Botox can have side effects
While Botox may have become an accepted cosmetic procedure, there can be side effects. Dr. Robert Knox, medical director of Physician's Center for Beauty in Louisville, Ky., says the risks associated with the procedure are mostly related to technique, including redness, swelling, bruising and some discomfort.
About 1 percent of people who receive an approved dosage of Botox experience "eyelid drooping," caused by the injection accidentally seeping into areas not intended for the muscle-relaxing effect. That's why patients are asked to remain upright and not touch the injected area for a few hours after the procedure.
In addition, a small number of people will experience flulike symptoms, Knox says.
Botox is approved by the Food and Drug Administration to combat excessive sweating by being injected into the armpits, palms or soles of the feet.
It's also used "off-label" by neurologists for migraine prevention and to treat other conditions, Knox says.
"Botox can be administered by a nurse, a physician assistant or any licensed health professional under the supervision of a physician," Knox says.



