A member asked:

Can botox migrate to other areas? is it possible for the botox to migrate under the skin to unintended areas after injections? if so, how is the problem avoided?

7 doctors weighed in across 6 answers
Dr. Ron Pelton answered

Specializes in Facial Plastic Surgery

In : In short, yes. Good technique by an experienced injector can avoid this complication. These days, you can get Botox at the dentist, at the ob/gyn and at the mall. Just be sure that your injector has proper credentials and has been doing this for more than a short while. Experience is everything.

Answered 10/3/2016

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Botox : Botox can in fact migrate into areas adjacent to injection site. Now this is more commonly seen be injections by inexperienced hands. Plastic surgeons have the best knowledge and experience with facial anatomy. The Botox can be diluted by the injector. The more diluted the botox, the more likely the possiblity of spread. But in the right hands, Botox is a fantastic product period. Best of luck to you.

Answered 3/10/2018

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Dr. Leonard Grossman answered

Specializes in Plastic Surgery

Most : Most definitely Botox can migrate locally as well as distally, but in much smaller amounts. It is this reason why plastic surgeons probably make the best administrators of botox, because their knowledge of anatomy is second to none. I am sure there are some exceptions to this rule. Dermatologists can also be very good at administering botox. Good luck from nyc. For more info visit www.Drgrossman.Com.

Answered 10/4/2016

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Dr. Janet Turkle answered

Specializes in Plastic Surgery

Possibly: Botox is very rarely found to 'migrate'. Care taken in the injection technique, amount used and the area treated have a part in avoiding this phenomenon.

Answered 4/24/2015

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Botox: Botox blocks the action of muscles. The injected material can effect muscles that were not the intended target of the botox. Injections in the forehead can cause eyelids to droop. There are eye drops that make this less obvious. Treating the crows feet can effect the smile. Injecting around the mouth can cause a smile that is not equal. Blocking the entire forehead may make the eyes look tired.

Answered 2/26/2018

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Botox migration: Botox can migrate to other areas. This is the cause of the eye droop seen occasionally after injection of the "parenthesis" area between the brows. It is very unusual for Botox to cause systemic problems, except on individuals who have unusual neuromuscular disorders, such as myasthenia gravis or ms.

Answered 6/24/2014

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