Where Not to Inject Botox: Top 5 Danger Zones

Botox injections belong to the most popular cosmetic procedures offered by dermatologists, plastic surgeons, and other healthcare providers these days. With their help, thousands of people worldwide prolong their youthful appearance for as long as possible.

Due to the fact that Botox injections are based on the power of botulinum toxin (the main ingredient of Botox) to block muscles around the injection site, they should be performed exclusively by a certified medical professional. Only this way will it be possible to ensure the maximal safety of the procedure.

Furthermore, it is the task of a certified medical professional to administer botulinum toxin by means of avoiding Botox danger zones. What exactly they are? And where not to inject Botox? Let us figure it out together by going through this article!

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What Is Botox?

Botox is a brand of botulinum toxin injections used for a number of medical and aesthetic issues related to muscle contraction. Below, you will be able to check out the detailed information on its manufacturer, indications, contraindications, possible side effects, and expected results.

The main active substance used in the composition of Botox treatment is botulinum toxin. It is a naturally occurring
substance produced by the bacterium Clostridium Botulinum. The key function of the substance is to temporarily block the nerves attached to the muscles around the treatment area.


Botox treatment is manufactured by Allergan. It is a leading pharmaceutical corporation that has gained a huge credit of trust from healthcare providers and their patients worldwide. Apart from Botox treatments, Allergan also produces Juvederm treatments (hyaluronic acid dermal fillers).

By means of combining years of experience and recent innovations in the pharmaceutical sphere, Allergan manages to produce a wide range of medical and aesthetic products of the highest possible quality.


Due to the fact that Botox is a botulinum toxin treatment, it is indicated for the treatment of numerous health and cosmetic issues related to muscle contraction. By means of creating a temporary muscle relaxation, it might be used to take care of:

  • Excessive sweating, lazy eye, overactive bladder, neck pain, chronic migraine, and a great number of other health issues;
  • Dynamic wrinkles all over the facial oval (including nasolabial folds, marionette lines, and crow’s feet).

Apart from the above-mentioned health and cosmetic issues, Botox injection might become an effective way of treating facial asymmetry by means of relaxing facial muscles and optically thin lips by means of creating the so-called Botox lip-flip.


Despite their high level of safety, Botox injections should not be performed if a patient has any contraindications to it. More precisely, they should not be administered under any of the following circumstances:

  • If a patient is allergic or hypersensitive to any component of the product;
  • If a patient lives with a chronic disease or experiences an ongoing skin infection around the intended treatment area.

It is also preferable
to postpone Botox injections if a patient is pregnant or breastfeeding. The main reason for this is that there is a lack of research regarding the impact of botulinum toxin on embryo in a patient’s belly and on breast milk.

Possible Side Effects

Under normal circumstances, a patient should not experience any adverse reactions after undergoing a Botox injection. At the same time, however, any of the following side effects might appear shortly after the procedure:

  • Overall weakness in the affected body or facial muscle (especially if too much Botox has been injected);
  • Skin irritation around the injection site (including redness, itching, or swelling).

In most cases, the above-mentioned side effects of Botox injections have a temporary character. They tend to fade away on their own in two to five days after the treatment and do not usually require any medical supervision.

Expected Results

The results a patient might expect to experience after injecting Botox are instantly visible, natural-looking, and long-lasting. In most cases, they have a duration that equals about six months (unless prolonged by periodical touch-up treatments).

The exact duration of the results a patient might expect to experience after injecting Botox strongly depends on the individual peculiarities of each patient, such as his or her skin type, health condition, and age.


Where Not to Inject Botox?

According to its treatment protocol, Botox should be injected intramuscularly. In other words, it has to be administered into the frontalis muscle, orbicularis oculi muscle, risorius muscle, and other muscles in the human body.

An unintentional injection of Botox into the wrong muscle might create severe health complications, starting from unusual puffiness of the eyes and ending with an eyelid droop. Thus, it is of vital importance to inject Botox into the right muscles.

Still, there exist several danger zones that require special attention during Botox injections. Below, you will find the general information regarding where NOT to inject Botox on the face. Let us go through the top 5 Botox danger zones together!

It is essential to have profound knowledge of facial anatomy before injecting botulinum toxin. Therefore, only a certified Botox provider (such as a dermatologist, a cosmetologist, a licensed nurse, or a plastic surgeon) is eligible to administer the substance beneath a patient’s skin.

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#1. Temple Zone

One of the main Botox danger zones that require special attention from a trained provider is the one around the temples. The main reason for this is that it is a danger zone that is exceptionally close to the dorsal nasal artery and ophthalmic artery. Unintentional injection of Botox in any of them might lead to serious vision complications (starting from decreased eyesight and ending with vision loss).

#2. Glabella Zone

The glabella zone is also on the list of the main Botox danger zones. Similar to the temple zone, it is also located close to the eyes. Therefore, the improper Botox administration around the glabella zone might cause a number of vision complications. Still, highly trained professionals might minimize these potential risks and create optimal results by effectively reducing the fine lines in the glabella zone.

#3. Perioral Zone

Botox injections are very effective when it comes to the optical augmentation of the lips. By means of flipping the upper lip, they make the lips look substantially fuller. At the same time, however, a trained professional should be especially cautious when injecting Botox into the perioral zone in order to eliminate the risks of swelling, bruising, and itching around the injection site.


#4. Nose Zone

The nose zone is full of facial arteries and associated blood vessels. Thus, an unintentional injection of Botox into the wrong area around the nose zone might not only prevent a patient from achieving the desired results but also create a number of unwanted complications including blindness, ocular ischemia, or alar necrosis.

#5. Infraorbital Zone

Last but not least, the infraorbital region of the face is also a danger zone that requires caution when it comes to Botox administration. Many patients and their healthcare providers claim it to be one of the most risky zones for an injection of Botox. At the same time, however, a trained provider is eligible to take care of dynamic fine lines caused by active facial expressions in this area in a risk-free way.

Final Words

All in all, Botox injections are exceptionally effective when it comes to the overall rejuvenation of a patient’s face. By means of reducing facial wrinkles, they provide a patient with subtle results in a minimally invasive and safe way.

At the same time, however, only a certified healthcare provider is eligible to perform Botox injections into both bigger and smaller muscles in order to ensure their uttermost safety. So, how about relying on a licensed medical professional and getting the maximum out of your Botox injections?


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