You can get a bad batch but it is extremely rare. Let me start by saying Botox Cosmetic is FDA approved and heavily regulated. So it should be good. And it should work. The reason I am addressing this means that I have heard more then one client say something along the lines of “I got eye droop and the lady told me it was just a bad batch of botox.” Uhm… no, that’s a lie.
If your injector told you this, it means they are not owning up to their mistakes.
When botox cosmetic is shipped to a provider it is shipped overnight, as a powder, in a tiny vial, on dry ice to keep it cold and fresh. When your provider injects you that means they have recently, in the last 24 hours, added a sterile saline solution to the botox powder and now they can draw it up into a syringe and the liquid botox can be nicely injected with a tiny needle into the muscles.
I can honestly say over the past 10 years of performing botox, I have only had one batch of ‘bad’ botox. ONE. So what happened? NOTHING! Nothing happens at all. How did this nothing happen? I injected several clients over the course of a few days, with the same ‘batch’ of botox and at their 10 day follow-ups they had NO results with full movement of their expression lines. Not ideal, but nothing bad. Nothing terrible. I simply called my botox representative, they sent new botox, clients were re-injected, everyone was happy. Not a big deal. My thoughts were, maybe there was bad batch of dry ice and the botox wasn’t cold enough during shipping causing it to become in-effective. Maybe the botox got too hot during processing and preservation… it’s unclear. So basically what happens if you were to get a bad batch of botox is absolutely nothing.
We are not Superman.
What does NOT happen is eye droop and infection. “Bad botox” does not cause your muscles in one eye to droop and not the other, or both eyes for that matter. Bad botox does not seek out or spread randomly into your muscles, that’s all your injector’s doing. Maybe they reconstituted their botox with too much saline, or maybe not enough. Maybe they were a little too close to a muscle that should not have been injected. After all, when providers are injecting, we can’t see the muscles… we don’t have x-ray vision, we are not superman. This take months of anatomy courses, private trainings and certifications and years of daily experience to be a good injector. And just because you are a good injector does not mean that bad stuff doesn’t happen. After all, this is life. And everyone is different. Muscles are different. Nerve placements are different. There are physical abnormalities and unforeseen circumstances that prevent good outcomes. It is a risk that both the injector and clients take, but we always try to do our best and most of the time a little tweak here and there can correct any facial asymmetries or things we would actually consider bad botox results. And the wonderful thing about botox is if you hate it, it will be metabolized and gone in three months anyway, so no harm no foul.
Basically, there is no such thing as a bad batch of botox.
Moral of the story is do not let your injector tell you they got a bad batch if your botox looks bad. Bad botox should look like no botox. If you look bad it’s because you got a bad injector or a good injector on a bad day. Again, life happens even to the best of us.
What do you do if you do not like the result of your botox? The best thing is to go back within a month to the person that injected you and express your concerns. If at that time they can not correct their mistakes or offer some sort of reasonable explanation to the situation other then “oops, bad batch,” then ask your friends who they are going to and try to find another injector. I will write another post on how to find a good injector and what to look for and will tag it here when it’s finished. This picture is of me at a Master Injector training, always have to stay up on your game!