV rays or lifestyle choices, such as smoking. Patients go for botulinum toxin injections for various reasons, including medical concerns such as cervical dystonia, overactive bladder, and twitching eyelids.Before the anti-wrinkle treatment, patients should keep certain factors in mind, including the cost of the treatment, the cosmetic doctor performing the injections, and the possible side effects. Incorrect injections can lead to severe complications and side effects, although they subside with time. Patients should get the best aesthetic practitioner to do the treatment.

What Is Botox?

Botulinum toxin injections eliminate fine lines and wrinkles on the face. The treatment is safe. The anti-wrinkle treatment was made legal for cosmetic use in 2002. However, botulinum toxin injections are regulated in the United Kingdom and should be prescribed by a cosmetic doctor or an aesthetic practitioner.

Botulinum toxin injections have side effects and complications. The side effects can be countered.Schagen (2017) stated that anti-wrinkle injections eliminatefine lines by blocking the signaling of nerves to the muscles. The results of botulinum toxin injections are temporary, although they last longer.Patients have various reasons to go for anti-wrinkle treatments, as discussed below.

Why Botulinum Toxin Injections?

botulinum toxin injection can be used for medical and cosmetic use. Patients can use the anti-wrinkle injection to reduce the symptoms of conditions such as:

Cervical Dystonia

Cervical dystonia is a medical disorder of the nervous system affecting how the brain controls the muscles. Cervical dystonia is a painful condition whereby the neck muscles involuntarily contract and makes it turn or twist uncomfortably. Schramm et al. (2015)explained that cervical dystonia is not curable, but its symptoms can be reduced using botulinum toxin injections.

Overactive Bladder

Overactive bladder is characterized by urinary incontinence, frequent urination, or an urge to pee. This is caused by medication and nerve damage, leading to stress. According to Barba et al. (2022), botulinum toxin injections can help reduce the symptoms of overactive bladder

Chronic Migraines

Lipton et al. (2019) stated that chronic migraine is characterized by having at least 15 headaches in a month. Chronic migraines start low and gradually change to frequent headaches.Santana & Liu (2021) showed that botulinum toxin injections couldreduce headaches’ frequency, easing migraines.

Twitching Eyelids

Twitching eyelids does not necessarily mean a serious condition. However, it can be inconvenient and annoying. According to Dejonckere et al. (2012), twitching eyes can be caused by various conditions, such as blepharospasm, a nervous system condition leading to involuntary closing and frequent blinking. Alcohol, bright light, insufficient sleep, and excess caffeine can cause eye twitching. Maneksha et al. (2021) noted that severe cases of twitching eyelids could be countered using botulinum toxin treatments.

Factors to Consider Before Botox Injections

Clients should consider the following factors for a safe procedure before getting botulinum toxin injections;


Customers should seek treatment from a professional aesthetic practitioner. Clients should consult an aesthetic practitioner and check the facial structure and possible reactions before undergoing the procedure. Clients should also mention to a cosmetic doctor any medications they are on to avoid complications.


The cost of botulinum toxin treatments varies depending on factors such as the aesthetic practitioner performing the treatment, the geographical location, the number of treatments, and the type of anti-wrinkle injection. Patients should be aware of the cost of the treatment.

The Possible Side Effects

Botulinum toxin injections have various side effects, such as bleeding and bruising, although they subside within some time. Patients should be aware of possible complications before taking anti-wrinkle treatment.

Side Effects of Botulinum Toxin Injections

Botulinum toxin treatments pose several side effects to patients. Satriyasa (2019) explained the side effects, including;

  • Bleeding
  • Swelling
  • Bruising
  • Pain in the injected area
  • Headache
  • Flu-like symptoms

Incorrect botulinum toxin injections can cause adverse complications. According to Nejadsarvari& Ebrahimi (2014), quack cosmetic doctors can cause complications, which include;

  • Muscle weakness
  • Trouble swallowing
  • Eye-sight complications
  • Difficulty breathing

Botulinum toxin injections are safe if done correctly. Customers should get the anti-wrinkle treatment from a qualified aesthetic practitioner. Patients should seek medical attention if complications are adverse.

Frequently Asked Questions about Botox

Are Botox Injections Safe?

Botulinum toxin injections are safe and should be done byqualified aesthetic practitioners or cosmetic doctors.The treatment aftercare is also important for a secure healing process.

Can Botox Cause Permanent Damage?

The anti-wrinkle treatment does not cause permanent damage to the nerves or muscles. Botulinum toxin treatment results are temporal. Therefore, complications and side effects may be countered using certain techniques to minimize them. Also, the complications fade away as the treatment wears off.

Who Can Do Botulinum Toxin Injections?

The anti-wrinkle treatment should be done by a qualified cosmetic doctor or aesthetic practitioner for a safe procedure and healing.

Is Botox Treatment for Everyone?

Patients above 18 can have anti-wrinkle treatments. Pregnant, lactating, or breastfeeding patients should avoid botulinum toxin injections.


Botulinum toxin injections get rid of fine lines and wrinkles. They can also be used for medical purposes, such as reducing the symptoms of cervical dystonia. Therefore, the anti-wrinkle treatment should be done by a qualified cosmetic doctor or aesthetic practitioner. The treatment has several side effects. However, the effects fade away after some time. Incorrect botulinum toxin injections can lead to several complications, such as difficulty breathing. Patients should seek immediate medical attention if they notice a red flag after the botulinum toxin injection.


Barba, M., Lazar, T., Cola, A., Marino, G., Manodoro, S., &Frigerio, M. (2022). Learning Curve Of Botulinum Toxin Bladder Injection For The Treatment Of Refractory Overactive Bladder. International Journal Of Women’s Health, 14, 1.

Dejonckere, P. H., Neumann, K. J., Moerman, M. B. J., Martens, J. P., Giordano, A., & Manfredi, C. (2012). Tridimensional Assessment Of Adductor Spasmodic Dysphonia Pre-And Post-Treatment With Botulinum Toxin. European Archives Of Oto-Rhino-Laryngology, 269(4), 1195-1203.

Kalsi, V., Apostolidis, A., Gonzales, G., Elneil, S., Dasgupta, P., & Fowler, C. J. (2008). Early Effect On The Overactive Bladder Symptoms Following Botulinum Neurotoxin Type A Injections For Detrusor Overactivity. European Urology, 54(1), 181-187.

Lipton, R. B., Hutchinson, S., Ailani, J., Reed, M. L., Fanning, K. M., Manack Adams, A., & Buse, D. C. (2019). Discontinuation Of Acute Prescription Medication For Migraine: Results From The Chronic Migraine Epidemiology And Outcomes (Cameo) Study. Headache: The Journal Of Head And Face Pain, 59(10), 1762-1772.

Maneksha, V., Chakrabarty, S., Tanwar, M., & Pillai, M. R. (2021). Outcomes Of A Regional Variant Of Botulinum Toxin Type A In Treating Essential Blepharospasm And Hemifacial Spasms: A Retrospective Study. Indian Journal Of Ophthalmology, 69(10), 2777.

Nejadsarvari, N., & Ebrahimi, A. (2014). Different Aspects Of Informed Consent In Aesthetic Surgeries. World Journal Of Plastic Surgery, 3(2), 81.

Santana, L., & Liu, C. (2021). Experience Botulinum Toxin Injections For Chronic Migraine Headaches In A Pediatric Chronic Pain Clinic. The Journal Of Pediatric Pharmacology And Therapeutics, 26(2), 151-156.

Satriyasa, B. K. (2019). Botulinum Toxin (Botox) A For Reducing The Appearance Of Facial Wrinkles: A Literature Review Of Clinical Use And Pharmacological Aspect. Clinical, Cosmetic And Investigational Dermatology, 12, 223.

Schagen, S. K. (2017). Topical Peptide Treatments With Effective Anti-Aging Results. Cosmetics, 4(2), 16.

Schramm, A., Bäumer, T., Fietzek, U., Heitmann, S., Walter, U., &Jost, W. H. (2015). Relevance Of Sonography For Botulinum Toxin Treatment Of Cervical Dystonia: An Expert Statement. Journal Of Neural Transmission, 122(10), 1457-1463.

Barbara Santini
Latest posts by Barbara Santini (see all)