Painful or Odd Sensations after Injectables? Here are Some Recommedations.

Dr. Irwin
December 9, 2019
Had Botox and Juvaderm to fill lines in the face. During one injection, I felt it in my upper teeth and sinus area. Today is day 5 after and I feel pain when I smile. It can feel sensitivity in upper teeth and sinus areas. I am still bruised. Talking oral and topical arnica, and following after recommendations. I did not prepare first except with oral arnica. Should I be concerned or wait it out? Thanks in advance. Janis

Somewhat painful, odd, zingy or a “sore” sensation, plus others occur with injectables.  The key is to know which you should be concerned about, and which are normal for this process.

But first!  Your doctor, mid-level, or nurse should tell you WHAT to expect during and after treatment.  AND, they need to give you written and verbal post-care instructions that give you a basic idea of what to expect.  If they don’t, it’s totally okay to ask for both!

Also, it’s tough to give a blanket answer on this, because it’s different with each treatment.  What might be normal post Sculptra, for example, might NOT be normal post Botox.

BOTTOM LINE:   If any unusual sensation or problem persists, you gotta call your doctor, mid-level, or nurse who provided the treatment.  If you don’t have confidence that they will know what to do, PLEASE find a different provider!  Saving a little money is not a trade-off for complications.  I know you all understand this.

To help, here are some examples, but there are many others:

  • After Botox/Dysport, small, medium or large (if you can’t go off anticoagulants), are common.  As are little “nerve zingers” for a day or two.  Call if you have pain, a large bruise, or your face looks “funny” 5-9 days after the injections.
  • After hyaluronic acid fillers, the above is true, plus a “sore feeling” at or close to injection sites.  Pain, and sensitivity in your sinuses, or upper teeth are NOT routine, and you should call your provider ASAP!
  • After Sculptra, in or around the temple area, it’s common to have some soreness for 2-7 days, especially on opening your mouth widely.  It would NOT be normal to have a change in your vision, for example.
  • After a laser-cousin treatment like IPL/BBL, it’s common to look a little red, be a little puffy, have brown spots temporarily look more noticeable.  But a blister, any oozing, pain, or a break in the skin, need to be reported to your doctor right away.
Hope this helps!
Dr. Brandith Irwin
Founder, SkinTour
Director, Madison Skin & Laser Center
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Dr. Brandith Irwin, MD

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Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

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