Our doctors regularly answer patient questions on RealSelf.com regarding Botox injections. They have posted the answers to some of the most frequently asked questions here to help you in your Botox Cosmetic research. Please feel free to contact our office at (858) 365-3620 if you have any more questions about Botox treatments!


Q: Are there face exercises that can help get more lift around the eyes and jowls?

A: There are no studies in peer-reviewed medical journals that we are aware of that have shown exercise to lift around the eyes or jowls. It is actually using neuromodulators like Botox, Dysport or Xeomin that will relax muscles that show lifting of the eyebrows or greater jawline definition.

Q: How many units of Botox are needed for forehead wrinkles and crow’s feet?

A: It depends on how the Botox is diluted. The typical dilution is 2.5cc in one 100 unit vial. For the forehead and crow’s feet, 40 to 50 units is usually what is needed.

Q: Botox injection & got hives within 30 min and still suffering 4 days later. When will this stop?

A: While this is not a typical reaction to Botox, it does sound like you are having an allergic reaction. I suggest you visit your physician as soon as possible for a follow up and treatment for the hives.

Q: Is it safe to have Botox before conceiving?

A: Botox is not recommended if someone is known to be pregnant.

Q: I got Botox 2 days ago and see no results. Is there a chance it won’t work on me?

A: As an expert injector, I usually tell my patients that Botox results can take about a week to show. If you are not seeing optimal results after a week, I suggest you visit your treating physician for a follow up.

Q: I’m 14 years old. Can I have a Botox jaw reduction?

A: The only way to determine if you are a candidate is to visit your doctor for a consultation. If you are a good candidate for a Botox jaw reduction, I highly suggest you go to a Botox expert who has a lot of experience in performing Botox injections to the masseter muscle. At 14 years old, you will need parental consent.

Q: Dysport 3 Months Ago Between Eyes. When Will it Wear Off?

A: The results of Dysport injections generally last between 3 and 4 months, depending on how much was injected and how your body metabolizes the product.

Q: How Far Apart Can You Have Botox Injections?

A: Every 3-4 months is common for receiving Botox injections.

Q: How Soon Can I Exercise After Receiving Botox Injections? And What Might Happen if I Were to Exercise the Same Day?

A: About 2-3 hours after Botox injection is an appropriate amount of time to wait before exercising.

Q: I Received Botox on Crows Feet Three Days Ago? Only 5 units per side. The effect has only set in however on my left eye– my right eye still looks the same. Is this normal?

A: That’s not a lot of Botox for correction of the crow’s feet. Most patients receive about 10 units on the average, and sometimes more, for correction.

Q: My neurologist is recommending Botox for my migraines. I know that he says the treatments need to be done about every 3 mos – but for how long?

A: Depending if the Botox injections are providing Migraine relief, it could be long term therapeutic relief for you.

Q: I Have Multiple Sclerosis? Can I receive Botox?

A: This may not be recommended. I suggest visiting your treating physician before getting Botox.

Q: Why do BAD Botox results (cheeks ptosis, eye bags and hollows) last so long? There are stories of women waiting 6 mo to years.

A: Botox wears off within 3-6 months. There might be some other condition going on that doesn’t have to do with Botox.

Q: I Am 30 and I Have a Deep Line Across my Forehead and I Want to Know if Filler Can Make It Disappear Completely?

A: Those lines are caused by dynamic muscle movement so injecting Botox would likely be the better option so the muscle stops moving; then the line will be relaxed and less noticeable.

Q: Why Has My Right Eye Gotten So Much Bigger Since Botox?

A: Relaxing some of the muscle groups around the eye area can give the eye a more opened appearance. I would suggest you follow up with your treating provider to see if it’s possible to adjust the other side to match.

Q: Can You Feel A Tingling Sensation In The Treated Area As Botox Injections Wear Off?

A: This is not a common reaction. You may want to see your physician if concerned.

Q: Clueless About Botox; Will It Help my Frown Line?

A: Both Botox and Dysport are great options for improving the appearance of frown lines.

Q: Can Acupuncture Help Stimulate Nerve in Facial Muscle and Improve Muscle That Were Atrophied by Botox?

A: Botox will wear off and is never permanent. You may want to follow up with your treating provider for an opinion first before you consider Acupuncture.

Q: Botox for Underarms: Substitute for Deodorant?

A: Botox works wonders for the underarms. It stops the sweat glands from producing sweat so then there’s no growth of bacteria that causes an odor.

Q: I Have Tired Eyes, Can Botox Help My Baggy Bits Under My Eyes Which Are Puffy?

A: Botox is not going to help under eye puffiness, but, depending on your doctor’s evaluation, you may be a good candidate for dermal fillers under the eyes. Dermal fillers can smooth the area and rejuvenate the eyes. A variety of laser treatments can address under eye bags and fine lines that make the eyes appear tired.

Q: Is it possible to use Botox to prevent the smile from turning downwards without affecting upward smile?

A: As an expert injector, I have used Botox to improve the appearance of downturned mouth corners. If injected carefully by a Botox specialist, the treatment should not affect your ability to smile. However, improper injections can leave unsatisfactory results.

Q: Botox Damage After Injecting in Brows? When I smile the muscle directly above my brows lifts into an unnatural/unusual arch. This was still happening to me 9 months post Botox, so the doctor added additional Botox to ‘calm it down’ 2 months ago, but it’s still doing it. I’m scared this damage could be permanent.

A: Without seeing you in person, it is difficult to assess. Fortunately, Botox is a temporary treatment, so these side effects are not likely to be permanent. It is fairly common for the muscles surrounding the muscle injected with Botox to become more active/prominent after injection. I suggest visiting a board-certified dermatologist who specializes in Botox to ensure more successful results.

Q: I’m Planning a Jaw Line Reduction with Botox. How Big is the Risk That my Smile Will Be Affected?

A: Make sure you visit an experienced Botox injector for jawline reduction. When injected by an expert into the masseter muscle, Botox can effectively slim the jawline without affecting the smile. If your smile is affected, this result will eventually wear off as the Botox does.

Q: Does my TMJ Warrant Me to Get Botox Injected into my Masseter Muscle? If So, is It Permanent?

A: This is a personal decision, depending on how impairing one’s TMJ is.  We have many patients that get their masseter muscles treated just to help their TMJ, with great relief and aesthetic improvement, as the masseters are typically large in some of these patients.  Botox does not offer permanent treatment, but typically patients get a treatment every 4-6 months to help with their TMJ.

Q: Can Botox Treat Facial Sweating?

A: There have been studies that show that Botox can help with hyperhidrosis (or excessive sweating) of the face.  We suggest you see a board-certified dermatologist for this so that one can avoid asymmetries that can happen when inappropriate techniques and dilutions are applied to the face.

Q: Can It Take Longer for Botox to Work in Certain Places in Your Forehead? I just got Botox in my forehead and it seems to be working great on one side. With every facial expression one eyebrow stays in place and the other raises. Will the other eyebrow eventually not move too or do I need to get more injections on that side?

A: Botox and other neuromodulators can take up to two weeks to work.  I wouldn’t worry and the unevenness is something that usually does even out within that amount of time.  If after 2 weeks you are still concerned with the result then I would follow up with your treating provider.

Contact the Experts for Botox in San Diego Today!

Call the board-certified dermatologists at Cosmetic Laser Dermatology at (858) 365-3620 today to schedule a consultation!

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