Can Botox injections be reversed?

Unfortunately there is no 'antidote' to Botox. In some cases, the effects can be changed - for instance, differences in one side versus another can be lessened with additional Botox treatment.

Care must be taken when administering Botox to start with lower doses and advance as needed to get the effect desired.

While there are ways to treat some of the side effects of an injector using too much Botox, the best best is generally to wait until the Botox subsides.

To avoid this problem, an experienced injector will be very conservative when treating a new patient. Additional units can be provided much more easily than dealing with the problems of over-injection.

Rarely the result may not be enough to make you happy. Many physicians are conservative and prefer to not put in too much initially until they see how you react. More units may be administered two to four weeks after to give you a better result. If not enough areas were treated and there is unwanted persistent muscle movement in a specific location of the face, then those areas can be treated subsequently giving you a better result.

If, however, there is a droop of the eyelid when the forehead is treated, a prescription eye drop may be used to give you a little lift of the eyelid. If the forehead is dropped than some more units may be given into the muscles that pull the forehead down, thereby relaxing it up further.

If there is a droop that cannot be treated by the previously mentioned treatments, then time alone will help. A droopy eyelid may look better in three weeks or more.

There is no way to "undo" Botox. It will wear off within a few months so problems will generally go away without treatment. However, if the injector over-treated the forehead and caused the eyebrows to droop a little, he might be able to put a little more Botox into the eyebrow depressor muscles (the frown line area and the crow's feet area). By weakening the muscles that pull the eyebrow down, you might be able to get the eyebrows to lift up a little bit.

Likewise, if the injector caused your eyebrows to go too high (Spock eyebrows), the injector can inject a little more Botox above the high eyebrow arch to cause it to come down to where it should be.

The key to getting a good result with Botox is to find a good injector!