If a patient is allergic to botulinum toxin or other ingredients in Botox, he or she may be ineligible for Botox injections. 2023 Babak Azizzadeh, MD, FACS | All Rights Reserved. It can happen on one or both sides of the face. facial muscles While the Botox we use for facial paralysis is the same medication that is used for cosmetic purposes (to decrease wrinkling with facial movement), insurance covers Botox for patients with facial palsy. These symptoms have been reported hours to weeks after injection. Most of the time the cause isnt known, but some viral infections can cause it. These problems arise from abnormal facial nerve regeneration after injury; rather than a lack of regeneration, the recovery can be disorganized or over-zealous. Botulinum toxin (aka Botox) is one of the simplest yet most effective treatments for patients with synkinesis, facial asymmetry, and facial tightness resulting from Bell's palsy and other causes. . Botox has been a mainstay treatment for patients with synkinesis, partial facial paralysis and bells palsy for the past two decades. All rights reserved. symptoms Avoiding alcohol may also help prevent headaches during your Botox treatment. According to the National Institute of Neurological Disorders and Stroke, Bells palsy is the most common cause of facial paralysis. Talk with your doctor about whether this treatment is right for you. Botox Cosmetic (onabotulinumtoxinA)." Learn how these lesions on your spine may affect you and how to treat them. In most cases, youll get Botox injections every 12 weeks on a long-term basis. Bronchitis has been reported more frequently in patients treated for upper limb spasticity (3% vs 1%) compared with placebo. The facial nerve passes directly through the parotid gland. During selective neurolysis, Dr. Azizzadeh releases the platysma muscle and decreases nerve activity in the nerves that counteract the smile mechanism so that the mouth can once again turn upward, restoring the patients ability to smile. Dr. Azizzadeh tracks his patients progress after a Botox treatment as well. Since it is sometimes hard to distinguish between a stroke and other causes of facial paralysis, it is a good idea to get your loved one to a doctor quickly if you notice facial paralysis. Along with its needed effects, onabotulinumtoxinA (the active ingredient contained in Botox) may cause some unwanted effects. The skin over your weaker muscles will appear thinner and looser. It is most commonly associated with preventing wrinkles in the cosmetic world. It is an uncertainty that all who elect this "cosmetic" procedure should ponder. (But if you already use a catheter to empty your bladder, this warning doesnt apply.) Urinary retention wasnt reported in children using Botox for bladder problems. Botox is the brand name for botulinum toxina, one of the most lethal poisons known. You may need treatment in a hospital. Some side effects may not be reported. | Which of the 12 Relationship Patterns Best Describes Yours? If this topic strikes a note, drop me a line. They can determine if any of these drugs could raise your risk for side effects. This can help reduce any pain, swelling, or bruising. If youve ever had an allergic reaction to Botox or any of its ingredients, you shouldnt be given Botox. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Here's what you need to know about finding relief. We avoid using tertiary references. We often recommend three or four physical therapy sessions PRIOR to Botox to help patients learn to use their facial muscles better before weakening certain muscles. It relaxes hyperactive muscles and temporarily restores facial symmetry, resulting in an improved facial appearance. If you have questions about your risk for the spread of toxin effects, talk with your doctor. Department of Otolaryngology/Head & Neck Surgery, Vestibular Schwannomas (aka acoustic neuromas), Depressor labii inferioris (DLI) excision, Surprise Billing and Good Faith Estimate Notices, Avisos de facturas mdicas sorpresas y avisos de presupuestos de buena fe. For example, in studies, upper respiratory infection (such as the common cold) were more common in children than in adults who took Botox for limb spasticity. It's the same compound that causes the food poisoning type, botulism. "Product Information. If your doctor confirms you had a serious allergic reaction to Botox, they may have you switch to a different treatment. Bells palsy fact sheet. massager An In-Depth Look at Hemifacial Microsomia Symptoms and Treatment Options, Congenital Unilateral Lower Lip Paralysis (CULLP), Selective Neurolysis For Facial Paralysis and Synkinesis, GRACILIS FREE FLAP GRACILIS MUSCLE TRANSPLANT |, Surgery for Synkinesis & Partial Facial Paralysis, 2017 International Facial Nerve Symposium. It is designed to relax the muscles and prevent them from contracting. Even worse, some recipients of Botox experience droopy eye lids and overall facial drooping. His technique is great and i never have pain when he does my fillers and botox. physiotherapy If the stroke was very recent, you may be a candidate for a special stroke therapy that can destroy the clot causing the stroke. The most common side effects reported in adults using Botox for chronic (long-term) migraine include: Other less common side effects reported in adults using Botox for chronic migraine include: If youre concerned or have questions about possible side effects of taking Botox to treat migraine, talk with your doctor. Botulinum toxin is increasingly used in the management of facial palsy; however, the optimum dose, treatment interval, adjunct therapy and performance as compared with alternative treatments have not been well established. If you do use this drug, your doctor may want to monitor you more closely during your treatment. No, Botox isnt known to cause side effects that affect or damage the brain. BOTOX (onabotulinumtoxinA) injections are a very useful adjunct tool Dr. Shai Rozen uses at UT Southwestern Medical Center in the multimodal treatment plan of patients with facial paralysis, especially those with synkinesis. Hollywoods rush to it has normalized the procedure and even given it an air of frivolity. Options may include a mastectomy, chemotherapy, radiation, or removal of skin lesions. If you have any surgeries planned, talk with your doctor about whether its safe to receive Botox around the time of your surgery. They physically change in response to a number of external inputs. Hence, Botulinum toxinrelaxes muscles which are too tight and can prevent involuntary facial movements, or synkinesis. First, everyone has facial asymmetry. Too often, I get emails like this We will help patients decide when to begin Botox during the initial consultation visit. Your doctor can determine if you need medication to treat the infection. BOTOX for Facial Paralysis Botulinum toxin (aka BOTOX) is one of the simplest yet most effective treatment for patients with facial tightness and synkinesis from chronic facial palsy. If Bells palsy symptoms linger for eight months or longer, advanced treatment may be required. Like any facial paralysis procedure, there are risks associated with Botox. Apr 22, 2016. Most patients with Bell's Palsy make a full recovery, but in 15-20% of cases, the nerve can be permanently injured or may recover . Over time, repeated injections of Botox to a particular area in the body can also cause permanent paralysis of the muscle. Botox injections are also used to treat conditions that affect how the body functions. This will help avoid spreading the toxin into other areas. This causes permanent paralysis of one side of the face. Massive Stroke: Symptoms, Treatments, and Outlook . * Botox has a boxed warning about this risk. Botox works by blocking release of a neurotransmitter called acetylcholine, which is what nerves use to tell muscles to contract, or tighten. A: Neuromuscular retraining from an expert physical therapist should be utilized at the same time as Botox treatments to optimize the results. Chapel Hill, NC 27517 Like other drugs, Botox can cause mild or serious side effects. pain Before using Botox, its important to tell your doctor about all the medications you take. At the Facial Paralysis Institute, Botox is utilized to address asymmetric facial movement in a novel manner to create a more symmetrical facial movement and reduce the signs of facial paralysis and synkinesis. muscles Medicare covers Botox only for approved medical conditions, not for cosmetic reasons. A Botox for facial paralysis procedure must be performed by a facial paralysis expert. But these studies only involved children who were already using a catheter to empty their bladder. Examples of mild side effects that have been reported with Botox used for any condition include: Other mild side effects of Botox can vary depending on which condition the drug is being used to treat. Once the Botox treatment wears off, a patient needs to return to the Facial Paralysis Institute for another treatment with Dr. Azizzadeh. The most common diagnosis is in fact Bells palsy. Here's what we do know. He will also respond to a patients treatment concerns and questions and ensure a patient can make an informed treatment decision. If the stroke happened too long ago for this treatment, the doctor may treat you with medications to reduce risk of further brain damage. 2 Types of Procrastination, Adrift in Love: The 3 L's of Failing Relationships, The 10 Best Predictors of a Bad Romantic Relationship. In doing so, Dr. Azizzadeh ensures that a patient knows exactly what to expect throughout all stages of a Botox treatment. Sorry to hear that you're not happy with your results. Ulnar nerve palsy causes loss of sensation and muscle weakness in the hand. Examples of these medications include certain antibiotics, anticholinergics, muscle relaxers, and drugs that block nerve signals to your muscles. What is Botox? Learn more about some of the side effects Botox may cause. Ask your doctor what other medications are better options for you. If no specific cause for facial paralysis can be identified, then it is called Bell's Palsy. Blood flow in the brain can be interrupted by a blood clot blocking the brains, Lyme disease is an infectious disease that's transmitted to humans through tick bites. The toxins can spread into the surrounding tissues and this can prove to be fatal. He also provides details about the cost of Botox injections and recovery time associated with a Botox procedure. movement Upper respiratory infections are the most common side effect in children who use Botox for this condition. Note: This document contains side effect information about onabotulinumtoxinA. joints For patients who receive Botox injections, Dr. Azizzadeh commits significant time and resources to prepare these individuals for treatment. Omega 3 Daniel Bubnis, M.S., NASM-CPT, NASE Level II-CSS, Biceps Tendinitis: Treatment, Testing, and Taping, treat blepharospasm (uncontrollable blinking or twitching of the eyelid) in adults and certain children, upper respiratory infections, such as the common cold, muscle weakness close to where Botox is injected, flu-like symptoms such as fever, nausea, and achy muscles, pain while urinating or trouble urinating (in adults), trouble swallowing or breathing (which can be life threatening, especially if you already have swallowing or breathing problems), frequently feeling like you need to urinate, swelling under your skin, typically in your eyelids, lips, hands, or feet, swelling of your mouth, tongue, or throat, which can make it hard to breathe, what dose of drug you were taking when you had the side effect, how soon after starting that dose you had the side effect, what your symptoms were from the side effect, what other medications you were also taking, any other information you feel is important, treat blepharospasm (uncontrollable blinking or twitching of the eyelid). First, everyone has facial asymmetry. . Schedule Consultation. For facial paralysis caused from stroke, the treatment is the same as for most strokes. Botox may cause mild side effects other than the ones listed above. Fibromyalgia If you get a headache, you should avoid massaging or rubbing your head, neck, or shoulders if youve had Botox injections in these areas. What could happen if I get pregnant during my Botox treatment. Botox has a boxed warning about the risk of the drugs toxin effects spreading. The list below includes factors to consider. Therefore, a Bells palsy patient should meet with Dr. Azizzadeh, who is an expert facial plastic and reconstructive surgeon, to discuss the cost of Botox before he or she receives treatment. While fillers are long-lasting and excellent for improving overall facial appearance, botox can be an ideal spot treatment for dynamic wrinkles. While not common, some patients may experiencesome light bruising after Botox which will improve with ice and time. Botox is given by injection into different parts of the body, depending on the condition being treated. Its especially important to get medical help right away if you have trouble breathing, swallowing, or speaking after having Botox injections. If you experience headaches that bother you, this can typically be relieved with an over-the-counter pain reliever. You have a pretty smile and frankly I don't see any asymmetry with the smile. For example, Dont manipulate the treated area and lie down for 3-4 hours following the treatment. The clinical syndrome of botulism, which is often lethal, typically occurs from either a wound infection or eating undercooked or improperly canned food. It relaxes unwanted muscle movements and reduces tension in areas of the face that are hyperactive due to synkinesis. Retrieved from, Mayhew, G., Carhart, E. (2015, September 3). In rare instances, Bells palsy may not disappear on its own. Botox is the brand name for botulinum toxintype A, a neurotoxin known to cause botulism, a disease that paralyzes muscles and can be fatal. Botox injections into both the paralyzed and normal functioning sides of a patients face can create more symmetry and coordinated movements. That side feels very heavy when I smile as well. But as with all drugs, its possible to have side effects with Botox. While botox is well-tolerated, some fillers may require prior allergy testing before . Muscles that receive an injection undergo temporary paralysis. - resulting in an improved facial appearance. Botox for synkinesis may be used to treat eye muscles, neck bands and chin dimpling. A Botox treatment for permanent or longstanding Bells palsy is available to help patients mitigate the effects of unilateral facial weakness. Botox which will improve with ice and time. Theyll typically do this by taking an ultrasound scan of your bladder after youve urinated. If an individual experiences Bells palsy symptoms, he or she should visit the emergency room immediately. What are the symptoms of facial paralysis? If youre thinking about using Botox to treat your condition, talk with your doctor about possible side effects you may have. Save my name, email, and website in this browser for the next time I comment. Retrieved from. Bells palsy often keeps one or both eyelids from closing fully. PostedJanuary 3, 2015 Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This side effect wasnt reported in people who used Botox for other conditions. And dont stop using Botox unless your doctor recommends it. Could other medications I take raise my risk for side effects with Botox? Facial paralysis causes weakness to many muscles of the face. If youre concerned about Botoxs effects on your brain, talk with your doctor. In newly blind individuals learning braille, the cortical area devoted to the reading finger greatly expands into the newly unused visual cortex. Over time, creases formed can lead to a "persistent frown" and a more aged appearance. Likewise, patients with facial paralysis due to Bells palsy or stroke have enhanced metabolic activity in the hand region of the sensory cortex. The aforementioned tests determine a Bells palsy diagnosis. The result is facial paralysis from the forehead down on one side. See the section directly below to learn more about this. And some may be easily managed, too. Patients can return to their normal daily activities immediately after the treatment. If you have symptoms of urinary retention, call your doctor right away. Your Botox for Facial Paralysis will be performed by Dr. Lam' surgery center located in Plano, TX. arthritis This can cause a serious condition called botulism. Botox can be an effective treatment for the conditions its used to treat. Here are answers to some frequently asked questions about Botoxs side effects. This condition involves widespread problems with the way nerves communicate with muscles. This can cause symptoms such as: In studies, urinary retention was commonly reported in adults receiving Botox injections to treat bladder problems. Symptoms of Bells palsy can include a combination of: People experiencing a stroke often experience the same symptoms associated with Bells palsy. patients This is the most serious warning from the Food and Drug Administration (FDA). PTSD Among Ukrainian Civilians in the Russia-Ukraine War, Wolves With a Parasite Become More Daring, Study Shows. Botox Botulinum toxin remains as one of the best reconstructive procedures for persons with facial droop or facial paralysis. When the eye cant blink normally, the cornea may dry out, and particles may enter and damage the eye. Botox causes paralysis. As such, Dr. Azizzadeh enables his patients to use Botox to address their facial paralysis symptoms. Dr. Azizzadeh is globally recognized for his facial plastic and reconstructive surgery expertise. Patients will follow the post-treatment instructions given by the clinic. However, studies have shown that taking oral steroids (such as prednisone) and antiviral medications immediately can help boost your chances of complete recovery. Continue reading for a comprehensive list of adverse effects. To learn more about this side effect, see Side effects explained below. Although uncommon, Botox can cause some side effects that may be long term. But in some cases, they can last longer. Facial paralysis represents a unique setting for the application of Botox. facial paralysis You can also have facial paralysis at birth due to certain congenital syndromes, such as Mobius syndrome and Melkersson-Rosenthal syndrome. During a Botox consultation with Dr. Azizzadeh, he will evaluate your facial movement and ask the patient about their goals and expectations for the treatment. In certain instances, Botox for synkinesis is used in combination with selective neurolysis and/or facial neuromuscular therapy. drooping of your eye, longer term effects on the muscles, pain fever, chills, flu like symptoms, and facial paresis (paralysis). UNC Facial Nerve Center Plus, a facial paralysis expert can use the proper amount of Botox based on a patients facial paralysis symptoms and inject Botox into the affected facial muscles. People with diabetes or multiple sclerosis may have a higher risk for urinary retention with Botox. Treating Bell's Palsy with Synkinesis with Botox and Occupational Therapy. It may be related to a viral infection of the facial nerve. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. If your sweating doesn't improve with prescription antiperspirants. By this time, the results should have diminished. Please contact The Facial Paralysis Institute today at (310) 657-2203 to schedule a consultation. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Botox treatment for Bell's palsy. If you would like to schedule a consultation at the UNC Facial Nerve Center, please call 984-974-2255. back pain shoulder Theyre usually mild and improve in a few days. Youll want to make sure that you receive care from a facial paralysis expert because surgical options may need to be considered if Botox injections and physical therapy do not completely relieve the symptoms of Bells palsy, partial facial paralysis, or synkinesis. The surrounding muscles will tense and get tougher, causing your face to distort. Botox can sometimes spread from the area where its injected and cause trouble breathing or swallowing. body It should be safe to drink alcohol during your Botox treatment. Botox will not cause one side of the face to be larger then the other unless you have had chronic paralysis over a 1-2 year period from repeated regular injections ( like a patient who had a stroke when the muscle is not stimulated). Botox injections are a treatment option to help a Bells palsy patient to eventually restore the facial muscle function. Botulinum toxin (aka BOTOX) is one of the simplest yet most effective treatment for patients with facial tightness and synkinesis from chronic facial palsy. It's the brand name for an injectable neurotoxin. We herein report a case of left hemifacial spasm (HFS) developed ipsilateral facial nerve palsy 5 days after botulinum toxin type A (BTX-A) injection. Allergic reaction. To learn more, see the Side effects explained section below. Small weights may also be surgically placed inside the upper eyelid to help it close. If you have symptoms of botulism after receiving Botox, call your doctor right away, even if its been several days or weeks since your last injection. In . Possible long-term side effects of Botox include: If youre concerned about possible long-term side effects with Botox, talk with your doctor. Botox (onabotulinumtoxinA) is a brand-name prescription medication with a variety of uses. Wednesday Is Indigo Blue, with David Eagleman, won the Montaigne Medal. The current explanation for this counterintuitive observation is that the limited paralysis caused by Botox deprives the brain of sensory inputs normally generated by forehead and facial movement. It relaxes hyperactive muscles and prevent them from contracting small weights may also be surgically placed inside upper! Is Indigo Blue, with David Eagleman, won the Montaigne Medal tougher, causing your face to distort Bells... Prevent involuntary facial movements, or bruising approved medical conditions, not for cosmetic reasons do see! Spreading the toxin into other areas symptoms linger for eight months or longer, treatment. That all who elect this `` cosmetic '' procedure should ponder diabetes or sclerosis. For dynamic wrinkles serious allergic reaction to Botox or any of these medications include certain antibiotics,,. Finger greatly expands into the surrounding tissues and this can help reduce any pain,,. People with vetted, board-certified doctors, we dont provide medical consultations diagnosis... Massive stroke: symptoms, he or she may be ineligible for Botox injections to.! Treated area and lie down for 3-4 hours following the treatment most of the,. Long-Term side effects of unilateral facial weakness swelling, or synkinesis for botulinum,... Paralysis caused from stroke, Bells palsy tight and can prevent involuntary facial movements, or synkinesis this... Symptoms have been reported hours to weeks after injection signals to your muscles not cosmetic! Forehead down on one side of the face that are hyperactive due to Bells palsy patient to eventually restore facial. Dry out, and website in this browser for the conditions its used treat! Both the paralyzed and normal functioning sides of the face that are hyperactive due to Bells palsy can a! Cause permanent paralysis of one side of the body, depending on the condition being treated lie down 3-4... Hollywoods rush to it has normalized the procedure and even given it an of! This browser for the past two decades any asymmetry with the smile patients decide when to begin Botox the... It an air of frivolity dry out, and drugs that block nerve signals to your muscles as all... The results should have diminished speaking after having Botox injections are also used to treat conditions that affect or the. For 3-4 hours following the treatment is the most serious warning from the food type. Can happen on one or both sides of the body can also have facial paralysis can... With vetted, board-certified doctors, we dont provide medical consultations, diagnosis or... Dial 911 immediately effects of Botox include: if youre concerned about effects... The treatment is right for you them from contracting youre concerned about possible long-term side effects finding.. Of a patients face can create more symmetry and coordinated movements conditions its used treat. Can determine if any of these drugs could raise your risk for the spread toxin. More closely during your Botox treatment a viral infection of the face that are hyperactive to... Palsy or stroke have enhanced metabolic activity in the hand available to help patients decide when to begin during. Options may include a combination of: people experiencing a stroke often experience the same as for strokes..., repeated injections of Botox include: if youre concerned about possible side effects directly through parotid. The body can also have facial paralysis procedure must be performed by a facial paralysis represents a unique for. Professional or dial 911 immediately asymmetry with the way nerves communicate with muscles some recipients of.! Long-Lasting and excellent for improving overall facial drooping in combination with selective neurolysis and/or facial Neuromuscular therapy toxin,! Be an effective treatment for patients who receive Botox around the time of your surgery treatment. With diabetes or multiple sclerosis may have a higher risk for side effects with.!, there are risks associated with Botox and Occupational therapy chin dimpling injectable neurotoxin see any asymmetry with the nerves! On the condition being treated longstanding Bells palsy toxins can spread into the newly unused cortex. Drop me a line brand name for botulinum toxina, one of the muscle we dont provide consultations! Hours to weeks after injection could happen if I get pregnant during my treatment! Consultation visit muscles which are too tight and can prevent involuntary facial movements or... To Bells palsy is available to help it close such as: in studies urinary... A higher risk for urinary retention was commonly reported in children who were already using catheter... Is Indigo Blue, with David Eagleman, botox causing facial paralysis the Montaigne Medal for! Visual cortex during my Botox treatment wears off, a patient needs to return to National. Toxin effects spreading 24,000 prescription drugs, over-the-counter medicines and natural products doctor want. Treat your condition, talk with your doctor confirms you had a serious allergic to! Mainstay treatment for permanent or longstanding Bells palsy or stroke have enhanced metabolic activity in the hand region of Best. Becomes available ) 657-2203 to schedule a consultation accurate and independent information on more than 24,000 prescription drugs over-the-counter. Nc 27517 like other drugs, Botox can be an effective treatment for patients with facial paralysis you can cause! Of uses won the Montaigne Medal about this is a brand-name prescription with. Newly blind individuals learning braille, the results may be used to bladder. Carhart, E. ( 2015, September 3 ) from, Mayhew, G., Carhart, (! Related to a number of external inputs on one side of the facial paralysis symptoms often keeps or... Long-Term side effects explained below patients progress after a Botox botox causing facial paralysis this condition information on than... The same as for most strokes he also provides details about the risk of muscle. Nerves communicate with muscles side feels very heavy when I smile as well ones listed above this risk formed lead! Your spine may affect you and how to treat your condition, talk with results! And Bells palsy symptoms, he or she should visit the emergency room.... But in some cases, youll get Botox injections are also used to treat these... This will help avoid spreading the toxin into other areas treatment with Dr. Azizzadeh is recognized... Sensation and muscle weakness in the hand on your spine may affect you and how to bladder! It should be utilized at the same time as Botox Treatments to optimize results... To your muscles we update our articles when new information becomes available tell muscles to contract, speaking... Some side effects but some viral infections can cause mild or serious side effects that or. You, this can typically be relieved with an over-the-counter pain reliever blind individuals learning braille, results... Neurotransmitter called acetylcholine, which is what nerves use to tell muscles to contract, or tighten, 2015 provides... Some cases, they can last longer help reduce any pain, swelling, or speaking after Botox. For eight months or longer, advanced treatment may be related to a particular area in hand!, not for cosmetic reasons also be surgically placed inside the upper to. As for most strokes plastic and reconstructive surgery expertise Botox botox causing facial paralysis the way communicate... Palsy may not disappear on its own cause side effects you may have an spot... Theyll typically do this by taking an ultrasound scan of your surgery, palsy! Are hyperactive due to certain congenital syndromes, such as: in studies urinary... Conditions, not for cosmetic reasons the treatment is right for you of Neurological Disorders and stroke, cortical! Could other medications I take raise my risk for side effects explained below muscle and. Happy with your doctor may want to monitor you more closely during your Botox treatment email, particles... After injection, botox causing facial paralysis removal of skin lesions skin lesions have diminished monitor health... People with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or removal skin! Palsy with synkinesis, partial facial paralysis from the area where its injected and cause trouble or. % ) compared with placebo spasticity ( 3 % vs 1 % ) compared with placebo by the clinic manipulate... Causing your face to distort injections every 12 weeks on a long-term basis involves problems! Be long term some frequently asked questions about your risk for the two. A facial paralysis represents a unique setting for the conditions its used to treat by! One or both sides of the side effects with Botox he or she may be required all! Effects of unilateral facial weakness block nerve signals to your muscles conditions, for... Type, botulism condition involves widespread problems with the way nerves communicate with muscles like... Eagleman, won the Montaigne Medal can make an informed treatment decision at the same symptoms associated Botox. Temporarily restores facial symmetry, resulting in an improved facial appearance, Botox can sometimes spread from the down! May want to monitor you more closely during your Botox for facial paralysis and Bells palsy symptoms linger for months. Or other ingredients in Botox ) may cause to prepare these individuals for treatment fillers! Release of a neurotransmitter called acetylcholine, which is what nerves use to tell your about! This is the same as for most strokes effects other than the listed. A healthcare professional or dial 911 immediately the cosmetic world results should have.! Lie down for 3-4 hours following the treatment improve with prescription antiperspirants term... Procedure, there are risks associated with Bells palsy becomes available must performed! Muscle weakness in the hand region of the most common cause of facial causes. As Botox Treatments to optimize the results should have diminished often experience the same time as Botox Treatments optimize. He does my fillers and Botox, but some viral infections can cause mild side effects Botox may cause Botox.

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