When will swelling go away after dysport? Consequences of Botox: how scary is it? Botox swelling of the upper eyelid what to do


On-line consultation on Botox with specialists from the SPIC Beauty Institute

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Botulinum toxin injections to smooth out wrinkles from year to year remain the most popular service in aesthetic cosmetology, not only among women, but also among men. That's why all of them side effects deserve special attention.

Swelling after Botox, Dysport or other similar drug can nullify everything positive effect from the procedure and for a long time they will be reminded of the failed attempt to erase the first age-related changes from the face.

Why do they occur, how long do they last, and in what cases should you sound the alarm? What to do with “swollen” upper eyelids and eyes? the site understands all the nuances of the problem, and eminent metropolitan cosmetologists share their own experience:

Risk factors: what you should warn your doctor about at the first consultation

Not every swelling is considered a complication/side effect of Botox or Dysport injections. In the very simple case that's quite common reaction body for damage caused by needle insertion. Already on the first day it begins to subside and disappears without a trace within 2-3 days after the procedure.

More serious lymphedema (caused by impaired lymph circulation and venous blood) swelling appears on the 7th–10th day - at the time when the drug “stands up”, that is, it begins to immobilize the muscles. They can last from 1-2 weeks to two or more months and require special procedures in order to quickly return to the face. healthy looking. The main diseases and conditions of the patient’s body, which are very likely to provoke the formation of problematic swelling after botulinum toxin injections:

You should definitely inform your cosmetologist about all these nuances, who will advise the necessary preventive measures or suggest refraining from the procedure for a certain time.

Mechanisms of edema formation after “beauty injections”

For normal tissue supply nutrients and oxygen, timely removal of cell metabolic products is necessary so that blood supply, venous blood outflow and lymph outflow are balanced. Inflow arterial blood carried out thanks to the work of the heart. The outflow of venous blood, as well as lymphatic drainage, is stimulated by the following actions:

  • on inspiration in chest cavity negative pressure is created, due to which air enters the lungs, venous blood and lymph enter the heart;
  • during muscle contractions, venous blood and lymph are “pushed” through the vessels to the heart.

The balance between fluid entry into tissues and its removal may be disrupted:

  • decreased muscle tone and contractility;
  • the presence of diseases of the cardiovascular system, kidneys;
  • hormonal imbalance in the body, etc.

In each of these cases, the development of problematic swelling is very likely. Let's take a closer look at why this happens and what the role of botulinum toxin is:

  • The influence of muscle tone on the development of edema

When Botox or Dysport is administered, paralyzed muscles in the target subcutaneous areas stop contracting, which in some cases can lead to stagnation of venous blood and lymph in the tissues. In this case, swelling most often forms around the eyes, most often on the upper eyelids. This is due to the structural features of the skin - here it is thinner than in other areas of the face, does not have a supporting bone frame, and lies on a layer of loose fatty tissue. And small venous vessels, which are located in the eyelid area, are easily pinched by edematous tissue.

As a result, a “vicious circle” is formed: the greater the swelling, the worse the further outflow of venous blood and lymph. In particularly difficult cases, the described mechanism can lead to the formation of persistent or persistent (occurring from time to time) edema of the upper and/or lower eyelids, and sometimes the entire face.

  • Impact of diseases of the cardiovascular and urinary systems

The development of heart failure leads to a decrease in the heart's ability to pump blood through the vessels. This leads to overflow of the venous bed. In this case, part of the blood seeps into the tissues and accumulates there. Swelling forms, which appears from time to time, but can be permanent.

They appear on the legs and rise higher as heart problems develop. What does this have to do with face? It turns out that it is direct. Any impact that healthy person will not cause adverse changes, but may lead to complications in a patient with heart failure. If the outflow of venous blood is already weakened, after injections of Botox, Dysport or another similar drug, muscle inactivity can lead to swelling of the upper eyelids and the face as a whole.

With most diseases of the urinary system, the ability of the kidneys to remove excess fluid is reduced to some extent and mineral salts. The latter “settle” in the tissues, which also leads to the formation of edema. At renal failure swelling most often appears in the facial area. If you “turn off” the auxiliary effect of muscle contractions on the outflow of venous blood and lymph, they become stronger and more noticeable.

  • Impact of hormonal imbalance

The ability of tissues to retain fluid is influenced by female sex hormones. For many people, slight swelling of the face may appear on certain days. menstrual cycle. Almost all pregnant women experience swelling. If before the onset of menstruation the face becomes puffy, then the risk of similar problems appearing after anti-aging injections is also very high.

Where should and should not be administered Botox and Dysport?

There are certain areas of the face in which swelling is more likely to develop when botulinum toxin is administered: the forehead, with the exception of the bridge of the nose, and the area " crow's feet" This does not mean that you need to give up injections. It is necessary to choose the correct injection points for the drug, since turning off some muscles will lead to the elimination of wrinkles and a change in the position of the eyebrows, while others will lead to the development of edema:

  • For example, good effect immobilizes the upper part orbicularis muscle eyes. This allows the frontalis muscle to raise the eyebrow upward and make the overall facial expression more alert and open.
  • In the lower eyelid area, administration of the drug is possible only subcutaneously and in no case intramuscularly, using a minimum dose. With the intramuscular option, swelling around the eyes cannot be avoided.
  • In some cases, it is necessary to completely abandon injections in the forehead area, so as not to provoke the formation of edema, limiting ourselves only to turning off the facial muscles associated with the bridge of the nose. This is usually more than enough to smooth out wrinkles on the upper part of the face.

Knowledge of all such nuances forms the basis of a cosmetologist’s qualifications, so the result of the procedure will largely depend on the correct choice of a doctor. Now botulinum toxin preparations are administered both by specialists with many years of experience who are well aware of the structure and location of facial muscles under the skin, and by girls without medical education at all (sometimes even at home), who at the seminars were given a diagram of the approximate location of the injection points to obtain certain changes. Of course, the likelihood of getting certain complications, including swelling, is much higher in the second case. Risk factors also include:

  • improper preparation of the face for the procedure and non-compliance with skin care recommendations during the recovery period;
  • incorrect choice of dosage (see also article “”). A competent cosmetologist begins working with a new patient with a minimum amount of injected drug: after assessing the result and the individual reaction of the body, you can always inject a few more units, but if you receive an overdose, nothing can be done; you will have to wait several months until the effect of the already injected botulinum toxin wears off.

How can non-compliance with doctor’s recommendations affect the development of edema?

At least one day before the scheduled procedure, you will need to refuse:

  • physical activity and long stay in an inclined position;
  • massage and other procedures in which you have to lie face down;
  • alcohol.

After the procedure, the doctor gives each patient additional list recommendations that must be followed. Very often, swelling can appear precisely because of an underestimation of its importance or misunderstanding between the doctor and the patient. For example, the ban on bending applies not only to heavy types of physical labor, for example, weeding beds, but also to such simple actions as trying on several pairs of shoes in a row, caring for pets when they are on the floor, etc. It would seem , an insignificant detail, but it is precisely this that can cause problematic “side effects”, which you will then have to spend your time and money fighting against.

How to remove swelling after botulinum toxin injections?

Depending on whether swelling is the patient’s only complication or whether there are other adverse consequences, you can choose two options:

  • purposefully eliminate stagnation of lymph and blood;
  • develop a comprehensive program for the speedy restoration of normal muscle activity.

In the first case, diuretics and cosmetic procedures with lymphatic drainage effect (both manual massage and hardware effects). However, in some patients, due to individual characteristics and the body’s reactions to botulinum toxin, it is not possible to achieve complete muscle relaxation and eliminate wrinkles without causing swelling. These “lucky ones” will have to either stop using Botox or immediately after the injections sign up for a course of lymphatic drainage procedures.

If, in addition to swelling, other side effects appear, such as ptosis upper eyelid, squint, drooping corners of the mouth, etc., are necessary for everyone available means block the activity of the drug and restore the mobility of facial muscles. The following are best suited for this:

  • manual and hardware lymphatic drainage massage;
  • application succinic acid orally and as injections into the problem area;
  • hot compresses and masks;
  • mesotherapy using drugs such as DMAE, rutin, artichoke, hibilan, green tea;
  • use of neuromedin and proserin micropapularly at the injection points of Botox or Dysport;

Some forums recommend drinking alcohol when complications arise after Botox, as it supposedly helps to quickly remove the toxin. In fact, this “methodology” only provokes the formation of new swelling on the face, which can seriously aggravate the problem.

Expert opinion


cosmetologist-dermatologist, doctor highest category, DoctorPlastic clinic:

Swelling after botulinum therapy does occur, although very rarely, mainly in people who are prone to this due to their facial structure. However, when the procedure is performed by an experienced certified specialist in a good clinic, using proven drugs, this risk is reduced to almost zero.

If the swelling is concentrated in the area between the eyebrows and/or slightly on the upper eyelid, then this can be considered as normal. It is highly likely that everything will go away within 2 weeks without additional intervention. It is more difficult in the area around the eyes, where problems often arise due to excess amounts of the drug or incorrectly selected injection points. This is primarily due to the ability of retrobulbar fiber to attract water. If a certain portion of the orbicularis oculi muscle is excessively relaxed, hernias of the lower eyelids may appear more clearly, which visually looks like swelling.

The fact is that before carrying out the procedure, the doctor must evaluate not only the depth of wrinkles, but also the presence of hernias, the severity subcutaneous tissue, activity of facial muscles and other individual factors. And it happens that illiterate specialists conduct such an assessment incompletely or incorrectly, as a result the patient receives a result that is completely different from what he expected. In this case, there is no need to panic; as muscle activity is restored, the face will return to normal. If the patient is unhappy and does not want to wait for the gradual natural reduction of this effect, procedures can be performed to improve lymphatic drainage and stimulate muscle activation, in this way the problem is usually solved very quickly.

What to do if real swelling appears, and not the visual effect that we talked about above? Our body is designed in such a way that lymphatic drainage is activated when muscles work. And when the muscle doesn’t work, lymph circulation also worsens. As I mentioned, this may be a variant of the norm, but if the swelling does not go away for a long time, then there are physiotherapeutic procedures that improve lymphatic drainage and stimulate muscle activity.

In general, the botulinum therapy procedure looks quite simple and low-traumatic for the patient, but it requires the doctor to have serious knowledge of anatomy and physiology. Therefore, we always encourage women to turn to professionals and not trust “kitchen masters”. In a reputable clinic, the patient must at least sign an informed consent for the procedure, where the specialist also signs, and in addition, the injection points and dosage are noted on a special picture form.

At DoctorPlastic, we are sometimes contacted by patients who had injections “in their apartment, with a private specialist” and received some undesirable effect. To prescribe adequate physical therapy, you need to know what was done and how exactly it was done. Therefore, I advise patients to keep their own “diary”, where they would write down when, where, in what quantity and what drugs were administered to them. If unwanted side effects or, God forbid, complications, it will be much easier for us to prescribe treatment if we know the patient’s anamnesis (history).

Step-by-step instructions on how to remove bags

Depending on the number and nature of complications, two methods of eliminating complications are used: one is aimed at eliminating lymph stagnation, and the other at improving muscle tone.

Eliminating lymph stagnation

Improved muscle tone

  • You can also use lymphatic drainage and compresses for it.
  • Succinic acid has become very popular in cosmetology. The main property of succinic acid is to increase the tone of facial muscles, remove toxins and relieve swelling.

    At home, succinic acid can be mixed with water and applied as a mask for 15 minutes, then rinsed off. This procedure can be done 2 times a week for 3 weeks.

  • Cosmetologists often prescribe Neuromedin, which is injected into Botox injection sites. Neuromedin is used for myasthenia gravis and myasthenic syndromes. Single dose and the duration of treatment is prescribed by the doctor.
  • A special place is occupied by mesotherapy with DMAE complex. This procedure Only a doctor can do it. This is the introduction of DMAE, the effect of which is aimed at increasing muscle tone and also has an anti-inflammatory effect. This manipulation is done strictly once a week for 8 weeks.

Conclusion

Botulinum toxin injections are gaining popularity not only among women, but also among men. Everyone wants to look more beautiful and younger, and often do not think about the consequences. To avoid complications, you should consult with a competent specialist., weigh all the pros and cons, and if you still decide, strictly follow the doctor’s recommendations.

Botox injection is one of the most popular procedures in cosmetology today. Constant employment and lack of time for women do not cancel the desire to look attractive and young.

“Beauty injections” help in one session to get rid of wrinkles and smooth out the skin of the face. Botox, the effects of which have not yet been fully studied, attracts clients primarily with its quick results.

Botulinum toxin injections in some cases cause complications that do not add beauty to the appearance. Before you decide to undergo Botox procedures, you should familiarize yourself with the consequences of the procedure and ways to prevent them.

The possibility of smoothing wrinkles using botulinum toxin was identified in 1982 when clinical studies treatment of strabismus and blepharospasm. This effect of the injections was concomitant and discovered by chance.

Botulinum toxin is secreted during its life activity by the bacteria Clostridium botulinum - pathogens dangerous disease botulism. Injections of this substance block muscle function and cause paralysis.

Botox was originally used to treat neurological diseases, but it soon became clear that it could be used in cosmetology for aesthetic purposes. Small doses of botulinum toxin locally paralyze facial muscles, thereby eliminating wrinkles.

The substance stays in the body for several months - that’s how long the effect of the procedure lasts, and then it is eliminated.

When administering Botox, it is important to know that a muscle paralyzed by poison does not work as it should, does not relax, but constantly removes toxins and recovers from damage. The whole body reacts to the injections, since intoxication affects not only the muscle.

Before giving injections, you need to consult a cosmetologist to confirm that there are no contraindications for the procedure. The specialist will evaluate the features of facial expressions and examine the areas that will be treated. All this will help to achieve optimal results and avoid the appearance of a “mask”.

Immediately before injections, the skin is treated antiseptics, to zones high sensitivity anesthetics are administered local action. The injection is administered to the places indicated by the doctor.

After the procedure, you can immediately engage in necessary activities; no recovery period is required.

A positive result from the procedure appears within a week, manifesting itself to its maximum by the end of the second. The effect lasts from 3 to 6 months depending on individual characteristics and lifestyle.

Consequences of the procedure

The consequences of Botox are divided into three large groups.

Complications caused by the method of drug administration

Like any injection, Botox injections cause damage-related consequences. blood vessels. As a result, you may see:

  • swelling, especially under the eyes;
  • bruises;
  • redness;
  • the injection site hurts.

As a rule, all these problems are temporary and do not require additional treatment and pass within a week. You can reduce the risk of vascular injury by using preliminary appointment drugs that strengthen the walls of blood vessels.

But if swelling appears 8–10 days after Botox injection, it can last up to several months, as it is caused by impaired circulation of lymph and venous blood during the period of muscle immobilization.

This complication often occurs when the procedure is performed by an insufficiently qualified specialist.

Lymphedema under the eyes is the result of improper preparation of the face for the procedure, incorrect choice of dosage and injection sites. As a result, not only swelling appears, but also uneven distribution of the drug over the target muscles, leading to facial asymmetry.

To fix the problem, manual and hardware sessions are required. lymphatic drainage massage, introduction of succinic acid into problem areas, application of hot compresses and masks, procedures for hardware photorejuvenation and mesotherapy with rutin, artichoke, Gibilan, green tea.

You can do nothing, but wait for the consequences to go away on their own; this usually takes from 3 to 5 months (the duration of the drug).

You can reduce the risk of developing pathological edema and facial asymmetry after the Botox procedure by making the right choice specialist It is important to take into account his experience, certificate and basic medical education.

Complications caused by the body's response to the drug

Despite the fact that Botox is injected into certain limited areas, the entire body reacts to the toxin - it seeks to get rid of harmful substance. As a result, the following symptoms may appear:

  • headache and dizziness;
  • swelling under the eyes and swelling of the face in general;
  • increase in body temperature;
  • cough and runny nose;
  • tears or dry eyes;
  • muscle weakness;
  • digestive disorders.

The headache occurs with a large dose of the drug, for example, when several injections are administered. Most often, these unpleasant manifestations go away on their own within a few days.

Symptomatic medications may be used. For example, if you have a headache after the Botox procedure, you can use painkillers, and if your temperature rises, you can use antipyretics.

As an individual reaction of the body to the procedure, lymphedema may develop, especially under the eyes, 8–10 days after Botox injection.

Most often they occur in the presence of diseases of the kidneys, liver, blood vessels, heart, fatty hernias of the eyelids, as well as during the recovery period after surgical interventions. Their formation is influenced by individual predisposition to swelling.

To avoid such complications, you need to warn your doctor about concomitant diseases.

In rare cases, Botox injections cause the development of ptosis - drooping of the upper eyelid. Most likely, this is due to the high dosage of the drug and the individual predisposition of the patient. The eyelid recovers on its own within 4–8 weeks.

In addition to the above-mentioned consequences, the body may react to Botox injections with double vision, inversion of the lower eyelid, enlarged fatty hernias, smile asymmetry, speech difficulties, drooling, and swallowing difficulties.

The special structure of the facial muscles sometimes leads to the formation of wrinkles in places where the drug was not injected. This occurs because the paralyzed muscles do not work, and the neighboring ones receive double the load.

  • do not touch the injection sites, do not massage them, do not apply makeup;
  • don't lie down, head should be in vertical position within 10–12 hours after the procedure;
  • do not play sports and others physical activity(10–12 hours);
  • do not take antibiotics and painkillers (10–12 hours);
  • do the first day facial gymnastics, tensing the muscles, then the effect will appear faster;
  • For a week, refrain from visiting the sauna or taking hot baths;
  • for two weeks, refrain from drinking alcohol, limit the consumption of salty foods, spicy foods, water;
  • sleep on several pillows, head should be elevated.

Preliminary preparation for the procedure includes avoiding physical activity, staying in an inclined position for long periods of time, and drinking alcohol for 24 hours.

Following these simple rules will help to avoid swelling, especially under the eyes, and uneven distribution of the drug, which causes facial asymmetry after Botox injection.

To avoid swelling after Botox injection, it is important to remember that you should not bend over in the first few days after the procedure. Swelling can be caused by trying on shoes, playing with a child sitting on the floor, etc.

Study of long-term consequences

Whether the consequences of Botox injections may occur after 10 or 20 years is still unknown. To assess the effect of a neurotoxin on the functioning of the brain, muscles, nerve fibers, the structure of DNA will require several decades of research and generations of people who regularly use Botox.

For a long time, this drug was considered harmless, independently eliminated from body tissues. But research recent years refute this fact. The brain tissue of experimental rats contains enzymatic residues of the drug, that is, it is not completely eliminated. It is not yet known what the consequences of such accumulation are.

I like!

Botox and Dysport injections help smooth out wrinkles. This procedure for rejuvenating the eyelids, nasolabial part, and forehead is very popular today, despite possible side effects, one of which is swelling under the eyes after Botox or Dysport.

Symptoms

Swelling appears for many reasons, the main one of which is unskilled work of the master. In addition, swelling after Botox may appear due to a natural tendency to fluid stagnation.

The main symptoms accompanying swelling under the eyes after botulinum toxin injection are:

  • Swelling;
  • Bags under the eyes;
  • Pain;
  • Ptosis (drooping of the upper eyelid after Botox).

Most often, ptosis of the upper eyelid that occurs after injection does not require any special treatment and goes away on its own within 1-2 months. To speed up the removal of botulinum toxin from the body, additional treatment may be carried out.

Causes of swelling under the eyes after Botox or Dysport

Most patients ask the question: “Why does the procedure give terrible side effects and what to do in such a situation?”

Swelling after Dysport or Botox can nullify the positive effect of the drug. And for a long time it will remind you of an unsuccessful attempt to get rid of age-related changes.

Let's start with the fact that swelling in the first three days after the injection is normal, and there is no need to worry. But when it lasts more than seven days, you should contact a specialist.

If swelling appears after the injection, it is possible that the body is going through pathological processes, or the movement of lymph in the tissues is disrupted. Edema may also appear allergic reaction on active substance or exceeding the required amount of the drug.

Wizard error

Swelling after Dysport and Botox appears due to blocking of the muscle fibers involved in the outflow of lymph. The balance between the flow of fluid into the tissue and its removal is disrupted.

If the injection is administered incorrectly and the injection site is incorrectly determined by the master, the walls of the blood vessels are damaged, which causes:

  • Painful sensations;
  • Swelling;
  • Hyperemia of the skin.

This is due to the uneven distribution of the drug in the tissues of the treated area. After some time, the symptoms begin to decrease, but if the necessary measures are not taken in time therapeutic measures, it will not be possible to eliminate swelling completely.

Allergic reaction to botulinum toxin

Failure to accept Botox or Dysport by the body is accompanied by dizziness, muscle weakness, and lacrimation. Rejuvenating procedures performed can cause allergies due to individual intolerance to botulinum toxin, which occurs in less than 1% of patients.

Patient mistakes

Swelling under the eyes after Botox appears due to the patients themselves, who do not adhere to the doctor’s recommendations. Neglecting the established rules can cause asymmetry of the oval of the face and swelling.

  • Drink alcoholic beverages;
  • Exercise;
  • Exposing the body to temperature changes;
  • Lower your head down, lie on your face;

To ensure that swelling and bags under the eyes do not form after Botox, a personal consultation with a specialist is necessary before the procedure. The master must know the complete clinical picture patient, chronic diseases, information about the medications used and cosmetics used.

Diseases of internal organs

The likelihood of swelling after Botox increases when hormonal disorders and diseases of internal organs.

  1. Diseases of the urinary system reduce the ability of the kidneys to remove fluid from tissues, resulting in swelling, mainly in the facial area.
  2. Cardiovascular diseases, such as heart failure, result in the heart's inability to pump enough blood. Due to this, the venous bed overflows and blood enters the tissues, accumulating there. In this case, swelling of the lower or upper eyelid occurs after Botox.
  3. An imbalance in muscle tone is the cause of swelling. Decreased muscle contraction leads to stagnation of blood and lymph in the tissues.
  4. Hormonal imbalance contributes to the stagnation of fluid in the tissues, causing the eye area to swell.

How to get rid of swelling and bags under the eyes after injections?

How to remove swelling after Botox injection? Depending on the causes of complications, you can choose two main treatment options:

  1. Elimination of lymph stagnation.
  2. Complex treatment and restoration of muscle activity.

To relieve swelling, it is effective to use diuretics (Furasemide), lymphatic drainage and massage to eliminate lymph stagnation.

At the first symptoms of swelling, it is necessary for everyone to possible methods delay the spread of botulinum toxin in tissues. To relieve swelling after Botox, you can choose one of the following options:

  • Warm masks and compresses. It is necessary to immerse a clean cotton cloth in a warm boiled water or chamomile infusion and apply for 10-15 minutes, repeat 2-3 times when lazy. We remove ice and all cold objects, in this case they will not help relieve swelling, but will only strengthen it;
  • Use of succinic acid injections;
  • Lymphatic drainage massage;
  • Manual massage.

Mesotherapy based on rutin, green tea, hibilan, gingko biloba, and artichoke demonstrates high effectiveness.

If there is drooping of the upper eyelid, you can temporarily fix it with a bandage.

If slight swelling occurs, urgent assistance use Neuromidin or Proserin microcapsule at the injection point.

Timely treatment will allow symptoms to subside within 5-6 days.

If gentle methods do not help, you need to ask yourself how to remove swelling using a more conservative method:

  • Physiotherapy (UHF);
  • Galvanic treatment;
  • Laser therapy;
  • Electrophoresis.

In any case, therapy should be selected only by the attending physician. Self-medication in this situation can significantly worsen the patient’s condition.

To prevent swelling, when you first contact a cosmetologist, you must give him complete information about your health status. Today you can see terrible photos of the consequences of the Dysport or Botox injection procedure. To prevent this, anti-aging injections should only be performed by a qualified specialist, then your youth and beauty will be safe and will last much longer.

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