Muscle relaxants are considered the safest injectable cosmetic treatment. However, as with all medical procedures, there are risks and side effects involved, which include:
This is the most common side effect. The bruises are usually 5-10mm in diameter and last up to 7 days. They are very common when treating the crow’s feet. Ice can be used to prevent bruising. Treatment for bruising can include a topical like Hirudoid, or a vascular laser, or an IPL at a vascular setting.
This is more common with new users. It usually only lasts up to 24 hours and can be treated with Panadol.
This is most common when treating the horizontal forehead lines. It can be from very minor, where the patient complains of “looking tired” or “having difficulty putting on eye makeup”, to wuite obvious. This side effect may be treated by more muscle relaxant being injected into muscles which pull down the brow, including Procerus, Corrugators and Orbicularis Oculi. How long it lasts depends on several factors, inlcuding dose and placement of product.
This is the most feared complication by patients and doctors alike because it is so obvious. It can last from weeks to months. Treatment can include eyedrops which help to lift the lid.
This is a very rare complication and is always a possibility when a needle punctures skin
This often occurs because the doctor is aiming to avoid injecting too close to the outside area above the eyebrows to avoid an eyebrow droop. However, the reverse can happen, with too much movement in this area, which can leave the patient with a strange appearance. This is easily treated with small injections at the area of too much movement.
Recruitment of muscles:
This can occur when muscles become used more because other muscles have been weakened by botox treatment. Often this will cause new areas to require treatment
Atrophy of muscles:
This is a side effect that is loved by patients, because it may mean that they require less frequent injections of muscle relaxing injections. It can make areas of the face lose volume, which, if this increases age appearance, can be treated with dermal filler
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