Common Complications of botulism injection

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Such complications are not jest caused by botulinum toxin injections, other injection fillings can also lead to such complications. And most of them can be ignored, because it is a normal phenomenon, it will dissipate on its own after a few days, so there is no need to worry a lot. 

Pain: When a thin needle is used for botulinum toxin injections, there is relatively little pain. If necessary, ice or topical anesthetics can be used to reduce pain. However, pre-treatment anesthesia, especially the use of topical anesthetics, can prolong the treatment time.

Bruising: It is also very common to have bruising on injections. The bruising usually occurs at the location of the needle, ranging from the size of a needle to the size of a coin. It is also common with hematoma. The recovery time for a bruise depends on individual differences and the severity of the bruise. Severe cases may take a week or two to subside. Of course, you can use ice cubes to dry press directly on the bruise to minimize the bruise.

Redness, erythema, and skin mounds: Redness and swelling will appear in almost all injections. Even after injection of normal saline, symptoms such as redness, swelling, oozing, and skin mounds will appear. No matter how thin the needle is, there will be a corresponding size of wound. A small amount after acupuncture The liquid medicine and blood seep out from the pinhole, wipe it with a cotton swab, and press gently for a few seconds.

small swelling

After the injection of the liquid, the local volume is enlarged and swollen to form a small skin mound. Everyone can feel a certain pain when the needle is inserted, and it may be accompanied by a feeling of soreness and swelling after the injection. If the injection is superficial in the dermis, white small skin mounds will be formed, which proves that the injection layer is correct. Under normal circumstances, these small skin mounds will spread within 30 minutes, and will subside on their own within 2 to 3 hours.

Needling and pushing the medicine are more or less irritating to the human body, and some redness and swelling are inevitable, but the redness and swelling caused by most people are almost negligible, and very few people with sensitive constitution may appear more obvious in the injection area. The redness and swelling subsided more slowly than normal, but this did not affect the final botulinum toxin treatment effect.

Of course, you can also wipe and disinfect the pinhole immediately after the injection, and then apply a small amount of antibiotic ointment (commonly used erythromycin eye ointment, gold mold eye ointment, tetracycline eye ointment) to protect the wound surface, do not touch water for 6 hours. .

Follow the doctor's instructions to apply ice for 10 to 15 minutes after surgery, which can effectively reduce pain and swelling.

botx complication swelling

Edema: Usually disappears within a few hours after treatment. Pressing on the injection site, especially the forehead, can effectively reduce edema. Such complications usually do not require ice.

Headaches: While headaches may occur after injections in the upper face, they usually do not require treatment and usually go away on their own. There have been reports of idiosyncratic severe headaches lasting 2 to 4 weeks, and physicians typically prescribe NSAIDs for these symptoms as well.

Infections: Any invasive treatment of the skin can lead to infection, but botulinum toxin injections are rare. The most common are bacterial infections and recurrent herpes simplex. If pain, infection, and erythema persist for more than a few days, evaluation with anti-infective therapy is required.

Numbness or hypoesthesia: Very rarely, numbness or hypoesthesia in the treatment area may be due to damage to the nerve during the injection.

Anxiety: Anxiety is normal (myself included) during injections. Most patients are treated with only mild anxiety, which can be alleviated by being able to keep the syringe out of sight and manage breathing during treatment. Rarely, patients have severe anxiety and require pharmacological intervention (eg, tramadol, one tablet 30 minutes before treatment) prior to injection. Vasovagal reflexes associated with moderate anxiety may also occur, and a first aid kit is available in the treatment room if injections are required.


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