One of my friends recently asked me about a reaction she had with Botox from another doctor years ago. Her eyes swelled about 3 days after the injections.
Allergic reactions to Botox(r) are exceedingly rare, and could be due to the serum that the material is injected with. While allergies are rare, one has to be careful about the amount and location of the injections. Typically cosmetic injections for the frown, crow's feet, or forehead use about 30 to 50 units with 100 being the manufacture's maximum dose.
Reports of difficultly with heart rate, swallowing, neck movements are all involved with injections into the neck for a "twisted neck" condition, torticolis and the average number of units used is 286. So this is not applicable to cosmetic facial wrinkles.
Botox should be used with caution in patients with neuromuscular diseases (such as myasthenia gravis), neuropathic disorders (such as amyotrophic lateral sclerosis), or patients taking aminoglycosides or other drugs that interfere with neuromuscular transmission.
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